31/10/2016

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:00:07. > :00:12.Welcome to Keswick. Why is a state-of-the-art hospital in

:00:13. > :00:18.Northumberland meeting ambulance crews wait in line for hours? It is

:00:19. > :00:24.unacceptable. We need those ambulances out on the road going to

:00:25. > :00:29.our patients. Have flood hit homes and businesses not back on their

:00:30. > :00:35.feet since last winter? I don't mind admitting that last night I was on

:00:36. > :00:40.the sofa in tears saying, I'm home, but will it happen again? The war

:00:41. > :00:46.hero who kept his silence a century after a pilot shot his seven down,

:00:47. > :00:51.we reveal the full story to his family. He never spoke about it. He

:00:52. > :00:57.just said, I was in the war, and that was it. I am Chris Jackson and

:00:58. > :01:13.this is inside out. It is a brand-new hospital, promoted

:01:14. > :01:18.as the model for emergency care for the rest of the UK. But the

:01:19. > :01:21.Northumbria hospital is struggling to cope with a number of amber

:01:22. > :01:26.lenses are arriving on its doorstep for stop paramedics are unable to

:01:27. > :01:33.hand over their patients and instead are forced to key in corridors for

:01:34. > :01:39.hours. Costing ?90 million, the new state

:01:40. > :01:46.hospital was sold as a better way of delivering emergency care. But is it

:01:47. > :01:50.working? He is bleeding from the head badly and he is in a queue of

:01:51. > :01:56.people waiting to get in. That is outrageous. It is serious. Out of

:01:57. > :02:05.ten, I would say it is ten, is unacceptable in my view. This is the

:02:06. > :02:08.problem. Paramedics queueing sometimes for hours to hand over

:02:09. > :02:12.their patients. Although these pictures were taken over a year ago,

:02:13. > :02:18.ambulance staff are still routinely waiting to drop off sick people

:02:19. > :02:23.because the hospital cannot cope. When I visited, it was quiet but are

:02:24. > :02:27.just a few hours earlier, managers had declared a major incident

:02:28. > :02:34.status, turning ambulances and a patient away. The hospital was under

:02:35. > :02:39.severe pressure. This morning people had to be diverted elsewhere for

:02:40. > :02:45.safety. This morning we are back down to level two. We have evidence

:02:46. > :02:50.that hand over delays are putting serious strains on the emergency

:02:51. > :02:56.system across the Northeast. When the new hospital opened, three

:02:57. > :02:59.casualties units at other hospitals across Northumberland and North

:03:00. > :03:04.Tyneside were downgraded to walk-in centres. The changes heralded a new

:03:05. > :03:07.way of providing specialist emergency treatment. The trade-off

:03:08. > :03:13.for longer journeys with promises of better care. It seems not everyone

:03:14. > :03:18.has been won over. These are people who have written in to complain. Mum

:03:19. > :03:40.had a fall at home and it looked like a she had broken her arm.

:03:41. > :03:46.What is going on? I want to find out more. This is our first case. Mark

:03:47. > :03:50.collapsed in the street and was rushed to the new hospital. The

:03:51. > :03:57.handover procedure seems to be almost gridlocked. There was a long

:03:58. > :04:03.queue of patients coming in with ambulance crews behind me and the

:04:04. > :04:09.queue was building up throughout the time I was there. This is our next

:04:10. > :04:14.case. This is John and he told us all about the treatment of his dad.

:04:15. > :04:18.It turns out he had had a heart attack in and walking, fell over,

:04:19. > :04:25.hit his head and the headwind was bleeding everywhere. There was a

:04:26. > :04:28.good seven earnings with two paramedics proficient in this

:04:29. > :04:34.corridor waiting to be checked in, this is not even triage, this is

:04:35. > :04:38.waiting to be booked in. Here is what is supposed to happen. From the

:04:39. > :04:41.moment the ambulance arrives, a paramedic has 15 minutes to prepare

:04:42. > :04:47.patient in and they should be back on the road within 30 minutes to

:04:48. > :04:50.answer the next call. But I have been speaking to some of the men and

:04:51. > :04:55.women in the front line and they tell a different story. They were

:04:56. > :04:59.reluctant to go on camera so actors speak their words. The worst for me

:05:00. > :05:08.was when the patients were actually out of the corridor through the

:05:09. > :05:14.doors. Imagine, 15 crews out of the Andamans service, so you got three

:05:15. > :05:19.quarters of your front line A ambulances queueing in a hospital.

:05:20. > :05:23.When you are queueing and behind other people, you are looking to see

:05:24. > :05:29.whether that patient is as unwell as the patient you have. There is

:05:30. > :05:33.nowhere for relatives to sit. There is no seating area so they have to

:05:34. > :05:36.stand and is very distressing for the patients. One night there were

:05:37. > :05:45.nine and events crews waiting to hand over patients with a weight of

:05:46. > :05:48.over two hours just to be booked in. An internal NHS report reveals that

:05:49. > :05:52.for just one day last month, around a quarter of the ambulance crews at

:05:53. > :05:56.Callington were stood with their patients for more than half an hour

:05:57. > :06:01.to check in, but it gets worse. Other documents I have seen show

:06:02. > :06:06.that for nine months, almost 2,900 hours were spent waiting. That is

:06:07. > :06:11.the equivalent of an on duty paramedic stuck in a queue for an

:06:12. > :06:17.entire year. Look at a neighbouring hospital where it is just six days.

:06:18. > :06:22.It is not good for staff morale and is not good for the Ambulance

:06:23. > :06:25.Service. Those paramedics, it is a waste of their time standing in

:06:26. > :06:32.corridors. All is not well and things need to be looked at urgently

:06:33. > :06:35.before somebody dies. These aren't comments you would expect a hospital

:06:36. > :06:40.rated as outstanding. With its recent glowing praise, the man at

:06:41. > :06:45.the top. What you see here is a combination of highly committed

:06:46. > :06:48.staff but also leadership which knows how to get the most out of the

:06:49. > :06:52.people and I think there are a lot of lessons for the rest of the NHS.

:06:53. > :06:56.But there is less gushing praise from the Ambulance Service who are

:06:57. > :07:00.struggling with poor response times and queues at cranks and are making

:07:01. > :07:06.their job more difficult. On a scale of one to ten, how serious is this

:07:07. > :07:12.problem? For us, it is serious, I think out of ten, I would say it is

:07:13. > :07:17.a ten. It is unacceptable in my view. I know there are pressures on

:07:18. > :07:21.the NHS and on us. In this day and age, we need to be what I find

:07:22. > :07:24.solutions to find we are not holding ambulances up because we need them

:07:25. > :07:28.out on the road going to our patients and when they are queueing

:07:29. > :07:32.at the hospitals, we will not be able to achieve that. What impact

:07:33. > :07:37.does this have on your service if you have ambulance crews tied up in

:07:38. > :07:40.hospital? We have the inability to respond in a timely fashion so

:07:41. > :07:46.response times are suffering as a consequence. All of this prompt

:07:47. > :07:49.questions, why is a state-of-the-art hospital failing to meet government

:07:50. > :07:53.targets? Centralising emergency care like this is one option for the rest

:07:54. > :08:00.of the country. Is it a model that Israeli working? The commissioning

:08:01. > :08:04.groups who oversee the hospital had launched an investigation to try and

:08:05. > :08:07.find a solution to the ambulance bottlenecks and from tomorrow, the

:08:08. > :08:11.Ambulance Service has told its staff to stick to the 15 minute handover

:08:12. > :08:17.target after which time patients become the hospital 's

:08:18. > :08:24.responsibility. The Department of Health have to expect this when they

:08:25. > :08:30.are regularly seeing three and 20. This is the Chief Executive of the

:08:31. > :08:33.of the Cumbria helped us. On a trip is hospital, he admitted they

:08:34. > :08:38.seriously underestimated the number of patients who would come here. In

:08:39. > :08:44.the 56 years it has taken to get this place built, numbers have gone

:08:45. > :08:48.up significantly. In the last two years, it has gone up by 20%. We are

:08:49. > :08:54.not ahead of the game at the moment. How worried is he about the problem

:08:55. > :08:57.of ambulance hand over delays? We are very concerned about it, it has

:08:58. > :09:02.been our main priority over the last year. Have a lot of work going on

:09:03. > :09:06.and it is not right at the moment. We want to fix it and I would offer

:09:07. > :09:10.my apologies to anyone who feels they have been disadvantaged or

:09:11. > :09:15.their care has been affected by having to wait for an ambulance

:09:16. > :09:22.handover. Our crews waiting in your corridors acceptable? Is not ideal,

:09:23. > :09:27.no. In times of search when people coming together, we have had crazy

:09:28. > :09:32.times where in a 90 minute period we have had 45 unwell people arrive. No

:09:33. > :09:39.system can manage that. We have got to prioritise and move people safely

:09:40. > :09:43.but inevitably, we have two weight. Behind the statistics are real

:09:44. > :09:47.people and here is an example. When we arrived, we were left in the

:09:48. > :09:52.corner for 2.5 hours. No triage and now paying killers offered. That is

:09:53. > :09:58.unacceptable and I apologise to that person. This must have been at a

:09:59. > :10:02.very busy time. We do have a system that puts senior clinical staff onto

:10:03. > :10:06.those queues to make sure people are being assessed and brought forward

:10:07. > :10:10.if necessary. These are managed to use, not just people waiting in a

:10:11. > :10:14.corridor, these are being assessed and of the clinical need to take it,

:10:15. > :10:17.we will move them through the system. It is a really important

:10:18. > :10:23.one, does that mean this hospital does not fit for purpose as Mac is

:10:24. > :10:28.not at all, this is just one measure, not the overall measure. If

:10:29. > :10:33.you look at quality of care, patient outcomes, this is doing what it was

:10:34. > :10:37.designed to do. Getting consultant care at an early stage, it is

:10:38. > :10:40.delivering all of that. We have an issue at the moment with the way in

:10:41. > :10:45.which people are accepted into that system and we have a lot of pieces

:10:46. > :10:49.of work going on to improve that. This hospital is pioneering a new

:10:50. > :10:53.ways of delivering emergency care at all NHS eyes are on it but until

:10:54. > :10:57.it's worked out the ambulance hand over delays, it will continue to be

:10:58. > :11:02.criticised by those who matter most, the patients. The hospital says

:11:03. > :11:05.there are early signs of improvement but with winter just around the

:11:06. > :11:11.corner, the solution could be a way off yet.

:11:12. > :11:12.If you had any experiences of using the new hospital you would like to

:11:13. > :11:31.share, e-mail me. It is nearly a year since flood

:11:32. > :11:34.water devastated around 9,000 homes across Cumbria and Lancashire.

:11:35. > :11:38.Millions of pounds has been paid out in insurance and more than 1,000

:11:39. > :11:43.families face another Christmas in temporary accommodation. But behind

:11:44. > :11:54.every statistic, there is a human face.

:11:55. > :12:00.Storms Desmond, Eva and Frank wreaked havoc over Christmas and New

:12:01. > :12:05.Year. Storm Desmond delivered unprecedented rainfall. We have a

:12:06. > :12:09.drain in the back garden and it is coming up through the drain. Whole

:12:10. > :12:11.neighbourhoods remain cut off. People are being advised not to

:12:12. > :12:28.travel in or out of those areas. Starting to get frightening, the

:12:29. > :12:42.river is absolutely enormous. This is a major incident. It seems to be

:12:43. > :12:49.never ending. The anger I felt on the day we were rescued has maybe

:12:50. > :12:54.subsided a bit but it has now gone into, let's get something done. His

:12:55. > :12:58.house was flooded for a second time in ten years. When the family comes

:12:59. > :13:02.to visit, grandchildren come to visit, there is nowhere for them

:13:03. > :13:15.because it is too dangerous. Family life is on hold. 200 seats since

:13:16. > :13:21.storm Desmond. Tessa is one of the lucky ones, she has made it back

:13:22. > :13:30.home. It is heaven. The simple things, being able to sit on your

:13:31. > :13:34.own sofa and go to your own bed and go to your own bathroom, use your

:13:35. > :13:38.own shower. The stress of the flood has taken its toll. I don't mind

:13:39. > :13:45.admitting that last night I was on tears, saying, it is great, I am

:13:46. > :13:50.home, but will I only be here for six months? Will it happen again? I

:13:51. > :13:51.am struggling to be in a routine of being back home and will we be

:13:52. > :14:08.lucky? Everyone on this more, they are all

:14:09. > :14:12.old age pensioners and it has made a lot of them ill, just with having to

:14:13. > :14:23.put up with everything and not knowing what is happening. It is

:14:24. > :14:32.living in limbo. It is beginning to get us down. If I didn't have my

:14:33. > :14:35.work, I think I would end up being depressed by now. It is just so

:14:36. > :14:52.heartbreaking. Thank you for coming this evening.

:14:53. > :14:55.In Cockermouth, the frustrations of flooding for a second time in six

:14:56. > :15:01.years boil over at a public meeting. When we told you it was a flood and

:15:02. > :15:12.we were right next to the flood defences, we were told we were not a

:15:13. > :15:16.priority. For the man in charge of Cumbria 's flood defences, it has

:15:17. > :15:20.been a tourist year. People here in this room have suffered hellish

:15:21. > :15:25.misery yet again after having been there before, so it is quite fair

:15:26. > :15:29.and reasonable to expect them to turn up and be both interested and

:15:30. > :15:33.curious about what is going on but also to be challenging us and others

:15:34. > :15:56.to make sure we are doing the best for them here in the town.

:15:57. > :16:09.Everyone is counting the cost. We built it up and it is heartbreaking

:16:10. > :16:13.to lose it all down the river. The garden centre was not insured for

:16:14. > :16:19.flood risk. I would say it has cost us at least ?30,000. You cannot

:16:20. > :16:25.actually put a definite price on it because of the amount of stuff we

:16:26. > :16:40.lost. People thought we were still shut but overall we have been OK.

:16:41. > :16:47.Thank you so much for giving your Friday up. It is give a Day in

:16:48. > :16:58.Kendal where volunteers are helping out wherever they are needed. We are

:16:59. > :17:09.just helping out at this house, getting flood

:17:10. > :17:13.victims up on their feet. People aren't in their houses were as we go

:17:14. > :17:17.back to our nice, warm house and we want them to be in theirs as well.

:17:18. > :17:26.There are getting on very quickly. Quicker than what I thought they

:17:27. > :17:30.would. They are doing well. We heard about this opportunity, jumped at

:17:31. > :17:35.the chance and thought, we will do whatever they want us to do so we're

:17:36. > :17:39.doing this lovely ladies garden. I looked and thought, I don't know

:17:40. > :17:51.where to start. It is absolutely fantastic. Even the bishop is out to

:17:52. > :17:54.lift the spirits. This is a gift from the local community. It has

:17:55. > :17:58.been a rough time recently and we wanted to bring some joy and a smile

:17:59. > :18:04.into people's lives. Oh, thank you so much. My life will love that. As

:18:05. > :18:11.you can see, our garden got washed away. You are very welcome. Oh, that

:18:12. > :18:37.is really nice, thank you. Something needs to be done with the

:18:38. > :18:44.flood defences now we could be here next Christmas with four feet of

:18:45. > :18:50.water, or maybe six feet of water. We will be looking out the window,

:18:51. > :18:55.watching that river come up and up and up. Every time it rains, I did

:18:56. > :18:58.read it all stop it is a worry because if it happened again, I

:18:59. > :19:06.don't think we could survive this time.

:19:07. > :19:10.100 years ago a pilot not long after flying school brought down a German

:19:11. > :19:13.Zeppelin over Hartlepool and his actions helped change the course of

:19:14. > :19:21.the war. For families on both sides of the conflict, this is a story

:19:22. > :19:24.that is only now getting home. The approaching drone of a Zeppelin

:19:25. > :19:29.engine struck fear into defenceless population. The planes were no match

:19:30. > :19:33.for the giant airships which could drop their bombs and head back to

:19:34. > :19:37.the Fatherland and skates. As death and destruction range from above,

:19:38. > :19:45.the British military desperately sought ways to deal with the German

:19:46. > :19:48.menace. On a November died in 1916, Evans in the skies above Hartlepool

:19:49. > :19:52.would change the course of aerial warfare. The men who never met the

:19:53. > :19:59.part of that history. Once heralded a hero and the other would never

:20:00. > :20:05.return home. I am Denise of the man who shot down the seven in

:20:06. > :20:10.Hartlepool 100 years ago. I am the great granddaughter of Herman. I am

:20:11. > :20:16.the grandson. He was among the crew of the airship. Neither of these

:20:17. > :20:19.families know much about their ancestor and I am going to be taking

:20:20. > :20:31.them on a journey of discovery. Yes, I'm ready. Let us review it. OK.

:20:32. > :20:38.This footage has only recently been discovered. It is the beach in 1914.

:20:39. > :20:42.Excited crowds flocked to see the arrival of the first ever air

:20:43. > :20:46.Squadron of the Royal Flying Corps, the precursor of today's RAF. Within

:20:47. > :20:51.two years, a former airbase would be established to protect Teesside

:20:52. > :20:56.industry from attack. From here, Ian would intercept the seven. He rarely

:20:57. > :21:01.spoke about it so I have brought Jean to the spot of his encounter to

:21:02. > :21:06.learn more about her uncle 's story. I have someone here who I think will

:21:07. > :21:13.help you find out more. Eyes to see you. I have been looking at the

:21:14. > :21:17.secret files of the archives and found out that Ian was really,

:21:18. > :21:21.really keen to be a pilot. So much so that he offered to pay for his

:21:22. > :21:29.own training. Really? I never knew that. He said he is starting to run

:21:30. > :21:35.out of money and please could he have a response. Ian had tried to

:21:36. > :21:39.enlist at the outbreak of the war but was deemed to be too young and

:21:40. > :21:43.too short. Meanwhile a German sailor and his brother were on the high

:21:44. > :21:48.seas halfway across the world. The youngest was footloose and fancy

:21:49. > :21:49.free and Herman had a wife near Berlin. The outbreak of war with

:21:50. > :22:34.separate the brothers forever. I am about to reveal a lot more

:22:35. > :22:41.about the airship. He was placed near Hamburg and was a Petty Officer

:22:42. > :22:42.on a new type of seven. In command and an imposing captain with a

:22:43. > :23:03.memorable family pedigree. He was in the officers mess

:23:04. > :23:06.celebrating his birthday when he and Herman received orders to launch an

:23:07. > :23:12.attack. Celebrations were put on hold as ten airships across the

:23:13. > :23:16.North Sea. The second target was north-east in them. Herman and the

:23:17. > :23:20.airship were about to come face-to-face with a and his biplane.

:23:21. > :23:25.I have arranged for gene to get a sense of what her uncle was up

:23:26. > :23:32.against. Steve is the co-owner of a working replica of the plane. The

:23:33. > :23:38.cockpit here is very much as he would have sat in. It is tiny, isn't

:23:39. > :23:44.it? It is but it is rather begin up to be draughty. He is flying with

:23:45. > :23:49.his right hand on the stick, and then basic information but the same

:23:50. > :23:55.information you would still need in a light aircraft today. In combat,

:23:56. > :24:01.Palace flute solo and had to juggle flying the aircraft a gun. The fixed

:24:02. > :24:07.angle meant you could only shoot below. His left hand would be on the

:24:08. > :24:12.throttle so he would be flying the aircraft like this and using his

:24:13. > :24:21.right hand to pull the trigger on this. The seven could climb higher

:24:22. > :24:24.so he had to sneak up and get into position without them seeing all

:24:25. > :24:29.stop it takes a long time and it is very hard on the engine, probably

:24:30. > :24:33.about an hour, so very hard work. Ian 's exploits have inspired

:24:34. > :24:41.artists to capture that might on campus but it is not often realise

:24:42. > :24:46.that they had to dodge friendly fire from below. Incredibly, I came

:24:47. > :25:00.across us recording made by another pilot in Ian 's Squadron. We were

:25:01. > :25:04.flying and at 9,200 feet, this happen suddenly and leashed its

:25:05. > :25:13.entire load of bombs on the town. At that moment, a biplane fired a

:25:14. > :25:21.complete drum of ammunition into the tail of the seven. As this blast of

:25:22. > :25:31.fire, it burst into flames. He never spoke about it. He just said, I was

:25:32. > :25:39.in the war, and that was that. To kill somebody like that and produce

:25:40. > :25:48.what he actually did, it is just wonderful. What makes this story all

:25:49. > :25:53.the more remarkable is that Ian records reveal he only qualified as

:25:54. > :25:56.a pilot just three months before he shot the seven down. At around the

:25:57. > :26:02.time he was learning to fly, Herman was at the German seven factory as

:26:03. > :26:06.the planes coming off the production line. His postcard home ended with a

:26:07. > :26:11.greeting to his children. The family don't know if he ever saw them again

:26:12. > :26:31.as only a precious few stories have been handed down.

:26:32. > :26:37.Previously, as Evans had been able to limp home if bullets used their

:26:38. > :26:42.skin. Some did crash but as Herman came under attack over Hartlepool,

:26:43. > :26:46.it is unlikely that they knew the British had a new explosive bullet

:26:47. > :26:51.that would set their craft ablaze. The serpent was being chased by a

:26:52. > :26:55.new across and behind over the church. He belted a fatal blow just

:26:56. > :27:01.here, causing the back of the Zeppelin to explode and she rose up

:27:02. > :27:09.by her nails like this and then on fire, falls into the sea just over

:27:10. > :27:13.there. Some jumped for their lives, others went down with the airship. I

:27:14. > :27:18.cannot imagine that and I'm sure it must have prayed on Ian 's mind over

:27:19. > :27:25.the years. I think it did, he never spoke about it. Herman 's family

:27:26. > :27:29.have now idea of distinguishing marks so we will ever know if he was

:27:30. > :27:42.one of the five bodies recovered from the sea. That sacrifice proved

:27:43. > :27:46.airships were now easy prey to the new explosive bullets. Ian was

:27:47. > :27:52.awarded a distinguished service order for his part in the turning

:27:53. > :27:59.point of the war. He is immortalised at Seaton Carew. What a wonderful

:28:00. > :28:06.tribute! Did you know this existed? Never. I don't think the family did

:28:07. > :28:09.either. Incredible. On the 100th anniversary of that momentous night,

:28:10. > :28:12.each family now has a better understanding of what their

:28:13. > :28:20.forebears went three and a new-found respect for two sides and one

:28:21. > :28:23.remarkable story. We are marking the anniversary

:28:24. > :28:27.itself at the end of next month. That's it for two night and the

:28:28. > :28:32.current series. To keep an eye out for a special investigation on

:28:33. > :28:36.Friday November the 11th. We're back with a brand-new series at the start

:28:37. > :28:39.of 2017 and we would love to hear your suggestions for the stories,

:28:40. > :28:48.the people and places should cover. Why not e-mail me. Who knows, it

:28:49. > :28:53.could be your idea that appears on screen when we return in January?

:28:54. > :28:57.But for now, from me and the whole of the team, thanks for watching and

:28:58. > :28:59.see you in the New Year. Until then, from Keswick, good night.

:29:00. > :29:07.Hello, I'm Riz Lateef with your 90-second update.

:29:08. > :29:10.There'll be no public inquiry into police tactics at the Battle

:29:11. > :29:12.of Orgreave during the miners' strike in 1984.

:29:13. > :29:14.Ministers say it's because there were no deaths or

:29:15. > :29:18.Tomasz Kroker was looking at his mobile phone when his lorry

:29:19. > :29:21.careered into four cars in stationary traffic