:00:00. > :00:09.Hello. With pushing our health service to the limit and it's
:00:10. > :00:12.starting to show. Services within the hospital and within our
:00:13. > :00:16.community are under particular pressure. If it doesn't get more
:00:17. > :00:19.funding, waiting times are going to get longer.
:00:20. > :00:24.The quality of patient care is going to stuff. The fact that I've had to
:00:25. > :00:31.pay for my treatment is criminal. It is absolutely criminal. I'm sorry.
:00:32. > :00:36.Change is coming. But what's being prescribed? We seeing hospitals
:00:37. > :00:40.close. We're seeing A emerged. Some of these changes are so
:00:41. > :00:46.dramatic, people will oppose them to the death. The change is not easy.
:00:47. > :00:58.Inside Out is back. The doctor will see you now - probably!
:00:59. > :01:05.Thirsty dart things were addicted to in this country - caffeine and the
:01:06. > :01:09.NHS. We expected to be there where ever we are and whenever we wanted.
:01:10. > :01:14.But with more of us living longer, it means that costs are rising at an
:01:15. > :01:18.alarming rate. And that means NHS bosses here in the south facing some
:01:19. > :01:29.tough decisions about which services to cut and which services to keep.
:01:30. > :01:33.The NHS has a huge problem - us. There are more of us, and we are
:01:34. > :01:38.living longer. The average of 55-year-old costs the health service
:01:39. > :01:46.twice as much as a 20-year-old. And over 85s cost three times as much
:01:47. > :01:52.again. Members of the Bournemouth Swimming Club are doing their bit to
:01:53. > :01:57.stay healthy - even when it's 5 degrees outside. It's amazing. I
:01:58. > :02:02.cannot feel my body! After you done this, nothing else in the week seems
:02:03. > :02:06.too bad, really. It gives a real boost the immune system. It's good
:02:07. > :02:11.for the body. But even hardy folk like these need to call on the NHS
:02:12. > :02:16.from time to time. I've been diabetic for about 33 years. I am
:02:17. > :02:21.grateful for the NHS because if it wasn't for them, you know, well, I
:02:22. > :02:25.wouldn't be here. As an ex-nurse, I've seen it's all. When they come
:02:26. > :02:29.into hospital with a bag full of pills. You just don't think about
:02:30. > :02:36.how much it's costing, I guess. But I'm a working man so I guess I'm
:02:37. > :02:42.entitled to that. Here's the thing. The amount of money the NHS has been
:02:43. > :02:47.getting has been going up over time. But the amount of money the NHS
:02:48. > :02:51.actually needs to keep us all fit and healthy has been going up like
:02:52. > :02:59.this. And by 2020 it is estimated there will be a funding difference
:03:00. > :03:02.of ?22 billion. Here in the south, our share of the
:03:03. > :03:12.shortfall adds up to ?2.2 billion a year. In the entire health budget
:03:13. > :03:15.for the Isle of Wight is only 215 million. The meeting the soaring
:03:16. > :03:18.costs of health care in the south would require cutting the island's
:03:19. > :03:25.health services more than ten times over. The island's well aware of the
:03:26. > :03:30.cost of caring for an ageing population. A quarter of its
:03:31. > :03:35.residents are pensioners. The NHS here faces a ?52 million shortfall
:03:36. > :03:40.by 2020. So they're trying to make some radical changes.
:03:41. > :03:43.We've had the phone call through the 111 service, and they've asked us to
:03:44. > :03:49.come out and see you. Lousi leads the Isle of Wight crisis
:03:50. > :03:53.response team. To keep hospital admission down, they're bringing the
:03:54. > :03:56.NHS to your door. These three are practically dead
:03:57. > :04:00.now. It started on that hand as well.
:04:01. > :04:03.90-year-old Joan has severe arthritis, which means caring for
:04:04. > :04:08.her 94-year-old husband is a struggle. Their house also poses
:04:09. > :04:14.some risks. Oh, yes. I see. When was the last
:04:15. > :04:17.fall that your husband had? Actually, he had won about three
:04:18. > :04:21.days ago. I had to call the neighbour.
:04:22. > :04:23.Our job is to keep people out of hospital safely and independently in
:04:24. > :04:30.their rain residence. I'm just going to pop it in your
:04:31. > :04:32.ear, take your temperature. We have nurses, occupational therapists and
:04:33. > :04:35.We have the luxury of having more We have the luxury of having more
:04:36. > :04:42.time in the emergency services and GPs have got, so we can go in and
:04:43. > :04:44.look at keeping these people at home.
:04:45. > :04:49.Lousi provides a carer to come and help with the morning and a builder
:04:50. > :04:53.to sort out the back step. The local council will pick up the tab on the
:04:54. > :04:57.basis that prevention is better and cheaper than cure.
:04:58. > :05:02.We can get that all sorted out for you, can't we? Thank you. We can get
:05:03. > :05:08.people so you're not struggling on your own, all right?
:05:09. > :05:14.The island's health services reviewing everything it does to be
:05:15. > :05:18.cost-effective. And you keep people healthy and out of Saint Mary's
:05:19. > :05:23.Hospital, the only one on the island. Lucy's office as part of the
:05:24. > :05:29.process. It's now an integrated care hub. It's home to council workers
:05:30. > :05:34.and charity staff, as well as the NHS.
:05:35. > :05:37.The 999 and 111 calls coming to this centre here on the island, and we
:05:38. > :05:39.have generically trained staff who are able to answer both sets of
:05:40. > :05:44.calls. Have you ever had a leg ulcer?
:05:45. > :05:48.Solar putting everyone in the same room so they can talk face-to-face?
:05:49. > :05:50.So they can actually talk to each other.
:05:51. > :05:55.The district nurse said she is bleeding from her right ear. When
:05:56. > :05:58.the call comes into here, we decide on what services need to actually
:05:59. > :06:05.attend that. When you think an ambulance call costs ?202 per call,
:06:06. > :06:08.here on the island we have saved over 1000 of those Popa. The IM's
:06:09. > :06:18.NHS says it joined up approach of saving money. But money isn't the
:06:19. > :06:25.only problem. The hospital is full. Saint Mary's
:06:26. > :06:29.is on black alert. That means there's no room for new patients.
:06:30. > :06:34.They're going to tell us he's got increased wounds.
:06:35. > :06:38.It's a serious incident, and it's worryingly common. Last year, the
:06:39. > :06:43.alert. alert.
:06:44. > :06:47.It's a surge of services within the trust, within the hospital and
:06:48. > :06:50.within our community services. They're under particular pressure.
:06:51. > :06:54.Hospitals should have enough spare beds to cope.
:06:55. > :06:59.But in Saint Mary 's, they sometimes don't. Patients who could be at home
:07:00. > :07:03.get stuck in hospital, because community care services already at
:07:04. > :07:07.capacity. We are in difficulty. We have had to
:07:08. > :07:12.slow down access to planned care, so two operations, to enable us to
:07:13. > :07:17.manage the flow through our emergency department.
:07:18. > :07:22.Lack of beds meant 400 cancelled operations last year. The hospital
:07:23. > :07:26.was ?4 million overspend. Tough times for chief executive Karen
:07:27. > :07:29.Baker. You've innovated, you're trying
:07:30. > :07:33.different things, and here we are on black alert. Absolutely we are. And
:07:34. > :07:36.I guess that's the pressure - that's the pressure in the system. We know
:07:37. > :07:41.at the moment that we're not looking after people in the community as
:07:42. > :07:45.well as we could be. When there was people are not accessing different
:07:46. > :07:48.going to see their pharmacist, being going to see their pharmacist, being
:07:49. > :07:53.cared for by the community teams. All of those things are available
:07:54. > :07:56.and we need to make sure people are unaware and ultimately that will
:07:57. > :07:59.save money in the system. But the worry is the pressures are
:08:00. > :08:03.increasing faster than the solutions that can be found for it. They're
:08:04. > :08:08.still a queue at both doors. You're absolutely right. The answer is we
:08:09. > :08:12.continue to work on those solution. Pub managers here believe it of
:08:13. > :08:16.working methods can bridge the financial gap. But across the whole
:08:17. > :08:23.of the self, ?2.2 billion needs to be found by 2020. -- health managers
:08:24. > :08:27.here. Some health analysts like Roy Lilley, himself a former Trust
:08:28. > :08:31.chairman, so the changes needed will be radical and unpopular.
:08:32. > :08:37.If we want to save 2.2 billion, with God to stop doing things. We will
:08:38. > :08:41.seem hospitals closed, we will see A merged. GPs surgeries will have
:08:42. > :08:45.to be merged and put together. The Public were like that. The real
:08:46. > :08:50.solutions are the ones that are really painful. -- the public won't
:08:51. > :08:53.like that. The Isle of Wight faces a challenge
:08:54. > :08:55.because of its older proportion of older residents, but it's a crystal
:08:56. > :08:59.ball for the rest of the South. In ball for the rest of the South. In
:09:00. > :09:05.the rapidly ageing population, in 20 years' time the region's age profile
:09:06. > :09:08.is set to match the island's. So to help the NHS, we all need to do our
:09:09. > :09:12.bit. If I had a message for the public,
:09:13. > :09:16.it would be there's a lot. If you smoke, that they daft idea because
:09:17. > :09:20.that costs the NHS a fortune. If you're overweight, lose weight
:09:21. > :09:23.because that leads to obesity and cardiac problems. But we know these
:09:24. > :09:28.messages. I'm not telling you anything that we all don't know. How
:09:29. > :09:33.do we make people do? I don't know, but we really have got to take
:09:34. > :09:40.better care of ourselves. Back in Bournemouth, the Spartan
:09:41. > :09:47.swimmers are doing just that. A year ago, I was crippled with
:09:48. > :09:51.depression. And in the last six or seven weeks I've made leaps and
:09:52. > :09:59.bounds. And a lot of it is in part of this. There were fireworks going
:10:00. > :10:00.off in your brain. It makes you feel amazing, it really does. It makes
:10:01. > :10:11.you feel alive. You know, and I you feel alive. You know, and I
:10:12. > :10:17.encourage anybody to give it a try. Still to come, how we can help get
:10:18. > :10:20.the NHS back on its feet. Walking is the single most important
:10:21. > :10:26.thing that everyone can do for their health.
:10:27. > :10:32.As ever, I'd love to hear what you think. You can always drop me an
:10:33. > :10:36.e-mail at the below address. Next, does where you live matter more than
:10:37. > :10:42.ever now when it comes to the provision of health care? Chris
:10:43. > :10:45.Jackson has been investigating. The NHS is facing the most
:10:46. > :10:50.significant financial challenge in its history. There are fears the
:10:51. > :10:56.service were growing up with is beginning to fragment.
:10:57. > :11:00.It's not a National Service. Absolutely, there is a postcode
:11:01. > :11:03.lottery. It's criminal. It is absolutely
:11:04. > :11:09.criminal. This is the start. It's going to get
:11:10. > :11:14.worse. So, it is the NHS in danger of
:11:15. > :11:18.ceasing to be a National Service where everyone is entitled to the
:11:19. > :11:21.same care? It is treating more patients, but is it becoming a
:11:22. > :11:31.postcode lottery where access can depend on where you live? Were going
:11:32. > :11:37.to put that to the test. On a bad day, it ruins your life.
:11:38. > :11:44.The muscle pain, it feels like my bones are screaming at me at times.
:11:45. > :11:45.33-year-old Ben Franklin has Hepatitis C.
:11:46. > :11:48.The virus can cause life-threatening liver damage.
:11:49. > :11:54.I'm about to lose my job. I haven't been at work since April, I've been
:11:55. > :11:55.off sick. And I could possibly lose my flat.
:11:56. > :11:58.There are new drugs that could potentially cure Ben's Hepatitis,
:11:59. > :12:12.All I got was, you have two worried - basically because my liver wasn't
:12:13. > :12:15.bad enough. That made me want to go out and get absolutely wasted and
:12:16. > :12:19.when my brother just so that they would treat me. I wouldn't do that,
:12:20. > :12:21.but I wouldn't be surprised if nobody else would.
:12:22. > :12:24.The money is there for just over 10,000 treatments.
:12:25. > :12:28.It's claimed that means there are no queues in parts
:12:29. > :12:33.of the North ? and long waits in places like London.
:12:34. > :12:39.Two people will exactly the same state of liver damage could present
:12:40. > :12:44.themselves in different parts of the country, and in one watt able to
:12:45. > :12:47.walk in, get hepatitis C treatment immediately, get to it. In another
:12:48. > :12:51.part of the country they will be told, I'm sorry, you're going to
:12:52. > :12:52.have to do it. This is inherently unfair.
:12:53. > :12:55.NHS England told us it was regularly reallocating unused Hepatitis C
:12:56. > :12:56.treatments to places with waiting lists.
:12:57. > :13:08.The number of patients treated will increase by 25% next year.
:13:09. > :13:12.The fact that it's down to money, that upsets me the most. It's just
:13:13. > :13:13.money. So Ben is taking the risk
:13:14. > :13:31.of treating himself with cheaper How much have you spent on that box?
:13:32. > :13:37.?1300. ?1300 but I don't really have. The fact that I've had to pay
:13:38. > :13:43.for my treatment, it's criminal. It is absolutely criminal. I'm sorry.
:13:44. > :13:59.I'm just tired of being tired. Ben is hoping the generic drugs will
:14:00. > :14:03.cure him within a matter of weeks, and he's not alone. The hepatitis C
:14:04. > :14:09.Trust estimates around 1000 people in Britain may have bought the drugs
:14:10. > :14:12.abroad. If you go outside, there's halos
:14:13. > :14:15.around the lights. Lights and around the lights. Lights and
:14:16. > :14:17.shadows. It's often hard to see things, they're a bit distorted.
:14:18. > :14:22.Gloria McShane has cataracts in both eyes.
:14:23. > :14:26.I can't take stairs, go up or down stairs with any kind of confidence.
:14:27. > :14:29.Cataracts are supposed to be treated within four
:14:30. > :14:35.Gloria, who lives in the North East, says she's been waiting seven.
:14:36. > :14:43.It's too long because there is such potential for accidents, and there
:14:44. > :14:45.is such a change in a person's mood. If Gloria had lived in Luton,
:14:46. > :14:58.her wait could have been Absolutely, there is a postcode
:14:59. > :15:02.lottery. It's not about the clinical need. It's about some places in
:15:03. > :15:07.England having poor systems, having budget pressures, and deep
:15:08. > :15:09.prioritising cataract surgery. That doesn't feel too national to me.
:15:10. > :15:15.Gloria expects to get her operation later this month.
:15:16. > :15:19.It really makes me angry because I think it's almost like survival of
:15:20. > :15:20.the fittest. Clinical Commissioning Groups,
:15:21. > :15:22.or CCGs, control health budgets. It's claimed some are delaying
:15:23. > :15:24.treatments like cataract surgery Others are requiring patients
:15:25. > :15:41.to lose weight before getting Postponing an operation in these
:15:42. > :15:45.circumstances can save money in the short term. And most of the CCG say
:15:46. > :15:48.can be clinically justified, the Royal College of surgeons say it
:15:49. > :15:54.can't. There is a vague evidence that
:15:55. > :15:58.people are now not getting elective operations, which they desperately
:15:59. > :16:02.sometimes require. -- there is very good evidence. Simply because the
:16:03. > :16:06.financial restrictions. It is up to the clinicians to decide who should
:16:07. > :16:10.have what treatments, and therefore a bureaucratic system which produces
:16:11. > :16:12.a blanket ban, we think, is morally wrong.
:16:13. > :16:14.It's also claimed new systems for vetting appointments
:16:15. > :16:20.with specialists are another form of rationing.
:16:21. > :16:23.Why are they treating their patients with such contempt?
:16:24. > :16:25.Last month, MPs complained about a private company
:16:26. > :16:31.being paid ?10 for every GP referral they stopped.
:16:32. > :16:34.This is rationing by the back door. And it has the potential to patient
:16:35. > :16:36.safety. The same private company oversees
:16:37. > :16:47.referrals in North Tyneside. We've spoken to doctors who say the
:16:48. > :16:50.system is putting patients at risk. The GPs, who fear speaking out, have
:16:51. > :17:16.told us that cancer diagnosis are being held up.
:17:17. > :17:21.In a statement, North Tyneside CCG said there was no evidence the
:17:22. > :17:25.system course additional risk or delay. Cancer referrals do not go
:17:26. > :17:29.through the system and are made directly to hospital. The number of
:17:30. > :17:30.referrals knocked back to GPs in England has risen by about 30% in
:17:31. > :17:32.the last two years. You can see the details
:17:33. > :17:35.of our research online. Shortage and regional difference
:17:36. > :17:39.have always been part of the NHS. Today, the differences
:17:40. > :17:50.could get much worse. The NHS is under an unprecedented
:17:51. > :17:54.level of pressure at the moment. If it doesn't get more funding, waiting
:17:55. > :17:58.times will get longer and the quality of patient care is going to
:17:59. > :18:00.suffer. So we will see different decisions taken in different parts
:18:01. > :18:02.of the country, and different of the country, and different
:18:03. > :18:04.services being available to patients.
:18:05. > :18:05.So, is the NHS still a national service?
:18:06. > :18:11.One of our most prominent medics is clear.
:18:12. > :18:18.No, it's not a National Service. It is now a local health service. It
:18:19. > :18:22.matters because it leads to an inequality in health care. Somebody
:18:23. > :18:25.will get health care for free, and others won't.
:18:26. > :18:28.In a statement, the Department of Health told us that far from
:18:29. > :18:34.getting prompt treatment. 3261 more getting prompt treatment. 3261 more
:18:35. > :18:38.cancer patients are being seen every day, and standards of care an
:18:39. > :18:43.improving. We asked the Health Secretary and NHS England for an
:18:44. > :18:46.interview. Both declined. The people actually paying for NHS
:18:47. > :18:49.the clinical commissioners, did the clinical commissioners, did
:18:50. > :18:54.agree to speak. It's a National Service with local
:18:55. > :18:58.variation based on the need of the population. Demographically, the
:18:59. > :19:02.populations vary quite significantly from town, to rubble, to county.
:19:03. > :19:08.It's really important that we respond to that population on a
:19:09. > :19:12.local basis. -- from town, to rural. We don't want to squander any money.
:19:13. > :19:17.We have limited resources. It's really important that we most
:19:18. > :19:20.effectively and get the best value for our population.
:19:21. > :19:26.For those forced to take their own action, rationing appears all too
:19:27. > :19:30.real. Chris Jackson reporting. Don't
:19:31. > :19:35.forget, where one Twitter. You can find out more about the show and see
:19:36. > :19:42.behind the scenes - Paul Dunne - at...
:19:43. > :19:45.-- hold on. Now, it's not all doom and gloom. There are some things we
:19:46. > :19:48.can do to help the NHS. One of them doesn't cost a penny and involves
:19:49. > :19:58.the ancient art of putting this foot in front of this foot.
:19:59. > :20:03.Human beings were designed to sit down all day. We evolved to walk.
:20:04. > :20:09.But modern life means few of us are working enough, and it's making us
:20:10. > :20:13.all. Everyone at South Central Ambulance Service is in the business
:20:14. > :20:21.of saving lives. Tanya speaking, how can I help quiz? I name is Tanya and
:20:22. > :20:28.I been with the service for ten years. I've save five lives. My name
:20:29. > :20:33.is David. I'm 25 years old. I been working here for two years.
:20:34. > :20:37.Whether the patient live? Sitting down a day, like so many of
:20:38. > :20:42.us too, means Tanya and Dave are putting their own health at risk.
:20:43. > :20:45.You get half an hour meal break, but we are supposed to leave the screen
:20:46. > :20:53.every hour for five minutes. But I don't.
:20:54. > :20:58.Walking is the single most important thing everyone can do for their
:20:59. > :21:06.health. Both in the short term and long term. I believe health care is
:21:07. > :21:11.what we do for ourselves, and what I'm prescribing doesn't cost a
:21:12. > :21:17.penny. Sitting at work means you lose fitness, strength, stamina,
:21:18. > :21:20.suppleness and skill. So you've got to build walking into the working
:21:21. > :21:23.day. Have you got your patient's NHS
:21:24. > :21:26.number? It is a secret that many of our
:21:27. > :21:33.health problems are caused by not doing enough exercise.
:21:34. > :21:41.I've got to have a flutter, which I got on the 18th of March 20 13. --
:21:42. > :21:48.arterial flutter. The first one happened here. I was diagnosed as a
:21:49. > :21:52.diabetic. Type II. It's quite good at the moment. I'm
:21:53. > :21:58.keeping in check with good eating, as much exercise as I can. I've got
:21:59. > :22:02.a few problems with my back. It's manageable if I try not to think
:22:03. > :22:04.about! One in four women and one in
:22:05. > :22:08.men do less than half an hour of men do less than half an hour of
:22:09. > :22:16.even moderate activity in whole week. We start ageing from the age
:22:17. > :22:20.of 20. So keeping moving is crucial. Whatever your lifestyle, whether
:22:21. > :22:26.it's 2000 steps a day or 10,000 steps a day, if you walk 3000 extra
:22:27. > :22:31.vital steps a day, you'll transform the way you feel now and reduce your
:22:32. > :22:39.risk of death, disease, disability and dementia. So I've set Tanya and
:22:40. > :22:47.Dave a challenge. Record their daily step count and then up it.
:22:48. > :22:57.So far today I've done... 1065 steps. The time is just after ten.
:22:58. > :23:02.Just after 10:10. On this one, I've done 1470 steps.
:23:03. > :23:09.It took me an hour just to get into work this morning, so that was a lot
:23:10. > :23:15.of it. At this rate, they're going to struggle to clock up the extra
:23:16. > :23:20.3000 steps which I call my Walking Cure. 3000 sounds a lot. It's 30
:23:21. > :23:28.minutes. But we now know it's just as good as three ten minute 1000
:23:29. > :23:32.steps episode. So on the way to work, get off the bus early.
:23:33. > :23:36.Lunchtime, got to get out and do 1000. Then on the way home, do
:23:37. > :23:42.another 1000. That's the way to build it into your lifestyle. Before
:23:43. > :23:45.I challenge Tanya to walk more, lunchtime often involves no more
:23:46. > :23:52.than a few steps to the call centre's kitchen. Those also, like
:23:53. > :23:57.many others, would simply eat a sandwich at his desk. But today he
:23:58. > :24:03.spends of his break out walking. Good on you, Dave. That's perfect.
:24:04. > :24:06.As well as the ten minute additions, in your working day there are things
:24:07. > :24:11.you can do. Obviously, Tanya and David can't stand and walk about.
:24:12. > :24:19.Although I will be speaking to the call standing desks. -- I'll be
:24:20. > :24:25.speaking to the call centres about standing desks. How is this likely
:24:26. > :24:32.to revolutionise - one meetings work very well, particularly if you have
:24:33. > :24:36.something tough to say. I blew to eyeball is not necessarily as good
:24:37. > :24:40.as shoulder to shoulder. -- working meetings. Research things that in an
:24:41. > :24:46.hour, fit for no more than 20 minutes. Stand for eight. And
:24:47. > :24:53.walkabout for two. So if you're busy and have a telephone call to make,
:24:54. > :24:57.why not make it while walking? Hi, I've got ten minutes, so we can
:24:58. > :25:03.catch up. Really nice to speak to you. Where are you? Walking, I hope.
:25:04. > :25:05.I'm convinced there's no easy way to improve our general health than
:25:06. > :25:12.through this. The simplest of activities. OK, that's it. Ten
:25:13. > :25:17.minutes on the phone, ten minutes walking. That's 1000 steps. That's a
:25:18. > :25:22.kilometre. And we're both better off for it. Back at the call centre,
:25:23. > :25:26.after sitting down for almost seven hours solid, it's clocking off time.
:25:27. > :25:31.So how many steps have Tanya and Dave clocked up? Today's abysmal.
:25:32. > :25:43.2186. That is dismal. 2186. That is dismal.
:25:44. > :25:48.3275 steps. I didn't like the 2000 steps.
:25:49. > :25:59.Especially if you're supposed to 10,000 a day, I'm way behind.
:26:00. > :26:04.one of us making the effort with one of us making the effort with
:26:05. > :26:08.more active day to day life, and losing our terrible habit of sitting
:26:09. > :26:12.for long periods of time. Obviously, if you've a heart condition or other
:26:13. > :26:14.underlying health conditions and check with your doctor first before
:26:15. > :26:19.stepping up the pace. I suppose stepping up the pace. I suppose
:26:20. > :26:23.you've got lots of things wrong with you, but if you can do 100 steps
:26:24. > :26:30.more to start wrong with you, start with that. You'll feel better and
:26:31. > :26:34.reduce your risk of disease, disability and dementia. That's the
:26:35. > :26:38.bottom line. When we first met Tanya and Dave at
:26:39. > :26:44.the call centre, they were doing just 3000 or so steps a day. How are
:26:45. > :26:48.they doing now? It's been two weeks since the challenge. My best score
:26:49. > :26:52.is just over 6000 but through the day. I have to go by what my
:26:53. > :26:58.daughter once, because I've got no one else there helping me as a
:26:59. > :27:02.single dad. It can be difficult, but it's good fun as well.
:27:03. > :27:06.I've opted mainly at the weekends. Not while I'm working because of
:27:07. > :27:11.having to sit down and answer the telephone. -- I have upped it. The
:27:12. > :27:16.last few days have been in the seven thousands. I would like to be in the
:27:17. > :27:20.10,000, but I will get there slowly. Here is the bottom line - no matter
:27:21. > :27:25.your age, no matter what long-term condition or disease you've got,
:27:26. > :27:31.walking more is the single best thing that you can do. And talking
:27:32. > :27:37.of bottom lines, Tanya and Dave, and little Edie, are at the foot of
:27:38. > :27:39.of Winchester, contemplating whether of Winchester, contemplating whether
:27:40. > :27:48.to take their step count to new heights. I could give some of it a
:27:49. > :27:55.go, yeah. Coming down will be easy! Go through the gate first. This is a
:27:56. > :28:00.steep bit. Oh, I'll wait here. Tanya gets most of the way and vows
:28:01. > :28:08.to return to Congress Saint Catherine's another day. But Dave's
:28:09. > :28:13.pushing on. -- return to conquer Saint Catherine's.
:28:14. > :28:22.top! Yay! I could quite happily top! Yay! I could quite happily
:28:23. > :28:27.liver pate, e.g.. Couldn't you? -- I could quite happily live up here.
:28:28. > :28:31.Well done, Dave and Tanya. Good effort. That's it for now. Don't
:28:32. > :28:39.forget the e-mail. I'd better get walking, see you.
:28:40. > :28:44.Next week... They just moved out onto the right,
:28:45. > :28:47.and she's almost overcompensating. The junior doctors at risk driving
:28:48. > :28:52.home after their night shifts. She getting quite bad now. That's
:28:53. > :29:06.terrifying. That's really, really scary.
:29:07. > :29:09.Hello, I'm Louisa Preston with your 90 second update.
:29:10. > :29:12.30 British tourists shot dead in Tunisia in 2015.
:29:13. > :29:15.Today, an inquest was told that security forces