29/09/2014 Inside Out London

Hello, I?m Matthew Wright and you?re watching Inside Out London.

Here?s what?s coming up on tonight?s show:

Every day around 30 Londoners suffer cardiac arrests.

But survival rates across the capital vary dramatically.

London Ambulance research found f they get you to one of these heart

attack centres in London, rather than a quick dash to the local A,

your chances of survival double How the magic

of the silver screen is breathing We were trying to raise money for

the upkeep of the hall. It seemed logical to go along the route of

opening up a cinema. And how the underwater

archaeologists are unlocking the It's very much like the Mary Rose.

Probably the Mary Rose of the Thames Estuary.

Imagine you?re unlucky enough to be struck down with cardiac arrest

Well, they depend on where you?re taken to

Inside Out has discovered that you?re twice as likely to survive

after a cardiac arrest if you?re taken to a specialist heart attack

So, why do these survival rates vary so dramatically?

And I should warn you, there are flashing lights right

It's called Code Red 1, a cardiac arrest on its way to St

Thomas' - one of London's eight hi-tech 24/7 heart attack centres.

Bypassing London's A, paramedics deliver this man straight into

Found alone in the city, it's the fight of his life.

Every day around 30 Londoners suffer cardiac arrest,

Unlike this man, more than half are dead, beyond resuscitation,

A name, nothing else. No next of kin or police available.

His heart has stopped beating three times.

Every minute without resuscitation reduces survival by 10%.

We will go ahead and try to take pictures of his arteries and see if

there is a blockage that needs unblocking. Ing.

Unlike A cardiologists, here they can instantly seek

and destroy the blockage that created the heart attack,

Wire-like catheters are fed into the artery of the arm

and skillfully navigated into the vessels inside the heart.

The artery down the front of the heart is OK but the one

on left-hand side should continue there but is entirely blocked.

Minutes later a tiny vacuum tube is fed along the wire into the

and sucks out the clot that took this man to the brink of death.

We managed to unblock the artery by sucking the clot out

The stent is holding the artery open now.

That metal sent now unfurled and in place has permanently fixed

He's alive but no-one yet knows of there is damage to

We'll keep him unconscious overnight and see how he is in the morning.

The London Ambulance research found that if they get you to one

of these heart attack centres in London, rather than

a quick dash to your local A, your chances of survival double

Only London's paramedics can decide whether you go to A or the

It's the first city-wide programme, if you like, in the world,

to deliver such a programme of clinical care.

I would say London is best-place to have a cardiac arrest.

I expect you have to have a full recovery in time.

London's Royal Free was one of the first heart attack centres.

Your chance of survival is doubled to approximately 63%

if you are brought to a heart attack centre to cardiologists, compared to

London Ambulance drew up a list of survival rates for each A

and heart attack centres, until now it's never been published.

Kept from the public, these internal 2012 figures track

the overall survival rates of patients from the first successful

paramedic resuscitation at the scene, right through to hospital.

Some will rearrest and die in the ambulance on the way to

hospital but over 60% taken to heart attack centres survived.

The best survival figure involving a London A was just 26%.

Of 93 patients relying on the combined efforts

of paramedics and Queens Hospital, Romford, only two survived.

2.2%. Of 57 heading for King George, Ilford and only one

And for the 24 destined for the Whittington - no-one survived.

The Whittington suggest patients are being graded

The trusts in charge of the Queens and St George Hospital

The figures are quite uneven for one city, aren't they, at the moment?

It is variable and what we want is complete

This month, the cardiac team at St Thomas' start a trial to try

and answer why survival rates are so shockingly different.

By randomising patients, they'll test whether paramedics

take younger, more viable patients to the heart attack centres,

perhaps at the expense of the old and chronically ill.

It's worrying to see that you could go to one hospital and have

a much lesser chance of survival than say, here, at St Thomas'.

Well, now that London Ambulances are one of the leaders at doing this,

we recognise that and so we are starting to bypass

the local A and you have -- if you have a cardiac arrest, you will

The professors now advising anyone with cardiac emergency not to take

themselves to an A I think it would be much better if the public

are aware because what you don't want is someone potentially having a

What they should do is ring the ambulance service

We're just going to open up the vessel.

Conscious and having a heart attack, this man wanted to drive to the

Until I reached the hospital, you know, I was in my mind - I don't

Then I saw them opening the artery and I was so happeny and I was

and straight away the breathing was completely normal

That's led to other cardiac conditions being brought to them

Fabrice Muamba went into cardiac arrest paramedics

drove him past three A to get him to a heart attack centre.

He survived 76 minutes without a functioning heart thanks to

Subsequent delivery to a heart attack centre allowed us to

rapidly establish the diagnosis and offer him the treatment he needed.

A miraculous story, but in the same city, it can go the other way, too.

I came in to see my dad lying on the sofa here in obvious pain,

He was gesturing to his chest and back.

With an already known serious heart condition,

the family begged paramedics to take their father to the London chest

The paramedics actually decided to take my father to Whipp's Cross A,

which we all felt was really the wrong decision

because there wouldn't have been any cardiologists.

At A it took an hour to confirm an aortic dissection,

An argument was actually happening in front of us and in

front of my dad between two doctors as to where they should be sending

him. They were moved to the Royal London, but the experts Mr

done. After huge delays, they were moved on to Bart's.

His wife not even allowed to stay by his side.

Eventually when somebody did come to see her it was to tell her that

We were all devastated and couldn't believe what had happened actually.

There were surgeons who spoke at the inquest, experts who said

if he had come hours earlier, they could have saved him.

Bart's Trust said, "We apologise unreservedly.

Our new guidelines will prevent any similar patient being transferred to

a hospital without the necessary expertise.

The public always fight for their local A

But with stroke, trauma, cardiac arrest and heart attacks all now

receiving better survival rates in specialist units, where would you

We started with an unknown man with cardiac arrest.

Three days have passed. much He's going home.

I can't report any near-death experience or anything like that,

I've got a new heart that could last me another 15-20 years.

Still to come on tonight's programme: The year was 1665. That

magnificent warship the London set off from Chatham Dockyard on its way

to Gravesend. Bang, the whole thing exploded and now, nearly 350 years

later, it's still there. Out on the edges of the capital

the focal point of many local communities used to be

the good old village hall. In recent times, though,

many of these have ended up But one Berkshire village has now

hit on an intriguing way to inject some life back into the heart

of their high street, as Joanne With its beautiful hanging baskets

and rather splendid selection of small shops,

Sunninghill suggests it is a village But down at the far end,

there?s a lovely old village hall. It?s in need of much repair

and attention, though, and apart from the local amateur dramatic

society, was seriously underused. But over the last few months,

all that has changed. One Saturday in every month,

this plain old village hall becomes a place for intrique,

mystery and laughter, and nothing sets my pulse racing

like the romance of a film theatre. And here in Sunninghill, they have

their very own Cinema Paradiso. A small band of dedicated locals

show four films a day and it was the brainchild of Jane Richardson,

who lives in the village. We were looking to try

and find something to raise some money for the upkeep of the hall

because it?s been around since the beginning of 1902 and there s

a lot of upkeep needed, a lot of I knew there was a tradition

of cinema in Sunninghill and so it just seemed logical that we

would go along the route of opening The seats are already here

so we had the seats. They?ve been here for a number

of years and they?ve been used for various Am Dram productions over the

years, but putting them out is a complete nightmare, and I?ve always

said that if I win the Lottery, I am It?s a great work-out,

putting those seats out. You have to have a licence,

so we had to join the Film Bank and pay a licence fee just to join,

which was quite a lot of money. And then every film that we have, we

have to pay a licence fee as well. Licenses, film rights and the

like were all completely new to the villagers but they soon found

a man who knew exactly what to do. Neville Dimon is involved

in an ever-growing community cinema So Neville, how easy was it for

you to start showing films here I?ve been doing mobile cinema for

six years now and helping community I was a projectionist in cinema

from when I left school up to And then, obviously, projectionists

became redundant and not used I couldn?t live without being

in a cinema atmosphere, so I decided I would try and

recreate the old-fashioned times. You are limited with what you

can offer technically or not? The projectors now are HD so,

you know, we show Blue Ray, you know, it?s not always

about the quality of film. The modern cinemas put all

their efforts into the quality of the screen and obviously the sound,

but there?s no community feeling. You know, you can die in a cinema

and no-one would know you?re dead Sunninghill had a small cinema

on the high street for many years. My grandfather, who was

the last white Raj of Sarawak, his brother, Harry, decided that he

would actually give a cinema to the village and so it was started in

1920, they lay the foundation stone. There?s an interesting thing

here with cinema ticket prices. Even in a tiny cinema like that

they had three-tier pricing. So they had 2.6d, 1.3d and 9d

for the tickets to go and see My great aunt, Ranee Margaret,

she came to play the piano here and She used to wear these massive great

hats, great big collared fur coats. The original picturehouse

stayed open until the 1980s. So many of today?s

cinemagoers remember it well. I don?t know why we called him Uggy,

this man, and she used to take the money and

then she used to come dashing out to the front and serve the ice creams

and then he used to go dashing up And so it really was

an old-fashioned feel. It had 320 seats,

so it was very cosy. A very good back row, although

did you ever sit in the back row? I couldn?t complexes

possibly tell you. Most cinemas today are situated

in purpose-built complexes but in the past, the movie theatre used

to bring life to many high streets. I remember, years ago, looking over

the roof of a cinema and people would be coming out of pubs and

restaurants to go to the cinema and then looking over the roof and other

people would be leaving the cinema Then the cinemas went and,

obviously, This high street has welcomed the

return of a cinema with open arms. The curry house gives discounts to

cinemagoers, and the Asperger?s and Autism Centre

just down the other end of the tiny Their aim is to get their young

people to integrate in society more They?ve provided

an outreach programme which has been amazing for the young

people with autism to come and have People like Felicity, Natalie and

Ryan are able to come once a month It?s something that?s given them

outreach We?re both on the spectrum

for Asperger?s Syndrome. I serve the customers drinks, tea,

coffee, snacks. Meeting people is quite hard

for me and understanding body I?ve never done this type

of job before so it?s increased my confidence

in dealing with the public. I have looked at working

in a cinema. It?s just waiting to hear back

on a few. So this will look good on your CV,

wont it? I love this place

and the really good news is after just a few months, they?re

making a profit and the renovation We?ve just been repairing

the back wall to the bar which was I mean, there?s a lot

of money that needs to be spent We?ve got plans to renovate

the entrance area and the toilets. There?s work needed to the

brickwork, the guttering and the windows. In a way, it gets to a

point it would be cheaper to kind of start again but that wouldn?t be? It

wouldn?t have the same character. You know,

this hall was built at the same time as the rest of the village and,

you know, we want to keep it going. What could be a story about a tiny

cinema saving a crumbling village No-one here asked

for handouts or help. They figured they wouldn?t

get them anyway. But instead, this community jumped

in, rolled up its sleeves and by taking a step back into the past,

moved forward in a simple way. And if ever you want an example

of the old cliched phrase The Big Society, it really is

happening here in Sunninghill. One of England?s most important 17th

century shipwrecks, the London, is rapidly going to pieces

on the seabed off Southend English Heritage has launched

an urgent salvage operation and the race is now on to retrieve

many of the ship?s artefacts It?s probably

the most important post-medieval There?s some very delicate organic

finds down there so it really is In fact, I can say this is probably

the Mary Rose of the Thames Estuary. The magnificent warship The London

set off from Chatham dockyard The whole thing exploded and now,

nearly 350 years later, it?s still there, at the bottom

of the Thames Estuary. The ?sad news

of the London? was recorded in He wrote that ?About 24 men

and a woman(were) saved; the rest, being 300, drowned -

the ship breaking all into pieces.? English Heritage are now embarking

on a major salvage project of the wreck of The London that they

hope will shed some light She was on a pleasure cruise

so maybe you?ve got people sat out at breakfast eating their sausage

sandwiches and suddenly, And the best guess is that

the magazine blew up. It?s possible that

the crew were preparing for a gun salute for the Admiral, which is why

there might have been gunpowder moving around, but that?s part of

the mystery that we hope to solve Dredging work taking place

on this stretch of the Thames for the new London Gateway port has

been altering the river?s behaviour, giving the salvage

project a real sense of urgency Shipwreck sites,

when they?re buried underneath the sediment, then they?re protected

from biological and chemical decay. It?s only now that the bed level is

beginning to move and find a new equilibrium, then it?s

becoming exposed and is at risk This is

a really difficult diving job. This being the Thames the visibility

down there is really poor and of course we are slap bang in the

middle of a very busy shipping lane. The salvage project is giving local

fishmonger and hobby diver Steve It?s like a dream come true

because they?ve offered me an excavation license to work with

professional archaeologists. I do feel like I?m

a Sunday league footballer being The tide patterns here mean that

only a single hour?s diving can be done each day, so Steve and the

team have to make the most of it. Most divers wouldn?t even dive

the Thames. The main aim of these dives is to

explore and map out the wreck in preparation for larger-scale

salvage operations next year. Today we?ve been finishing our

second week on the site continuing the excavation of trenches we

started and really been getting into Now we?ve been getting up

into cabins, we?ve found a gun deck, probably the lower gun

deck, and parts of a gun carriage on that deck so we?re getting

into the interesting area of the Mapping out

the wreck is crucial because there are no surviving plans or pictures

of the interior of the London. In fact, there?s only one available

image of the ship, a sketch We can see that it was

a very fearsome vessel with its gun decks but we can also see the ship

was a symbol of national and to The London was one of the largest

and most prestigious ships in The London was built at a time when

the English Navy was first starting The number of ships in the

Royal Navy went from 39 to 156. This was a really significant

increase and put the English Navy on a par with its immediate rivals

France and the Netherlands. With their one-hour dive window

about to close, Steve and marine archaeologist

Dan Pascoe return to the surface. And they?ve not come

up empty handed. We have a mixture

of musket balls and pistol shot So it?s pointing towards maybe

somewhere in The most amazing thing?s

the wood ? so well preserved, That?s the great thing about Thames

? it?s got all these fine silt and clays that cover it and

when we start to excavate it?s Today?s finds are being taken to

the Southend Pier, where local volunteers are assembling to help

conserve and record the artefacts retrieved in recent

days, before they are eventually We have some candles,

really beautiful, not too common. I?ve recruited 15 mostly local

volunteers ? we?ve trained them in preventive conservation and find

sorting of marine archaeology. And

at a later stage they?ll be helping us with research and installation

of the objects for display. In here we?ve got some clay

pipes which we?ve literally I think it?s such an interesting

ship the fact that it was hit is part of local history on the Thames

Estuary and the fact that you?re here right on the front line as soon

as its brought up from the water I think is a once

in a lifetime opportunity to do Before the artefacts can go

on display at Southend?s Museum first they?ve got to be properly

cleaned up and examined by an expert, and that work happens

here ? at the English Heritage Looking at artefacts really brings

a personal side to the story Angela Middleton has been

painstakingly conserving the first They arrive wet and first of all we

record them, we photograph them we X-ray certain artefacts, we wash

them and we put them in fresh water. So what do we have here

in the wet section? We have a wooden pulley block that

still contains remnants of the rope. So that could have been up

in the rigging or something, They were encased

in a big massive concretion. So this came in a great big lump

and you chiselled away at it? What I particularly

like is the detail of the grading. It?s a measuring tool

for measuring the size of... We have a little seal with

the griffin on it. Whenever you needed to seal

a document stamp it that way, the end bit could be used to stuff

your pipe with. It is very exciting to work on the

material ? it?s very interesting, especially the organics artefacts

are fascinating for us to work on. These early finds from the wreck

are just the tip of the iceberg In the months ahead,

the dive teams will recover many more artefacts that reveal what life

was like on the London ? and perhaps shed light on the mystery of its

devastating explosion back in 1 65. And we?ll hopefully be bringing you

an update on the wreck of the London as

the excavation continues next year. Well, that?s nearly all

for tonight?s show. Before we go, though,

let?s have a quick look at what s How 3D printing is creating new body

parts to help disfigured children. How Crossrail is helping

build one of Europe?s most And why gin is making

a comeback in the capital. And that?s it for this week?s

Inside Out London. Don?t forget, if you missed any

of tonight?s programme and want to catch up on iPlayer

then just head to our website. Thanks very much for watching. I?ll

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