31/10/2016 Inside Out North East and Cumbria

Welcome to Keswick. Why is a state-of-the-art hospital in

Northumberland meeting ambulance crews wait in line for hours? It is

unacceptable. We need those ambulances out on the road going to

our patients. Have flood hit homes and businesses not back on their

feet since last winter? I don't mind admitting that last night I was on

the sofa in tears saying, I'm home, but will it happen again? The war

hero who kept his silence a century after a pilot shot his seven down,

we reveal the full story to his family. He never spoke about it. He

just said, I was in the war, and that was it. I am Chris Jackson and

this is inside out. It is a brand-new hospital, promoted

as the model for emergency care for the rest of the UK. But the

Northumbria hospital is struggling to cope with a number of amber

lenses are arriving on its doorstep for stop paramedics are unable to

hand over their patients and instead are forced to key in corridors for

hours. Costing ?90 million, the new state

hospital was sold as a better way of delivering emergency care. But is it

working? He is bleeding from the head badly and he is in a queue of

people waiting to get in. That is outrageous. It is serious. Out of

ten, I would say it is ten, is unacceptable in my view. This is the

problem. Paramedics queueing sometimes for hours to hand over

their patients. Although these pictures were taken over a year ago,

ambulance staff are still routinely waiting to drop off sick people

because the hospital cannot cope. When I visited, it was quiet but are

just a few hours earlier, managers had declared a major incident

status, turning ambulances and a patient away. The hospital was under

severe pressure. This morning people had to be diverted elsewhere for

safety. This morning we are back down to level two. We have evidence

that hand over delays are putting serious strains on the emergency

system across the Northeast. When the new hospital opened, three

casualties units at other hospitals across Northumberland and North

Tyneside were downgraded to walk-in centres. The changes heralded a new

way of providing specialist emergency treatment. The trade-off

for longer journeys with promises of better care. It seems not everyone

has been won over. These are people who have written in to complain. Mum

had a fall at home and it looked like a she had broken her arm.

What is going on? I want to find out more. This is our first case. Mark

collapsed in the street and was rushed to the new hospital. The

handover procedure seems to be almost gridlocked. There was a long

queue of patients coming in with ambulance crews behind me and the

queue was building up throughout the time I was there. This is our next

case. This is John and he told us all about the treatment of his dad.

It turns out he had had a heart attack in and walking, fell over,

hit his head and the headwind was bleeding everywhere. There was a

good seven earnings with two paramedics proficient in this

corridor waiting to be checked in, this is not even triage, this is

waiting to be booked in. Here is what is supposed to happen. From the

moment the ambulance arrives, a paramedic has 15 minutes to prepare

patient in and they should be back on the road within 30 minutes to

answer the next call. But I have been speaking to some of the men and

women in the front line and they tell a different story. They were

reluctant to go on camera so actors speak their words. The worst for me

was when the patients were actually out of the corridor through the

doors. Imagine, 15 crews out of the Andamans service, so you got three

quarters of your front line A ambulances queueing in a hospital.

When you are queueing and behind other people, you are looking to see

whether that patient is as unwell as the patient you have. There is

nowhere for relatives to sit. There is no seating area so they have to

stand and is very distressing for the patients. One night there were

nine and events crews waiting to hand over patients with a weight of

over two hours just to be booked in. An internal NHS report reveals that

for just one day last month, around a quarter of the ambulance crews at

Callington were stood with their patients for more than half an hour

to check in, but it gets worse. Other documents I have seen show

that for nine months, almost 2,900 hours were spent waiting. That is

the equivalent of an on duty paramedic stuck in a queue for an

entire year. Look at a neighbouring hospital where it is just six days.

It is not good for staff morale and is not good for the Ambulance

Service. Those paramedics, it is a waste of their time standing in

corridors. All is not well and things need to be looked at urgently

before somebody dies. These aren't comments you would expect a hospital

rated as outstanding. With its recent glowing praise, the man at

the top. What you see here is a combination of highly committed

staff but also leadership which knows how to get the most out of the

people and I think there are a lot of lessons for the rest of the NHS.

But there is less gushing praise from the Ambulance Service who are

struggling with poor response times and queues at cranks and are making

their job more difficult. On a scale of one to ten, how serious is this

problem? For us, it is serious, I think out of ten, I would say it is

a ten. It is unacceptable in my view. I know there are pressures on

the NHS and on us. In this day and age, we need to be what I find

solutions to find we are not holding ambulances up because we need them

out on the road going to our patients and when they are queueing

at the hospitals, we will not be able to achieve that. What impact

does this have on your service if you have ambulance crews tied up in

hospital? We have the inability to respond in a timely fashion so

response times are suffering as a consequence. All of this prompt

questions, why is a state-of-the-art hospital failing to meet government

targets? Centralising emergency care like this is one option for the rest

of the country. Is it a model that Israeli working? The commissioning

groups who oversee the hospital had launched an investigation to try and

find a solution to the ambulance bottlenecks and from tomorrow, the

Ambulance Service has told its staff to stick to the 15 minute handover

target after which time patients become the hospital 's

responsibility. The Department of Health have to expect this when they

are regularly seeing three and 20. This is the Chief Executive of the

of the Cumbria helped us. On a trip is hospital, he admitted they

seriously underestimated the number of patients who would come here. In

the 56 years it has taken to get this place built, numbers have gone

up significantly. In the last two years, it has gone up by 20%. We are

not ahead of the game at the moment. How worried is he about the problem

of ambulance hand over delays? We are very concerned about it, it has

been our main priority over the last year. Have a lot of work going on

and it is not right at the moment. We want to fix it and I would offer

my apologies to anyone who feels they have been disadvantaged or

their care has been affected by having to wait for an ambulance

handover. Our crews waiting in your corridors acceptable? Is not ideal,

no. In times of search when people coming together, we have had crazy

times where in a 90 minute period we have had 45 unwell people arrive. No

system can manage that. We have got to prioritise and move people safely

but inevitably, we have two weight. Behind the statistics are real

people and here is an example. When we arrived, we were left in the

corner for 2.5 hours. No triage and now paying killers offered. That is

unacceptable and I apologise to that person. This must have been at a

very busy time. We do have a system that puts senior clinical staff onto

those queues to make sure people are being assessed and brought forward

if necessary. These are managed to use, not just people waiting in a

corridor, these are being assessed and of the clinical need to take it,

we will move them through the system. It is a really important

one, does that mean this hospital does not fit for purpose as Mac is

not at all, this is just one measure, not the overall measure. If

you look at quality of care, patient outcomes, this is doing what it was

designed to do. Getting consultant care at an early stage, it is

delivering all of that. We have an issue at the moment with the way in

which people are accepted into that system and we have a lot of pieces

of work going on to improve that. This hospital is pioneering a new

ways of delivering emergency care at all NHS eyes are on it but until

it's worked out the ambulance hand over delays, it will continue to be

criticised by those who matter most, the patients. The hospital says

there are early signs of improvement but with winter just around the

corner, the solution could be a way off yet.

If you had any experiences of using the new hospital you would like to

share, e-mail me. It is nearly a year since flood

water devastated around 9,000 homes across Cumbria and Lancashire.

Millions of pounds has been paid out in insurance and more than 1,000

families face another Christmas in temporary accommodation. But behind

every statistic, there is a human face.

Storms Desmond, Eva and Frank wreaked havoc over Christmas and New

Year. Storm Desmond delivered unprecedented rainfall. We have a

drain in the back garden and it is coming up through the drain. Whole

neighbourhoods remain cut off. People are being advised not to

travel in or out of those areas. Starting to get frightening, the

river is absolutely enormous. This is a major incident. It seems to be

never ending. The anger I felt on the day we were rescued has maybe

subsided a bit but it has now gone into, let's get something done. His

house was flooded for a second time in ten years. When the family comes

to visit, grandchildren come to visit, there is nowhere for them

because it is too dangerous. Family life is on hold. 200 seats since

storm Desmond. Tessa is one of the lucky ones, she has made it back

home. It is heaven. The simple things, being able to sit on your

own sofa and go to your own bed and go to your own bathroom, use your

own shower. The stress of the flood has taken its toll. I don't mind

admitting that last night I was on tears, saying, it is great, I am

home, but will I only be here for six months? Will it happen again? I

am struggling to be in a routine of being back home and will we be

lucky? Everyone on this more, they are all

old age pensioners and it has made a lot of them ill, just with having to

put up with everything and not knowing what is happening. It is

living in limbo. It is beginning to get us down. If I didn't have my

work, I think I would end up being depressed by now. It is just so

heartbreaking. Thank you for coming this evening.

In Cockermouth, the frustrations of flooding for a second time in six

years boil over at a public meeting. When we told you it was a flood and

we were right next to the flood defences, we were told we were not a

priority. For the man in charge of Cumbria 's flood defences, it has

been a tourist year. People here in this room have suffered hellish

misery yet again after having been there before, so it is quite fair

and reasonable to expect them to turn up and be both interested and

curious about what is going on but also to be challenging us and others

to make sure we are doing the best for them here in the town.

Everyone is counting the cost. We built it up and it is heartbreaking

to lose it all down the river. The garden centre was not insured for

flood risk. I would say it has cost us at least ?30,000. You cannot

actually put a definite price on it because of the amount of stuff we

lost. People thought we were still shut but overall we have been OK.

Thank you so much for giving your Friday up. It is give a Day in

Kendal where volunteers are helping out wherever they are needed. We are

just helping out at this house, getting flood

victims up on their feet. People aren't in their houses were as we go

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

There are getting on very quickly. Quicker than what I thought they

would. They are doing well. We heard about this opportunity, jumped at

the chance and thought, we will do whatever they want us to do so we're

doing this lovely ladies garden. I looked and thought, I don't know

where to start. It is absolutely fantastic. Even the bishop is out to

lift the spirits. This is a gift from the local community. It has

been a rough time recently and we wanted to bring some joy and a smile

into people's lives. Oh, thank you so much. My life will love that. As

you can see, our garden got washed away. You are very welcome. Oh, that

is really nice, thank you. Something needs to be done with the

flood defences now we could be here next Christmas with four feet of

water, or maybe six feet of water. We will be looking out the window,

watching that river come up and up and up. Every time it rains, I did

read it all stop it is a worry because if it happened again, I

don't think we could survive this time.

100 years ago a pilot not long after flying school brought down a German

Zeppelin over Hartlepool and his actions helped change the course of

the war. For families on both sides of the conflict, this is a story

that is only now getting home. The approaching drone of a Zeppelin

engine struck fear into defenceless population. The planes were no match

for the giant airships which could drop their bombs and head back to

the Fatherland and skates. As death and destruction range from above,

the British military desperately sought ways to deal with the German

menace. On a November died in 1916, Evans in the skies above Hartlepool

would change the course of aerial warfare. The men who never met the

part of that history. Once heralded a hero and the other would never

return home. I am Denise of the man who shot down the seven in

Hartlepool 100 years ago. I am the great granddaughter of Herman. I am

the grandson. He was among the crew of the airship. Neither of these

families know much about their ancestor and I am going to be taking

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

This footage has only recently been discovered. It is the beach in 1914.

Excited crowds flocked to see the arrival of the first ever air

Squadron of the Royal Flying Corps, the precursor of today's RAF. Within

two years, a former airbase would be established to protect Teesside

industry from attack. From here, Ian would intercept the seven. He rarely

spoke about it so I have brought Jean to the spot of his encounter to

learn more about her uncle 's story. I have someone here who I think will

help you find out more. Eyes to see you. I have been looking at the

secret files of the archives and found out that Ian was really,

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

own training. Really? I never knew that. He said he is starting to run

out of money and please could he have a response. Ian had tried to

enlist at the outbreak of the war but was deemed to be too young and

too short. Meanwhile a German sailor and his brother were on the high

seas halfway across the world. The youngest was footloose and fancy

free and Herman had a wife near Berlin. The outbreak of war with

separate the brothers forever. I am about to reveal a lot more

about the airship. He was placed near Hamburg and was a Petty Officer

on a new type of seven. In command and an imposing captain with a

memorable family pedigree. He was in the officers mess

celebrating his birthday when he and Herman received orders to launch an

attack. Celebrations were put on hold as ten airships across the

North Sea. The second target was north-east in them. Herman and the

airship were about to come face-to-face with a and his biplane.

I have arranged for gene to get a sense of what her uncle was up

against. Steve is the co-owner of a working replica of the plane. The

cockpit here is very much as he would have sat in. It is tiny, isn't

it? It is but it is rather begin up to be draughty. He is flying with

his right hand on the stick, and then basic information but the same

information you would still need in a light aircraft today. In combat,

Palace flute solo and had to juggle flying the aircraft a gun. The fixed

angle meant you could only shoot below. His left hand would be on the

throttle so he would be flying the aircraft like this and using his

right hand to pull the trigger on this. The seven could climb higher

so he had to sneak up and get into position without them seeing all

stop it takes a long time and it is very hard on the engine, probably

about an hour, so very hard work. Ian 's exploits have inspired

artists to capture that might on campus but it is not often realise

that they had to dodge friendly fire from below. Incredibly, I came

across us recording made by another pilot in Ian 's Squadron. We were

flying and at 9,200 feet, this happen suddenly and leashed its

entire load of bombs on the town. At that moment, a biplane fired a

complete drum of ammunition into the tail of the seven. As this blast of

fire, it burst into flames. He never spoke about it. He just said, I was

in the war, and that was that. To kill somebody like that and produce

what he actually did, it is just wonderful. What makes this story all

the more remarkable is that Ian records reveal he only qualified as

a pilot just three months before he shot the seven down. At around the

time he was learning to fly, Herman was at the German seven factory as

the planes coming off the production line. His postcard home ended with a

greeting to his children. The family don't know if he ever saw them again

as only a precious few stories have been handed down.

Previously, as Evans had been able to limp home if bullets used their

skin. Some did crash but as Herman came under attack over Hartlepool,

it is unlikely that they knew the British had a new explosive bullet

that would set their craft ablaze. The serpent was being chased by a

new across and behind over the church. He belted a fatal blow just

here, causing the back of the Zeppelin to explode and she rose up

by her nails like this and then on fire, falls into the sea just over

there. Some jumped for their lives, others went down with the airship. I

cannot imagine that and I'm sure it must have prayed on Ian 's mind over

the years. I think it did, he never spoke about it. Herman 's family

have now idea of distinguishing marks so we will ever know if he was

one of the five bodies recovered from the sea. That sacrifice proved

airships were now easy prey to the new explosive bullets. Ian was

awarded a distinguished service order for his part in the turning

point of the war. He is immortalised at Seaton Carew. What a wonderful

tribute! Did you know this existed? Never. I don't think the family did

either. Incredible. On the 100th anniversary of that momentous night,

each family now has a better understanding of what their

forebears went three and a new-found respect for two sides and one

remarkable story. We are marking the anniversary

itself at the end of next month. That's it for two night and the

current series. To keep an eye out for a special investigation on

Friday November the 11th. We're back with a brand-new series at the start

of 2017 and we would love to hear your suggestions for the stories,

the people and places should cover. Why not e-mail me. Who knows, it

could be your idea that appears on screen when we return in January?

But for now, from me and the whole of the team, thanks for watching and

see you in the New Year. Until then, from Keswick, good night.

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