:00:10. > :00:18.The biggest re-organisation of the National Health Service. What will
:00:18. > :00:21.it mean for us? Giving everyone the chance to shop around for the best
:00:21. > :00:28.care. Will monitoring ourselves at home
:00:28. > :00:33.unblock the beds in our local hospitals? We know it has a
:00:33. > :00:39.fantastic benefits, reducing admissions to hospital. It manages
:00:39. > :00:44.to produce premature death as well. I am not sure GPs have the capacity
:00:44. > :00:48.in their surgeries, analysing remote information.
:00:48. > :00:57.And we're living longer and that is great, but can you be too old to
:00:57. > :01:02.drive? I was banging on my bedroom door and I woke up. It was my son,
:01:02. > :01:04.saying, there was a policeman downstairs. There has been an
:01:04. > :01:08.accident. I'm Natalie Graham with untold
:01:08. > :01:18.stories, closer to home. From all round the South and South East,
:01:18. > :01:33.
:01:34. > :01:38.Hello, I'm on the White Cliffs of Dover. We're back later but, first
:01:38. > :01:41.up, the National Health Service. It's been around for 65 years. But
:01:41. > :01:51.in just ten weeks' time the NHS will undergo the biggest re-
:01:51. > :01:52.
:01:52. > :01:55.organisation in its history. So what will it mean for us patients?
:01:55. > :02:00.We sent TV doctor and comedian Phil Hammond round England to
:02:00. > :02:05.This is lovely, madam, because this inhaler would actually go with your
:02:05. > :02:09.coat. And a free examination. Do you want to come here and cough,
:02:09. > :02:13.sir? I can give you those half price. Plus something for your
:02:13. > :02:23.water retention. I'm a GP and today I'm taking healthcare into the
:02:23. > :02:26.community where it's needed. This is what the biggest shake-up in the
:02:26. > :02:29.history of the NHS is all about, giving local doctors, nurses and
:02:29. > :02:32.patients the chance to call the shots and shop around for the best
:02:32. > :02:34.care. At least that's the Government's plan. But many doctors
:02:34. > :02:44.think the reforms are untested, expensive and over-complicated, a
:02:44. > :02:50.
:02:50. > :03:00.view I shared with the former The difficulty with this is that
:03:00. > :03:02.
:03:02. > :03:06.It only sells its own brands. It is a one-stop shop where all the
:03:06. > :03:16.tricky decisions are made for you. You should get the same quality
:03:16. > :03:18.
:03:18. > :03:20.care whether you are living Scunthorpe or Southend. So the
:03:20. > :03:23.Government's bringing in the market place model instead introducing
:03:23. > :03:26.more choice and competition, and putting GPs in charge instead of
:03:26. > :03:31.civil servants. But will it work? So if I just check your eyes there.
:03:32. > :03:35.I can confirm you have two eyes. We're doing two X-rays for the
:03:35. > :03:39.price of one. And I can throw in a free brain scan if you like. One
:03:39. > :03:41.change we're told patients should notice is care much closer to home.
:03:41. > :03:44.Hospitals and GPs will have more freedom to bring in innovative
:03:44. > :03:47.ideas. Technology might monitor your health at home and routine
:03:47. > :03:49.surgery could be done at high street clinics. Hospitals in
:03:49. > :03:53.Gloucestershire have already teamed up with a charity to send this
:03:54. > :04:01.mobile chemotherapy unit into rural communities. For cancer patients
:04:01. > :04:11.like Graham Freeman, it's a lifeline. The concept is great.
:04:11. > :04:16.
:04:16. > :04:20.But could this shift towards more localised care mean hospitals will
:04:20. > :04:22.have to close? To find out, I've come to London, to one of the
:04:23. > :04:26.world's most respected independent think tanks on health policy, the
:04:26. > :04:29.King's Fund. I don't think we'll see many hospitals closing as a
:04:29. > :04:31.result of care coming closer to home. It will mean hospitals
:04:31. > :04:36.changing their roles, perhaps fewer A&E departments, fewer maternity
:04:36. > :04:40.services provided in existing hospitals. But that could be to the
:04:40. > :04:42.benefit of patients if we're able to plan that in the appropriate way
:04:42. > :04:52.and get better outcomes by concentrating those services in
:04:52. > :04:53.
:04:53. > :04:59.You might not be keen though if The second thing patients should
:04:59. > :05:04.notice is more choice. Three tomatoes for a pound! Anybody?
:05:04. > :05:07.Three inhalers for the price of two. Come and get them! Two caulis,
:05:07. > :05:10.�1.50 over there! We've got a separate queue here for six
:05:10. > :05:13.symptoms or less. Competition in the NHS isn't new but the reforms
:05:13. > :05:20.step it up a notch. The NHS will become a marketplace with private
:05:20. > :05:27.companies competing with the NHS So when your GP says you need a
:05:27. > :05:30.scan, your options may look less like this and more like this. But
:05:30. > :05:36.it should be quality not price that will decide which are allowed to
:05:36. > :05:45.It's already happening here on the high street where Specsavers are
:05:45. > :05:55.treating NHS patients in 218 of its When I came to Specsavers, they do
:05:55. > :05:58.private and NHS which I find is better than going to the hospital.
:05:58. > :06:06.I don't think you get such a personal attention. So this is much,
:06:06. > :06:09.much better. The plan is for patients like Doreen to choose
:06:09. > :06:12.their provider by looking at new performance league tables.
:06:12. > :06:16.companies must play by the rules and can't encourage NHS patients to
:06:16. > :06:20.go private. Ultimately Specsavers want to protect the NHS work that
:06:20. > :06:30.we've managed to gain here and we don't want to do anything to try
:06:30. > :06:31.
:06:31. > :06:34.and jeopardise that. We're not More competition could drive up
:06:34. > :06:39.standards and lower costs. But if profits slip, companies could pull
:06:39. > :06:43.out or even go under, leaving patients in the lurch. Remember the
:06:43. > :06:53.collapse of Northern Rock? Imagine if its customers had been queuing
:06:53. > :06:59.
:06:59. > :07:02.not for their life savings but for The Government's anticipating that.
:07:02. > :07:04.It's putting in place what's called a failure regime, so that the
:07:05. > :07:07.regulator can intervene and ensure continuity of services even if the
:07:07. > :07:10.organisations are not providing care to the right standard.
:07:10. > :07:14.third thing patients may notice is a shift in their relationship with
:07:14. > :07:17.their GP. So if I said, "trust me, I know the best place to go to get
:07:17. > :07:21.your heart surgery, "would you say, "yeah, you're the doctor. Dr Phil,
:07:21. > :07:24.you look like a ginger George Clooney. I love, I trust you."
:07:24. > :07:27.Since the birth of the NHS, doctors have taken the trust of patients
:07:27. > :07:31.for granted. But as GPs offer more and more treatments, they could
:07:31. > :07:34.find themselves referring patients to their own services. Add private
:07:34. > :07:44.companies into the mix and there's real scope for a conflict of
:07:44. > :07:46.
:07:46. > :07:50.interest. So just open really wide. But should we really be worried? In
:07:50. > :07:53.Bath, Jasmine Bishop, is seeing a GP on the NHS. But believe it or
:07:53. > :07:56.not he actually works for Virgin. Yes, they of planes, trains and
:07:56. > :08:04.superfast broadband fame also run this walk-in centre, along with 170
:08:04. > :08:07.other NHS services. Although you wouldn't know it from the branding.
:08:07. > :08:10.As Virgin takes over more of the NHS, what's to stop you referring
:08:10. > :08:13.patients on to another Virgin service to make money for the
:08:13. > :08:17.company rather than in the best interests of the patient? All of
:08:17. > :08:21.our GPs, like any GP in the country, have to offer patients a choice
:08:21. > :08:26.when they're being referred for another service. So in the end,
:08:26. > :08:28.it's down to the patient to choose where they go. And of course GPs
:08:28. > :08:32.and other clinical staff have a professional responsibility too to
:08:32. > :08:37.make sure that they're finding the best care for their patients. That
:08:37. > :08:43.doesn't differ because those GPs are employed by us. And you have to
:08:43. > :08:48.ask, if patients really mind who Did you know that this health
:08:48. > :08:51.centre was run by Virgin? No. it make any difference to you as a
:08:51. > :08:58.patient, whether it's run by an ordinary NHS GP or a private
:08:58. > :09:02.company? No. So all that matters to you is what? What do you care about
:09:02. > :09:05.in your treatment? That I get the best treatment I possibly can get,
:09:05. > :09:09.really. Which of these sample bottles would you like, madam?
:09:09. > :09:13.We've got three on choice today. The bottom line is that if you have
:09:13. > :09:16.a good idea to improve your care, tell your GP. If he or she can make
:09:16. > :09:20.it happen, we know the reforms are working. It's been a huge upheaval
:09:20. > :09:25.just to get the NHS to listen to patients. And I hope for all our
:09:25. > :09:35.sakes, it works. I can't lug all this back again. Come on, it's got
:09:35. > :09:49.
:09:49. > :09:52.On the day of the collision, we found he had no sight in one eye
:09:52. > :09:59.and below the legal limit in the other. He could hardly see where he
:09:59. > :10:03.was going when he was driving along Now, one of the problems facing the
:10:03. > :10:06.NHS is how to care for people with long term illnesses. So using
:10:06. > :10:10.technology to monitor patients at home - rather than hospital - could
:10:10. > :10:20.well be a good idea. But will telehealth as it's called really
:10:20. > :10:23.
:10:23. > :10:26.catch on, particularly in the new There are tens of thousands of
:10:26. > :10:29.people living in the South East with long term health problems.
:10:29. > :10:34.Conditions such as diabetes, heart conditions, or people with chronic
:10:34. > :10:44.lung problems. They make up around 30% of NHS patients yet account for
:10:44. > :10:46.
:10:46. > :10:48.70% of the total NHS bill, a These people are in and out of
:10:49. > :10:52.hospital to-ing and fro-ing from their GPs, being visited by
:10:52. > :11:00.district nurses, but what if there was a way of slowing their lives
:11:00. > :11:04.down and getting them to monitor their own health from home? There
:11:04. > :11:06.is. Kent is at the forefront of a government drive to change the way
:11:06. > :11:16.the NHS cares for its most expensive patients, using
:11:16. > :11:22.
:11:22. > :11:31.What it allowed us to do was to monitor patients on a daily basis
:11:31. > :11:35.from our office or wherever we were without having to visit them daily.
:11:35. > :11:38.It's so much more convenient to be in my own home, than appointments.
:11:38. > :11:41.But not all doctors are fans of telehealth. GPs are at the moment
:11:41. > :11:46.quite overloaded with work. And I'm not sure that GPs have the capacity
:11:46. > :11:49.to be in their surgeries, analysing remote information, et cetera.
:11:49. > :11:54.others say the new NHS reforms will make it harder to get telehealth to
:11:54. > :12:00.happen. The NHS reforms are going in one direction, and the need for
:12:00. > :12:09.this to work is going in the other direction. So will the government's
:12:09. > :12:11.grand plan to get more people on to telehealth succeed? Kent was one of
:12:11. > :12:16.the first local authorities to experiment with telehealth in this
:12:16. > :12:19.country. In November, the government appointed it as a
:12:19. > :12:22.pathfinder authority to find a way of making teleheath work across the
:12:22. > :12:26.nation. We first got involved by introductions from America.
:12:26. > :12:29.Telehealth and telecare has been a popular thing in the States for
:12:29. > :12:33.rather more years than it has in the UK. And as a result of these
:12:33. > :12:43.introductions, it was decided that we would do work in Kent, and it
:12:43. > :12:43.
:12:43. > :12:47.was very successful. Using American technology Kent was able to forge
:12:47. > :12:53.ahead. It now has 800 patients on telehealth. Those we spoke to were
:12:53. > :12:56.very happy with the service. That's good. Ann Fagg is a retired
:12:56. > :12:59.assistant head teacher living with husband Ian in Dover. She has
:12:59. > :13:04.complicated problems with her lungs and was extremely ill four years
:13:04. > :13:08.ago with pneumonia. Every day from her own bedroom, she takes her own
:13:08. > :13:11.blood pressure, temperature, heart rate and crucial oxygen levels. She
:13:11. > :13:21.enters the data into the monitor and the results are read remotely
:13:21. > :13:23.
:13:23. > :13:27.at a nearby health centre. I feel it's like an insurance policy, that
:13:27. > :13:32.someone will be at the end of the line to pick up any problems I've
:13:32. > :13:35.got. I don't need to worry so much about my own condition. Anne's data
:13:35. > :13:40.is monitored by a team at the nearby Dover Health centre. The
:13:40. > :13:44.lead nurse for long term conditions is Hayley Mullan. What it allows us
:13:44. > :13:53.to do is monitor them remotely then to prioritise who needs to be seen
:13:54. > :13:56.rather than to visit everyone routinely. It allows us to monitor
:13:56. > :14:05.trends in their condition and hopefully pick up small trends very
:14:06. > :14:08.quickly that means we are able to have less hospital admissions.
:14:08. > :14:11.Hayley's team also helped John Richards, putting him on telehealth
:14:11. > :14:15.to monitor his condition when he came out of hospital. He had severe
:14:15. > :14:18.liver disease and at one time thought he was going to die. It was
:14:18. > :14:22.very serious. I consider myself lucky to be here and with the use
:14:22. > :14:25.of telehalth to be fair to it as a system I do consider myself lucky
:14:25. > :14:35.to be here. So it's working locally in Kent, but now the government has
:14:35. > :14:37.high hopes of making telehealth available for all who need it.
:14:37. > :14:40.think that telehealth and telecare has enormous power, potentially, to
:14:40. > :14:43.remain independent in their own homes. And we know that most people
:14:43. > :14:47.either in old age, or if they're suffering from a disability prefer
:14:47. > :14:54.to stay in their own home if they possibly can do, and this helps to
:14:54. > :14:57.facilitate that. But it's part of a bigger shift towards supporting
:14:58. > :15:00.people in their own home. This is one critical element of it. But we
:15:00. > :15:02.know it has fantastic potential benefits reducing the number of
:15:02. > :15:05.crisis admissions to hospital. Everything goes wrong, which
:15:05. > :15:09.happens too often at the moment. It also manages to reduce premature
:15:09. > :15:11.death as well. So we have to have the power of this very seriously.
:15:11. > :15:14.Last year the government launched Three Million Lives, a campaign
:15:14. > :15:17.which aims to get three million people signed up to home monitoring
:15:17. > :15:20.within five years. But Roy Lilley, who is an expert on telehealth and
:15:21. > :15:23.a former NHS Trust chairman, says in his view the Three Million Lives
:15:23. > :15:26.project is unlikely to succeed. I've been big fan of telehealth,
:15:26. > :15:29.telecare, tele everything since the early 90s. And I've seen all sorts
:15:29. > :15:39.of initiatives come and go. You see local initiatives run by
:15:39. > :15:42.enthusiasts. But for telecare and telehealth to scale up, you need
:15:42. > :15:46.the numbers to make it work. Because if you work as it is now,
:15:46. > :15:49.with a few local bits of kit that get plugged in in some way or
:15:49. > :15:59.another to the local GPs' surgery, it doesn't decrease workload, it
:15:59. > :16:07.
:16:07. > :16:10.If this is going to work, it has to work at scale so you have to have
:16:10. > :16:13.enough people to make it work and call centres a proper call centre,
:16:13. > :16:16.that works 24/7. But the government believes it has a solution to
:16:16. > :16:18.scaling up telehealth and that is getting industry involved.
:16:18. > :16:28.Government believes that the solution is to get industry and
:16:28. > :16:29.
:16:29. > :16:31.ball. -- involved. One of the issues is the up-front cost. So
:16:31. > :16:34.we're working together with industry to arrange new models,
:16:34. > :16:37.where industry can make the up- front payment, and then the costs
:16:37. > :16:41.could be re-paid on a continuing basis. We know that this both saves
:16:41. > :16:43.money, and improves lives. So it's very powerful, as I say. There are
:16:43. > :16:46.20 companies involved in Three Million Lives, all vying for
:16:46. > :16:55.potential business. But they have to work out whether any money they
:16:55. > :17:05.put in will pay off. One of them has just bought this call centre in
:17:05. > :17:05.
:17:05. > :17:09.Wiltshire, staffed by former nurses and health workers. Are you
:17:09. > :17:12.wheezing at all? Here they will monitor patients' data on a daily
:17:12. > :17:21.basis, only contacting GPs when they detect a problem. Their first
:17:21. > :17:25.contract is running telehealth services for a scheme in Medway.
:17:25. > :17:31.What are your plans and visions? Do you think it's really going to take
:17:31. > :17:41.off now? Absolutely. We have huge ambitions. The ambition over the
:17:41. > :17:43.
:17:43. > :17:46.next 5 years is to have 1.5 million patients on telehealth. But under
:17:46. > :17:49.the new, reformed NHS, GPs will have far more say over what
:17:49. > :17:52.services they buy and so far doctors have been far from sure
:17:52. > :17:56.about the benefits of telehealth. Dr Chaand Nagpaul is a practising
:17:56. > :17:59.GP and a spokesman for the British Medical Association. He says one of
:17:59. > :18:06.the concerns is that some patients won't be able to use the computer
:18:06. > :18:08.technology. Patients who are hard of hearing, visually impaired,
:18:08. > :18:10.patients with disabilities, patients who can't use the
:18:10. > :18:13.computers, et cetera, who are actually perhaps going to be
:18:13. > :18:19.disadvantaged in a system which is tailored towards those who are able
:18:19. > :18:29.to benefit. Dr Nagpaul also believes the government figures
:18:29. > :18:31.
:18:31. > :18:34.simply don't stand up to scrutiny. Even the government's own study
:18:34. > :18:36.showed that the cost of telehealth in health economic terms - is
:18:36. > :18:42.�80,000 per quality-adjusted life year. The government has a
:18:42. > :18:48.threshold of about �30,000 per quality-adjusted life year.
:18:48. > :18:53.Political ideology is running ahead all the evidence. Somebody has to
:18:53. > :18:58.pay for it. You can only pay for it out of savings. Who are the people
:18:58. > :19:03.that would most save out of the telly health and telly care? It is
:19:03. > :19:08.not GPS. The people that delay will save money our hospitals. Hospitals,
:19:08. > :19:16.of course, will not have so many customers, fight and put it like
:19:16. > :19:19.that, if we can look after people in their own homes. The problem
:19:19. > :19:29.with that is hospitals get paid by the number of patients that go
:19:29. > :19:32.through their beds. For patients like Ann Fagg, telehealth has
:19:32. > :19:34.transformed her life allowing her to spend more time from the comfort
:19:34. > :19:37.of home with the reassurance of daily medical surveillance. The
:19:37. > :19:41.government wants telehealth to roll out to improve lives and reduce the
:19:41. > :19:43.health bill. But the case for telehealth has to be made to the
:19:43. > :19:51.new GP commissioning groups, because they are the ones that now
:19:51. > :20:01.hold the purse strings. And that's an argument that still has to be
:20:01. > :20:06.
:20:06. > :20:09.Now, many of us would like keep driving for as long as we can into
:20:09. > :20:12.our older years to stay as independent and mobile as possible.
:20:12. > :20:22.But are there safeguards enough to make sure elderly people are still
:20:22. > :20:38.
:20:38. > :20:43.fit to drive safely? Jon Cuthill reports. My son, Neil, was all
:20:43. > :20:51.lovely man. He was very conscientious, very close to his
:20:51. > :21:01.family, and his brothers. He had so many plans for the future. March
:21:01. > :21:04.colleagues celebrating his first girls wanted to go back to her car,
:21:04. > :21:09.and my son, being the gentleman he was, I would like to think he was a
:21:09. > :21:15.gentleman, escorted her back to her car, and he was going to go back to
:21:15. > :21:25.the others, then he thought better of it so he texted us and said, put
:21:25. > :21:26.
:21:26. > :21:30.Pizza on, get the beers out, I am coming home, no. But Neil was never
:21:30. > :21:36.to make it home. His route back took him along the A30 dual
:21:36. > :21:40.carriageway. During the journey, Neil safely overtook a BMW. All of
:21:40. > :21:47.sudden he was confronted by a car travelling the wrong way down the
:21:47. > :21:52.carriageway. The two cars smashed together in a head on collision.
:21:52. > :21:57.was banging on my bedroom door, and it was my son, saying that there
:21:57. > :22:02.was a policeman downstairs to wants to speak to you. He said, I am
:22:02. > :22:06.afraid that there has been an accident. The driver of the other
:22:06. > :22:09.vehicle was 89 year old Dr Turner Wadell. Turner and his wife were
:22:09. > :22:16.badly injured were pulled away from their vehicle. But Neil remained
:22:16. > :22:20.trapped in his car. My son was in the car and they had his head back
:22:20. > :22:29.and they thought he was dead. They could not open the door and get
:22:29. > :22:39.them out. And there was nothing left to me identify my son, after
:22:39. > :22:46.
:22:46. > :22:56.The offer the the seatbelt but all that was was just melted plastic.
:22:56. > :22:58.
:22:58. > :23:02.It was hard. It just breaks you up. The tragic part of this crash was
:23:02. > :23:05.that the accident could have been completely avoided as Waddell was
:23:05. > :23:12.not fit to drive. On the day of the Commission and subsequent
:23:12. > :23:19.investigations we found he had no could hardly see what he was going
:23:19. > :23:21.as he drove along the road. Turner Waddell received a nine-
:23:21. > :23:25.month suspended sentence after admitting causing death by careless
:23:25. > :23:28.driving. The judge urged family members of elderly drivers to think
:23:28. > :23:32."very, very carefully" whether their relatives should still be on
:23:32. > :23:36.the road. Dr Turner Waddell's son Tony did try and stop his father
:23:36. > :23:40.from driving but he couldn't convince him. As we get older, we
:23:41. > :23:50.all think we're perfect drivers and we can keep going for ever, but it
:23:50. > :23:53.is not. At the age of 70 anyone driving has to reapply for their
:23:53. > :23:56.licence every three years. But It's a self-certifying system and one
:23:56. > :24:00.that allowed motorists like Dr Waddell to continue to drive. When
:24:00. > :24:04.Julia Langdon's 90 year old father started having car accidents, she
:24:04. > :24:10.felt like she had a responsibility as a family member to stop him from
:24:10. > :24:14.driving. He regarded any other car on the road as an indication to
:24:14. > :24:17.overtake. He completely disregarded speed limits and the thought of
:24:17. > :24:21.these men were young boys who should be out catching criminals.
:24:21. > :24:26.The family got anxious and thought we should stop and driving before
:24:26. > :24:31.he killed someone, possibly our mother. Unable to convince her
:24:31. > :24:36.father to stop driving, Julia took direct action. I contacted DVLA.
:24:36. > :24:41.They said that if he feels he can go on driving, he can go on driving,
:24:41. > :24:47.and I said he's dangerous, I they sit I am infringing his human
:24:47. > :24:52.rights. They did not even ask him to do and eye test. And the Max of
:24:52. > :24:55.the fight my father for another three years. Julia's father died
:24:55. > :24:59.three years later, two days after his 93rd birthday party, from which
:24:59. > :25:01.he had driven his wife 200 miles home. PACTS, the Parliamentary
:25:01. > :25:05.Advisory Council for Transport Safety recently published a paper
:25:05. > :25:08.looking into how to keep elderly people safe on the road. One of
:25:08. > :25:17.their recommendations was that GPs should play more of an integral
:25:17. > :25:21.part in the system. If you think they are not physically able to
:25:21. > :25:25.drive a car, you should ask them whether they are still driving,
:25:25. > :25:31.because it is a key role you have as a health professional, to help
:25:31. > :25:35.save lives of others as well as the light in front of you, but it is
:25:35. > :25:40.very hard, because it requires the doctor to say, should be sentenced
:25:40. > :25:44.this person to leave behind their front door, unable to get out?
:25:44. > :25:50.Older driver deaths and serious injuries are falling, but not as
:25:50. > :25:59.fast as other reach Rangers. We are living longer saw more of us a
:25:59. > :26:02.driving later in life. One of the PACTS recommendations is for a
:26:02. > :26:05.national driving assessment scheme. At the moment appraisals exist but
:26:05. > :26:09.differ from county to county. 83 year-old Dennis Hilditch from
:26:09. > :26:13.Southampton is worried about his driving as he grows older. I am
:26:13. > :26:18.very concerned about it, because I don't know what I would do without
:26:18. > :26:25.a car, it seems almost impossible to imagine. But it will happen in
:26:25. > :26:33.due course. How long have you been driving? Since I have been 17, you
:26:33. > :26:43.do the maths! I am now 83. Do you worry about him? Is he a good
:26:43. > :26:46.driver? Very, yes. I don't look for the pedal. Today Dennis is taking
:26:46. > :26:52.an experience driversassessment run by RoSPA, the Royal Society for the
:26:52. > :26:57.Prevention of Accidents. At the end of your Road we will be turning
:26:57. > :27:01.right. Being your own critic is not good because you will always say,
:27:01. > :27:06.yes, I am perfectly safe, and you need somebody else to be strong
:27:06. > :27:09.enough to say, it is time you stopped. It's hoped the
:27:09. > :27:12.recommendations by PACT for a nationwide driving assessment
:27:12. > :27:17.scheme should help older people like Dennis make that difficult
:27:17. > :27:22.decision of when to stop driving. When is too old to drive? When you
:27:22. > :27:28.can no longer drive, when you are no longer fit to drive, that is too
:27:28. > :27:33.old, and until then, you are still fit to drive, and age does not come
:27:33. > :27:36.into it, as far as I am concerned. But Patricia Colquhoun is hoping
:27:36. > :27:42.that people's right to move around doesn't come at the cost of other
:27:42. > :27:51.people lives. I don't hold the driver that took my son responsible
:27:51. > :28:01.for my son's death. It is the system. It is the system that
:28:01. > :28:04.
:28:04. > :28:08.Now, if you want any more information on tonight's show, you
:28:08. > :28:18.can visit our local Kent or Sussex websites, and even watch the whole
:28:18. > :28:19.
:28:19. > :28:26.show again by clicking on iPlayer Coming up next week: The family
:28:27. > :28:32.that ended up over �400,000 in debt. You must have been under immense
:28:32. > :28:39.pressure. How have you cope? It is horrible. I have lost six years of
:28:39. > :28:43.my life through worry, and I cannot see In a end in sight. And Jan
:28:44. > :28:47.Leeming uncovers the mystery of the life and death of a hero of the