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Is the national Health Service really national? Absolutely, there
is a postcode lottery. It is not about clinical need, but about some
places in England having poorer systems, having budgetary pressures.
That does not field to national to me.
The mental health sufferers who are helping themselves.
It is hard. It is hard because people don't see it, because we do
not have two head or anything. We look normal, whatever normal is.
You hide it. You do hide it to well sometimes, because people don't
understand how horrible it is. And Brighton's i360. Is it a gem of
the South coast or a terrible eyesore?
Isn't it vile? Isn't it a disgusting insult to the heritage that you can
see surrounding us as priest Anglia? I am Natalie Graham, with untold
stories from all around the south-east. This is Inside Out.
Hello and welcome to the programme. It's great to be back, and today, we
come to you from Deal in Kent. So like, we're taking because a the get
health care, as budgets tighten and patient numbers racket. There is
pressure to ration treatment. So we are asking, if the NHS still a
National Service? Does where you live now matter more than ever when
it comes to getting the care that you need? Chris Jackson reports.
The NHS is facing a significant financial challenge in its history.
There are fears the service we have grown up with is beginning to
fragment. It's criminal.
Absolutely criminal. This is the start.
This is going to get worse. So is the NHS in danger of
ceasing to be a national service where everyone is entitled
to the same care? But is it becoming a postcode
lottery where access can It feels like my bones
are screaming at me at times. 33-year-old Ben Franklin
has Hepatitis C. The virus can cause
life-threatening liver damage. I could possibly lose
the flat over my head. There are new drugs that could
potentially cure Ben s hepatitis. All I got was, "wait,"
because my liver wasn't bad enough. The money is there for just
over 10,000 treatments. It's claimed that means
there are no queues in parts of the North and long waits
in places like London. Two people with exactly the same
state of liver damage could present themselves in different parts
of the country and in one, they'll be able to walk in and get
hepatitis C treatment immediately, And in another part of the country,
a makeover and he told sorry, And in another part of the country,
they may go there and he told sorry, NHS England told us it was regularly
reallocating unused hepatitis C treatments to places
with waiting lists. The number of patients treated
will increase by 25% next year. So Ben is taking the risk
of treating himself with cheaper The fact that I had to pay
for my treatment... I'm tired of being tired, basically.
Sorry. Ben is hoping the generic drug will
kill him within a matter of weeks. Ben is hoping the generic drug will
cure him within a matter of weeks. The Hepatitis C Trust estimates that
around 1,000 people in Britain may Gloria McShane has
cataracts in both eyes. I can't take stairs,
go up or down stairs Cataracts are supposed
to be treated within four Gloria, who lives in the north-east,
says she's been waiting seven. Because there is such
potential for accidents, and there is such a change
in a person's mood. If Gloria had lived in Luton,
her weight could have been If Gloria had lived in Luton,
her wait could have been as little as 15 days.
A postcode lottery? Absolutely, there is
a postcode lottery. It's not about clinical need,
it's about some places in England having poorer systems,
having budgetary pressures and That doesn't feel
too national to me. Gloria expects to get her
operation later this month. It really makes me angry,
because I think that it is almost Clinical Commissioning Groups,
or CCGs, control health budgets. It's claimed some are delaying
treatments like cataract surgery Others are requiring patients
to lose weight before getting Postponing an operation
in these circumstances can And whilst the CCGs say it can be
clinically justified, the Royal College of Surgeons
say it can't. There's a very good evidence that
people are now not getting elective operations simply
because of financial restrictions. These are operations that they
desperately sometimes require. It is up to the clinicians
to decide who should have what treatments,
and therefore, a bureaucratic system that produces a blanket
ban is morally wrong. It's also claimed new systems
for vetting appointments with specialists are another
form of rationing. Last month, MPs complained
about a private company being paid ?10 for every GP
referral they stopped. This is rationing by the back door
and has the potential The same private company oversees
referrals in North Tyneside. We've spoken to doctors
who say the system is The GPs, who fear speaking out,
told us that cancer I tried to get a patient
referred to a dermatologist. The referral management
service said it was a skin lesion, and rejected it.
That was a disaster. It was a nasty,
invasive skin cancer. They are putting up barriers,
using delaying tactics. It's getting between the doctor
and the specialist. In a statement, North Tyneside
CCG said there was: Cancer referrals do not go through
the system under me to the hospital. The number of referrals knocked
back to GPs in England has risen by about 30%
in the last two years. You can see the details
of our research online. Shortage and regional difference
have always been part of the NHS. Today, the differences
could get much worse. The NHS is under an unprecedented
level of pressure at the moment. If it doesn't get more funding,
waiting times are going to get longer, the quality of
patient care is going to suffer. So we will see different
decisions taken in different parts of the country,
and different services So, is the NHS still
a National Service? One of our most prominent
medics is clear. No, it's not a national service,
it is now a local health service. I think it matters, because it leads
to inequality in health care. Some people will get health care
for free and others won't. In a statement, the Department of
Health told us that far from rationing, more people than ever are
getting treated. 3000 cancer patients more are being seen every
day, and standards of care are improving.
We asked the Health Secretary and NHS England for an interview. Both
declined. The people actually paying for NHS services, the clinical
commissioners, did agree to speak. It's a national service
with local variation based Demographically, populations
vary quite significantly It's really important
that we commission and respond to the needs of that population
on a local basis. It's about making sure
that the pathway is correct. We have limited resources,
so it's really important that the resources we have,
we spend more effectively, getting For those forced to take
their own action, rationing Chris Jackson reporting. Coming up
on Inside Out the people who hate Brighton's i360 take a trip to the
top. Excited? Thrills, thrilled! The adrenaline is buzzing.
Now, last week, in a major speech, Theresa May said "If you suffer
"from mental health problems, there's not enough help to hand".
Well, there's a group of sufferers in East Kent
In fact, they have decided to take matters into their own hands
In a church hall in Deal, Liz is getting things off her chest.
It's dark in the morning, dark in the evening and my pain's
It's a shame you don't live any closer to us, isn't it?
This group of people meet every week, and the reason they get
together is because they all have mental health problems and they're
The group is called Talk it Out and it's run by Tracy Carr.
Although you'd expect it to be like you're all sitting
round in a circle like saying "I'm so and so" and it's not,
We managed to get each other on Facebook, because the thing
was I added the wrong person by mistake.
The weekly sessions are totally self-funded and self-organised.
We're going to look at what they do, why they feel it's necessary
and whether they are the right people to try and help one another.
People like Liz, she's been coming since the group
She wanted to tell us why with the rest of
I lost my auntie who was nearly 96, which was good,
because it was a good age, but she sort of took over
from when my mum left and I lost her ?
and then a month after that, my daughter had a baby
girl and she passed away at three days old.
You've got a group out here who cares, who doesn't care how
you are, what you look like, what's inside your head or what's
not, we're all the same, you know, "a bunch of nutters".
But you know we're there for each other and when you don't get any
help out there from mental health services, money whatever, time,
enough people, our group is there for you and you can't put
It's all right, don't be sorry, you doughnut.
You're stuck with us lot, anyway, for good.
The Prime Minister Theresa May recently put mental health
For Toulon, mental illness has been something of a hidden injustice in
our country. Shrouded in completely unacceptable stigma and dangerously
disregarded as a secondary issue to physical health.
Tracy, who runs the group, has no problem with the work of GPs.
But she says there is a gap between seeing a GP and actually
getting specialist psychiatric treatment, a gap which her voluntary
For instance, say you go to the doctors, you're
suffering with depression, you need some kind of therapy,
then in an ideal world you would go straight on to therapy,
Some of our group members have been waiting up to six
Some of our group members have been waiting up to six months.
But the mental health campaigning charity SANE say people who have
mental health problems shouldn't have to rely on small
Well, we don't believe that groups like this, like Talk it Out,
should actually have to take a responsibility of people
The failure of the psychiatric services to look after people
in crisis has become a scandal in Kent as in other areas.
The local CCG her say they have invested more money into local
health services in the area. I'm absolutely committed to
improving services in deal, and at the moment, I'm sorry to hear that
people feel they have been let down. We have in listening to what people
tell us, and we are one year into a five-year programme of completely
turning over and improving we offer to people who live in Deal. Of
looking after people with mental health problems and Tracy's
responsibility, then why does she do it? Well, she used to be Deal's
Mayoress, but never enjoy the limelight. She suffers from anxiety.
I had a really bad breakdown in my early 20s, and had a complete
broke down and I needed my mum, and broke down and I needed my mum, and
that happened again in my early 40s. It's hard, because people can't see
it. We don't have two head or anything, we just look normal.
Whatever normal is. You hide it. We Whatever normal is. You hide it. We
do hide it, sometimes too well, because people don't understand. I
have been OK. Yesterday was not too good, but I have pulled through that
and I am better now. Meanwhile, other members of the group are
talking it out. John has Asperger's syndrome,
and feels socially excluded. Since coming to the group,
I have felt a bit different and I can even travel by myself
and I can go and use my bus pass I take with me,
my dad says I look like convict 101 on this, you know, have you seen
this man, believed to be Another member of the group is
Kelly. She joined because she has post-traumatic stress disorder,
caused by her former partner. Every day I thought I was going
to die, I'd try anything to get out of an argument -
even sexual things sometimes, I was completely
controlled and intimidated. That was bad enough,
but after a night out, On the way home, her partner
started questioning her We got in, he carried
on questioning. There was an empty champagne bottle,
Sainsbury's own champagne bottle that we'd had in the week,
picked it up and whacked me round the leg with it and then over
the head with it about four times. And then I got up to go
to the bathroom to try and slow the bleeding down,
he pushed me around the house. Then he wanted to go to
this mate's house of mine, so I went with him, thought,
I'm bleeding, I'm going to die, On getting to the house,
I didn't realise Chris had brought a knife with him and on just
entering the friend's house, Her boyfriend was arrested and given
a 14 year sentence for seven violent offences.
I was thinking the other day actually, you know,
five years now we've been here and you were one of our first.
I'm still having some therapy, which is going all right.
You've got a lot going on, especially next year as well.
The people I've met say the group is helping them,
but most of the volunteers are not trained councillors
but most of the volunteers are not trained counsellors
Apart from one retired psychotherapist, none
No, our qualification is that we live with it,
I mean, you can read anything in a text book,
but it's not the same as living with it.
We know exactly what we want and what we need.
The latest figures from Public Health England show that the suicide
rate in Kent is higher than the national average, and people who say
they are suicidal contacting Tracey through the Talk It Out Facebook
page. Mainly with Facebook, I had taken over that.
Mainly with the Facebook group, it's "I've taken
One of the comments here: "Help, please, I need
Oh, another one here: "I'm so tired fighting my demons,
I just don't want my nephew to hurt or my family to hurt,
so that's why I'm still here, because they're the last thing
I think of before I end up feeling too suicidal.
Even though I still have bouts of not wanting to be
here any more or can't cope, but I do somehow.
I just sleep it off or just hide away for a few days,
recuperate a little bit and then I get a bit fed up with it
so I'm like "I'm here world, here I am again".
Tracy says she gets around four appeals for help every week.
There's over 100 people on our group page,
so that'll just escalate over the winter.
Would you say all those 100 people have felt the NHS hasn't
I think every single person has felt the NHS hasn't given what they need.
I'm very happy to hear about this group, because they are providing
support to people who are in a bad way. I'd like to be able to help
them more. I'd like to be able to give them more recognition and more
support. In terms of money, we are in such a difficult time at the
moment, but at the same time, I would be very happy to sit with
them, to listen to them. But yes, we need to improve what we are doing.
night, a group of people know they night, a group of people know they
can bring their troubles to a church hall in Deal and Talk It Out.
If you are feeling emotionally distressed and
If you are feeling emotionally distressed and would like details of
organisations which offer advice and support, go online: You can call for
free at any time to hear recorded information.
last year and cost ?46 million. But last year and cost ?46 million. But
in a city known for its eccentric in a city known for its eccentric
architecture, it has been a controversial development. So, eight
months after it opened, have the doubters changed their minds?
It's the world's tallest moving observation tower, standing 162
Its first summer season has hit some highs.
We had 100,000 visitors in the first four weeks.
And lows, with the ride getting stuck several times.
The i360 is a little bit like Marmite here
in Brighton and Hove - it completely divides opinion.
Absolutely incredible, you can see so much more
Isn't it a disgusting insult to the heritage,
These three Brighton residents, Matt, Rebecca and David are amongst
many who don't have a very high opinion of the structure.
I don't think it fits in with the seafront at all.
The i360 was the grand plan of architects and entrepreneurs
David Marks and Julia Barfield, the husband and wife team
After visiting many cities across the world,
they landed on Brighton, and chose the site of the old west
Our concept for the i360 was very much a phoenix type
It's taking the horizontal pier and lifting it up like that.
Whereas on the horizontal pier people paraded out,
they walked on water, Victorian society could promenade,
we're taking it 21st century, people are walking on air,
Our three critics are unimpressed with the i360, but despite that,
we've asked them to take a trip to the top to
So how are we feeling about going up, excited?
Thrilled, thrilled! You know the adrenaline is buzzing.
The tower consists of 17 steel "cans" or tubes made in Rotterdam.
It's less than four metres wide, making it the most slender
The viewing pod is 10 times bigger than a London Eye capsule.
But many feel this construction doesn't sit well
What about the argument about how that industrial architecture fits
One of the most exciting views of the project is actually
of the toll booths with the pod in the background, it's that kind
of conversation between the old and the new which I think
There's at least one positive for David.
From here, you can actually spot some parking spaces!
I still don't understand how they got planning permission
considering how many people have this in their line of sight.
Planning permission was granted ten years ago.
There's been no real consultation with the residents
It was a six-month consultation period, so it was an incredibly
detailed planning application and consultation process that took
place and I don't think anyone was excluded from that.
The architects secured a loan of ?4 million and put up ?6 million of
their own money, but still needed an extra ?36 million.
So the city council came up with an idea.
They borrowed the money from central government
They then lent the money onto the architects and charged them
The council should earn ?1 million a year from the difference between the
two interest rates. They say they will spend it regenerating the
seafront. But if the company can't repay the loan back to the council,
what happens then? Is there any situation
in which someone would have to bail It would have to be a situation
where we get no visitors at all, I mean, or less than 50%
of the visitors we've projected, but the evidence so far
is we're on track with that, but the evidence so far
is we're on track with that. So now they're at the top,
what's the final verdict Yeah, I was divided
at the start with the whole There's something quite serene
and relaxing about being this high up and looking out
onto the South Downs as well. I'm still slightly torn. Because it
is an amazing view. It does look incredible. But I can't stop
thinking about if I looked thinking about if I looked
underneath it and looked at it all the time. I'm not convinced Brighton
is the place for it. Will you look at this
differently now? It was a pleasant journey,
but it was travelling up to a high level on a round piece of ugly
steel, you know, so it doesn't There's no doubt that the i360
is one of the most striking additions to the coastline
of Britain and it'll be a feature of the Brighton skyline
for many years to come. additions to the
coastline of Britain. And it'll be a feature
of the Brighton skyline Now, if you would like to know more
about the programme, you can go to our Local Live pages on the BBC
website, or watch the show again on iPlayer. Coming up next week... Why
our land Rovers so popular with thieves in Kent and Sussex?
It is not a that people drive, it is It is not a that people drive, it is
a car that people love, that people cherish, and the impact from these
people when they have had it had it stolen, it is like losing your dog.
The young woman from Brighton who fought her cancer and YouTube.
It was something she needed to do. It was something she wanted to do. I
think she wanted to share with the world.
And graffiti from the Middle Ages in the castles of the south-east.
To find something like this in a castle, that is rare. That makes
this very special. That is all for tonight from Deal.
Thank you for watching. See you next week.
Hello, I'm Louisa Preston with your 90 second update.
30 British tourists shot dead in Tunisia in 2015.
Today, an inquest was told that security forces
Donald Trump provokes a mixed reaction.
Downing Street welcomes the promise of a "quick and fair" trade deal.
But foreign ministers are concerned by his comments
It follows the collapse of the power-sharing Government.
Sinn Fein refused to nominate a new deputy first minister.
Martin McGuinness resigned in a dispute with the DUP.
The former football coach Barry Bennell,
who worked at Crew Alexandra, has pleaded not guilty to eight
The allegations involve a boy under the age of 15 in the 1980s.
And a job for Sherlock - the BBC is investigating how
last night's episode was leaked on the internet before
East Sussex residents will face a 4.99% rise in council
tax bills next year - as well as ?17 million
in cuts to services - including adult social care
The weather - a bright and frosty start to tomorrow and staying
It's something that drags you in and crushes you to nothing.
It's something that drags you in and crushes you to nothing.
MUSIC: Ebony by Young Fathers
# Young, unassuming Eucalyptus blooming
# Masquerade of masochists Said I'm only human
# 5 past 11 10 past dead
# 20 to the hour till the hour spells dread
Is the NHS still a national service - or does where you live matter most when it comes to being treated? Chris Jackson meets patients and clinicians who say rationing is fracturing the NHS, as local decision-makers struggle to balance the books. Also, the people with mental health problems in Deal who have formed their own self-help group. And the story of Brighton's latest tourist attraction, the i360. Is it a future gem of the south coast, or just an eyesore.