31/10/2016 Inside Out North East and Cumbria


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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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