16/01/2017 Inside Out South East


16/01/2017

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Is the national Health Service really national? Absolutely, there

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is a postcode lottery. It is not about clinical need, but about some

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places in England having poorer systems, having budgetary pressures.

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That does not field to national to me.

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The mental health sufferers who are helping themselves.

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It is hard. It is hard because people don't see it, because we do

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not have two head or anything. We look normal, whatever normal is.

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You hide it. You do hide it to well sometimes, because people don't

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understand how horrible it is. And Brighton's i360. Is it a gem of

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the South coast or a terrible eyesore?

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Isn't it vile? Isn't it a disgusting insult to the heritage that you can

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see surrounding us as priest Anglia? I am Natalie Graham, with untold

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stories from all around the south-east. This is Inside Out.

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Hello and welcome to the programme. It's great to be back, and today, we

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come to you from Deal in Kent. So like, we're taking because a the get

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health care, as budgets tighten and patient numbers racket. There is

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pressure to ration treatment. So we are asking, if the NHS still a

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National Service? Does where you live now matter more than ever when

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it comes to getting the care that you need? Chris Jackson reports.

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The NHS is facing a significant financial challenge in its history.

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There are fears the service we have grown up with is beginning to

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fragment. It's criminal.

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Absolutely criminal. This is the start.

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This is going to get worse. So is the NHS in danger of

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ceasing to be a national service where everyone is entitled

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to the same care? But is it becoming a postcode

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lottery where access can It feels like my bones

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are screaming at me at times. 33-year-old Ben Franklin

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has Hepatitis C. The virus can cause

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life-threatening liver damage. I could possibly lose

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the flat over my head. There are new drugs that could

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potentially cure Ben s hepatitis. All I got was, "wait,"

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because my liver wasn't bad enough. The money is there for just

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over 10,000 treatments. It's claimed that means

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there are no queues in parts of the North and long waits

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in places like London. Two people with exactly the same

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state of liver damage could present themselves in different parts

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of the country and in one, they'll be able to walk in and get

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hepatitis C treatment immediately, And in another part of the country,

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a makeover and he told sorry, And in another part of the country,

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they may go there and he told sorry, NHS England told us it was regularly

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reallocating unused hepatitis C treatments to places

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with waiting lists. The number of patients treated

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will increase by 25% next year. So Ben is taking the risk

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of treating himself with cheaper The fact that I had to pay

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for my treatment... I'm tired of being tired, basically.

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Sorry. Ben is hoping the generic drug will

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kill him within a matter of weeks. Ben is hoping the generic drug will

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cure him within a matter of weeks. The Hepatitis C Trust estimates that

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around 1,000 people in Britain may Gloria McShane has

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cataracts in both eyes. I can't take stairs,

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go up or down stairs Cataracts are supposed

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to be treated within four Gloria, who lives in the north-east,

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says she's been waiting seven. Because there is such

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potential for accidents, and there is such a change

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in a person's mood. If Gloria had lived in Luton,

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her weight could have been If Gloria had lived in Luton,

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her wait could have been as little as 15 days.

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A postcode lottery? Absolutely, there is

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a postcode lottery. It's not about clinical need,

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it's about some places in England having poorer systems,

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having budgetary pressures and That doesn't feel

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too national to me. Gloria expects to get her

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operation later this month. It really makes me angry,

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because I think that it is almost Clinical Commissioning Groups,

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or CCGs, control health budgets. It's claimed some are delaying

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treatments like cataract surgery Others are requiring patients

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to lose weight before getting Postponing an operation

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in these circumstances can And whilst the CCGs say it can be

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clinically justified, the Royal College of Surgeons

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say it can't. There's a very good evidence that

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people are now not getting elective operations simply

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because of financial restrictions. These are operations that they

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desperately sometimes require. It is up to the clinicians

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to decide who should have what treatments,

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and therefore, a bureaucratic system that produces a blanket

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ban is morally wrong. It's also claimed new systems

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for vetting appointments with specialists are another

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form of rationing. Last month, MPs complained

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about a private company being paid ?10 for every GP

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referral they stopped. This is rationing by the back door

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and has the potential The same private company oversees

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referrals in North Tyneside. We've spoken to doctors

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who say the system is The GPs, who fear speaking out,

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told us that cancer I tried to get a patient

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referred to a dermatologist. The referral management

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service said it was a skin lesion, and rejected it.

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That was a disaster. It was a nasty,

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invasive skin cancer. They are putting up barriers,

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using delaying tactics. It's getting between the doctor

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and the specialist. In a statement, North Tyneside

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CCG said there was: Cancer referrals do not go through

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the system under me to the hospital. The number of referrals knocked

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back to GPs in England has risen by about 30%

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in the last two years. You can see the details

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of our research online. Shortage and regional difference

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have always been part of the NHS. Today, the differences

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could get much worse. The NHS is under an unprecedented

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level of pressure at the moment. If it doesn't get more funding,

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waiting times are going to get longer, the quality of

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patient care is going to suffer. So we will see different

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decisions taken in different parts of the country,

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and different services So, is the NHS still

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a National Service? One of our most prominent

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medics is clear. No, it's not a national service,

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it is now a local health service. I think it matters, because it leads

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to inequality in health care. Some people will get health care

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for free and others won't. In a statement, the Department of

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Health told us that far from rationing, more people than ever are

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getting treated. 3000 cancer patients more are being seen every

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day, and standards of care are improving.

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We asked the Health Secretary and NHS England for an interview. Both

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declined. The people actually paying for NHS services, the clinical

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commissioners, did agree to speak. It's a national service

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with local variation based Demographically, populations

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vary quite significantly It's really important

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that we commission and respond to the needs of that population

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on a local basis. It's about making sure

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that the pathway is correct. We have limited resources,

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so it's really important that the resources we have,

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we spend more effectively, getting For those forced to take

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their own action, rationing Chris Jackson reporting. Coming up

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on Inside Out the people who hate Brighton's i360 take a trip to the

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top. Excited? Thrills, thrilled! The adrenaline is buzzing.

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Now, last week, in a major speech, Theresa May said "If you suffer

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"from mental health problems, there's not enough help to hand".

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Well, there's a group of sufferers in East Kent

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In fact, they have decided to take matters into their own hands

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In a church hall in Deal, Liz is getting things off her chest.

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It's dark in the morning, dark in the evening and my pain's

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It's a shame you don't live any closer to us, isn't it?

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This group of people meet every week, and the reason they get

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together is because they all have mental health problems and they're

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The group is called Talk it Out and it's run by Tracy Carr.

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Although you'd expect it to be like you're all sitting

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round in a circle like saying "I'm so and so" and it's not,

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We managed to get each other on Facebook, because the thing

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was I added the wrong person by mistake.

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The weekly sessions are totally self-funded and self-organised.

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We're going to look at what they do, why they feel it's necessary

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and whether they are the right people to try and help one another.

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People like Liz, she's been coming since the group

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She wanted to tell us why with the rest of

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I lost my auntie who was nearly 96, which was good,

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because it was a good age, but she sort of took over

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from when my mum left and I lost her ?

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and then a month after that, my daughter had a baby

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girl and she passed away at three days old.

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You've got a group out here who cares, who doesn't care how

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you are, what you look like, what's inside your head or what's

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not, we're all the same, you know, "a bunch of nutters".

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But you know we're there for each other and when you don't get any

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help out there from mental health services, money whatever, time,

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enough people, our group is there for you and you can't put

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It's all right, don't be sorry, you doughnut.

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You're stuck with us lot, anyway, for good.

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The Prime Minister Theresa May recently put mental health

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For Toulon, mental illness has been something of a hidden injustice in

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our country. Shrouded in completely unacceptable stigma and dangerously

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disregarded as a secondary issue to physical health.

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Tracy, who runs the group, has no problem with the work of GPs.

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But she says there is a gap between seeing a GP and actually

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getting specialist psychiatric treatment, a gap which her voluntary

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For instance, say you go to the doctors, you're

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suffering with depression, you need some kind of therapy,

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then in an ideal world you would go straight on to therapy,

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Some of our group members have been waiting up to six

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Some of our group members have been waiting up to six months.

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But the mental health campaigning charity SANE say people who have

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mental health problems shouldn't have to rely on small

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Well, we don't believe that groups like this, like Talk it Out,

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should actually have to take a responsibility of people

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The failure of the psychiatric services to look after people

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in crisis has become a scandal in Kent as in other areas.

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The local CCG her say they have invested more money into local

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health services in the area. I'm absolutely committed to

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improving services in deal, and at the moment, I'm sorry to hear that

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people feel they have been let down. We have in listening to what people

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tell us, and we are one year into a five-year programme of completely

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turning over and improving we offer to people who live in Deal. Of

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looking after people with mental health problems and Tracy's

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responsibility, then why does she do it? Well, she used to be Deal's

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Mayoress, but never enjoy the limelight. She suffers from anxiety.

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I had a really bad breakdown in my early 20s, and had a complete

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broke down and I needed my mum, and broke down and I needed my mum, and

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that happened again in my early 40s. It's hard, because people can't see

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it. We don't have two head or anything, we just look normal.

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Whatever normal is. You hide it. We Whatever normal is. You hide it. We

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do hide it, sometimes too well, because people don't understand. I

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have been OK. Yesterday was not too good, but I have pulled through that

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and I am better now. Meanwhile, other members of the group are

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talking it out. John has Asperger's syndrome,

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and feels socially excluded. Since coming to the group,

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I have felt a bit different and I can even travel by myself

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and I can go and use my bus pass I take with me,

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my dad says I look like convict 101 on this, you know, have you seen

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this man, believed to be Another member of the group is

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Kelly. She joined because she has post-traumatic stress disorder,

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caused by her former partner. Every day I thought I was going

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to die, I'd try anything to get out of an argument -

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even sexual things sometimes, I was completely

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controlled and intimidated. That was bad enough,

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but after a night out, On the way home, her partner

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started questioning her We got in, he carried

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on questioning. There was an empty champagne bottle,

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Sainsbury's own champagne bottle that we'd had in the week,

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picked it up and whacked me round the leg with it and then over

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the head with it about four times. And then I got up to go

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to the bathroom to try and slow the bleeding down,

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he pushed me around the house. Then he wanted to go to

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this mate's house of mine, so I went with him, thought,

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I'm bleeding, I'm going to die, On getting to the house,

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I didn't realise Chris had brought a knife with him and on just

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entering the friend's house, Her boyfriend was arrested and given

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a 14 year sentence for seven violent offences.

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I was thinking the other day actually, you know,

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five years now we've been here and you were one of our first.

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I'm still having some therapy, which is going all right.

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You've got a lot going on, especially next year as well.

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The people I've met say the group is helping them,

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but most of the volunteers are not trained councillors

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but most of the volunteers are not trained counsellors

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Apart from one retired psychotherapist, none

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No, our qualification is that we live with it,

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I mean, you can read anything in a text book,

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but it's not the same as living with it.

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We know exactly what we want and what we need.

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The latest figures from Public Health England show that the suicide

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rate in Kent is higher than the national average, and people who say

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they are suicidal contacting Tracey through the Talk It Out Facebook

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page. Mainly with Facebook, I had taken over that.

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Mainly with the Facebook group, it's "I've taken

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One of the comments here: "Help, please, I need

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Oh, another one here: "I'm so tired fighting my demons,

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I just don't want my nephew to hurt or my family to hurt,

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so that's why I'm still here, because they're the last thing

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I think of before I end up feeling too suicidal.

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Even though I still have bouts of not wanting to be

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here any more or can't cope, but I do somehow.

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I just sleep it off or just hide away for a few days,

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recuperate a little bit and then I get a bit fed up with it

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so I'm like "I'm here world, here I am again".

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Tracy says she gets around four appeals for help every week.

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There's over 100 people on our group page,

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so that'll just escalate over the winter.

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Would you say all those 100 people have felt the NHS hasn't

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I think every single person has felt the NHS hasn't given what they need.

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I'm very happy to hear about this group, because they are providing

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support to people who are in a bad way. I'd like to be able to help

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them more. I'd like to be able to give them more recognition and more

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support. In terms of money, we are in such a difficult time at the

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moment, but at the same time, I would be very happy to sit with

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them, to listen to them. But yes, we need to improve what we are doing.

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night, a group of people know they night, a group of people know they

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can bring their troubles to a church hall in Deal and Talk It Out.

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If you are feeling emotionally distressed and

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If you are feeling emotionally distressed and would like details of

:21:09.:21:11.

organisations which offer advice and support, go online: You can call for

:21:12.:21:21.

free at any time to hear recorded information.

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last year and cost ?46 million. But last year and cost ?46 million. But

:21:36.:21:40.

in a city known for its eccentric in a city known for its eccentric

:21:41.:21:43.

architecture, it has been a controversial development. So, eight

:21:44.:21:48.

months after it opened, have the doubters changed their minds?

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It's the world's tallest moving observation tower, standing 162

:21:56.:21:59.

Its first summer season has hit some highs.

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We had 100,000 visitors in the first four weeks.

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And lows, with the ride getting stuck several times.

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The i360 is a little bit like Marmite here

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in Brighton and Hove - it completely divides opinion.

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Absolutely incredible, you can see so much more

:22:27.:22:31.

Isn't it a disgusting insult to the heritage,

:22:32.:22:40.

These three Brighton residents, Matt, Rebecca and David are amongst

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many who don't have a very high opinion of the structure.

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I don't think it fits in with the seafront at all.

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The i360 was the grand plan of architects and entrepreneurs

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David Marks and Julia Barfield, the husband and wife team

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After visiting many cities across the world,

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they landed on Brighton, and chose the site of the old west

:23:22.:23:24.

Our concept for the i360 was very much a phoenix type

:23:25.:23:33.

It's taking the horizontal pier and lifting it up like that.

:23:34.:23:39.

Whereas on the horizontal pier people paraded out,

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they walked on water, Victorian society could promenade,

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we're taking it 21st century, people are walking on air,

:23:48.:23:49.

Our three critics are unimpressed with the i360, but despite that,

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we've asked them to take a trip to the top to

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So how are we feeling about going up, excited?

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Thrilled, thrilled! You know the adrenaline is buzzing.

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The tower consists of 17 steel "cans" or tubes made in Rotterdam.

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It's less than four metres wide, making it the most slender

:24:19.:24:20.

The viewing pod is 10 times bigger than a London Eye capsule.

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But many feel this construction doesn't sit well

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What about the argument about how that industrial architecture fits

:24:39.:24:42.

One of the most exciting views of the project is actually

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of the toll booths with the pod in the background, it's that kind

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of conversation between the old and the new which I think

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There's at least one positive for David.

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From here, you can actually spot some parking spaces!

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I still don't understand how they got planning permission

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considering how many people have this in their line of sight.

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Planning permission was granted ten years ago.

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There's been no real consultation with the residents

:25:22.:25:24.

It was a six-month consultation period, so it was an incredibly

:25:25.:25:29.

detailed planning application and consultation process that took

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place and I don't think anyone was excluded from that.

:25:32.:25:40.

The architects secured a loan of ?4 million and put up ?6 million of

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their own money, but still needed an extra ?36 million.

:25:47.:25:48.

So the city council came up with an idea.

:25:49.:25:50.

They borrowed the money from central government

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They then lent the money onto the architects and charged them

:25:53.:25:56.

The council should earn ?1 million a year from the difference between the

:25:57.:26:02.

two interest rates. They say they will spend it regenerating the

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seafront. But if the company can't repay the loan back to the council,

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what happens then? Is there any situation

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in which someone would have to bail It would have to be a situation

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where we get no visitors at all, I mean, or less than 50%

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of the visitors we've projected, but the evidence so far

:26:20.:26:22.

is we're on track with that, but the evidence so far

:26:23.:26:27.

is we're on track with that. So now they're at the top,

:26:28.:26:30.

what's the final verdict Yeah, I was divided

:26:31.:26:32.

at the start with the whole There's something quite serene

:26:33.:26:38.

and relaxing about being this high up and looking out

:26:39.:26:41.

onto the South Downs as well. I'm still slightly torn. Because it

:26:42.:27:02.

is an amazing view. It does look incredible. But I can't stop

:27:03.:27:04.

thinking about if I looked thinking about if I looked

:27:05.:27:08.

underneath it and looked at it all the time. I'm not convinced Brighton

:27:09.:27:09.

is the place for it. Will you look at this

:27:10.:27:13.

differently now? It was a pleasant journey,

:27:14.:27:18.

but it was travelling up to a high level on a round piece of ugly

:27:19.:27:22.

steel, you know, so it doesn't There's no doubt that the i360

:27:23.:27:25.

is one of the most striking additions to the coastline

:27:26.:27:36.

of Britain and it'll be a feature of the Brighton skyline

:27:37.:27:39.

for many years to come. additions to the

:27:40.:27:43.

coastline of Britain. And it'll be a feature

:27:44.:27:47.

of the Brighton skyline Now, if you would like to know more

:27:48.:28:05.

about the programme, you can go to our Local Live pages on the BBC

:28:06.:28:09.

website, or watch the show again on iPlayer. Coming up next week... Why

:28:10.:28:17.

our land Rovers so popular with thieves in Kent and Sussex?

:28:18.:28:19.

It is not a that people drive, it is It is not a that people drive, it is

:28:20.:28:24.

a car that people love, that people cherish, and the impact from these

:28:25.:28:27.

people when they have had it had it stolen, it is like losing your dog.

:28:28.:28:32.

The young woman from Brighton who fought her cancer and YouTube.

:28:33.:28:38.

It was something she needed to do. It was something she wanted to do. I

:28:39.:28:42.

think she wanted to share with the world.

:28:43.:28:47.

And graffiti from the Middle Ages in the castles of the south-east.

:28:48.:28:52.

To find something like this in a castle, that is rare. That makes

:28:53.:28:54.

this very special. That is all for tonight from Deal.

:28:55.:28:59.

Thank you for watching. See you next week.

:29:00.:29:07.

Hello, I'm Louisa Preston with your 90 second update.

:29:08.:29:10.

30 British tourists shot dead in Tunisia in 2015.

:29:11.:29:12.

Today, an inquest was told that security forces

:29:13.:29:15.

Donald Trump provokes a mixed reaction.

:29:16.:29:20.

Downing Street welcomes the promise of a "quick and fair" trade deal.

:29:21.:29:23.

But foreign ministers are concerned by his comments

:29:24.:29:24.

It follows the collapse of the power-sharing Government.

:29:25.:29:32.

Sinn Fein refused to nominate a new deputy first minister.

:29:33.:29:34.

Martin McGuinness resigned in a dispute with the DUP.

:29:35.:29:38.

The former football coach Barry Bennell,

:29:39.:29:40.

who worked at Crew Alexandra, has pleaded not guilty to eight

:29:41.:29:43.

The allegations involve a boy under the age of 15 in the 1980s.

:29:44.:29:49.

And a job for Sherlock - the BBC is investigating how

:29:50.:29:52.

last night's episode was leaked on the internet before

:29:53.:29:54.

East Sussex residents will face a 4.99% rise in council

:29:55.:30:16.

tax bills next year - as well as ?17 million

:30:17.:30:19.

in cuts to services - including adult social care

:30:20.:30:22.

The weather - a bright and frosty start to tomorrow and staying

:30:23.:30:26.

It's something that drags you in and crushes you to nothing.

:30:27.:30:49.

It's something that drags you in and crushes you to nothing.

:30:50.:30:59.

MUSIC: Ebony by Young Fathers

:31:00.:31:08.

# Young, unassuming Eucalyptus blooming

:31:09.:31:10.

# Masquerade of masochists Said I'm only human

:31:11.:31:12.

# 5 past 11 10 past dead

:31:13.:31:14.

# 20 to the hour till the hour spells dread

:31:15.:31:18.

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.


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