Browse content similar to 16/01/2017. Check below for episodes and series from the same categories and more!
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Hello. With pushing our health service to the limit and it's | :00:00. | :00:09. | |
starting to show. Services within the hospital and within our | :00:10. | :00:12. | |
community are under particular pressure. If it doesn't get more | :00:13. | :00:16. | |
funding, waiting times are going to get longer. | :00:17. | :00:19. | |
The quality of patient care is going to stuff. The fact that I've had to | :00:20. | :00:24. | |
pay for my treatment is criminal. It is absolutely criminal. I'm sorry. | :00:25. | :00:31. | |
Change is coming. But what's being prescribed? We seeing hospitals | :00:32. | :00:36. | |
close. We're seeing A emerged. Some of these changes are so | :00:37. | :00:40. | |
dramatic, people will oppose them to the death. The change is not easy. | :00:41. | :00:46. | |
Inside Out is back. The doctor will see you now - probably! | :00:47. | :00:58. | |
Thirsty dart things were addicted to in this country - caffeine and the | :00:59. | :01:05. | |
NHS. We expected to be there where ever we are and whenever we wanted. | :01:06. | :01:09. | |
But with more of us living longer, it means that costs are rising at an | :01:10. | :01:14. | |
alarming rate. And that means NHS bosses here in the south facing some | :01:15. | :01:18. | |
tough decisions about which services to cut and which services to keep. | :01:19. | :01:29. | |
The NHS has a huge problem - us. There are more of us, and we are | :01:30. | :01:33. | |
living longer. The average of 55-year-old costs the health service | :01:34. | :01:38. | |
twice as much as a 20-year-old. And over 85s cost three times as much | :01:39. | :01:46. | |
again. Members of the Bournemouth Swimming Club are doing their bit to | :01:47. | :01:52. | |
stay healthy - even when it's 5 degrees outside. It's amazing. I | :01:53. | :01:57. | |
cannot feel my body! After you done this, nothing else in the week seems | :01:58. | :02:02. | |
too bad, really. It gives a real boost the immune system. It's good | :02:03. | :02:06. | |
for the body. But even hardy folk like these need to call on the NHS | :02:07. | :02:11. | |
from time to time. I've been diabetic for about 33 years. I am | :02:12. | :02:16. | |
grateful for the NHS because if it wasn't for them, you know, well, I | :02:17. | :02:21. | |
wouldn't be here. As an ex-nurse, I've seen it's all. When they come | :02:22. | :02:25. | |
into hospital with a bag full of pills. You just don't think about | :02:26. | :02:29. | |
how much it's costing, I guess. But I'm a working man so I guess I'm | :02:30. | :02:36. | |
entitled to that. Here's the thing. The amount of money the NHS has been | :02:37. | :02:42. | |
getting has been going up over time. But the amount of money the NHS | :02:43. | :02:47. | |
actually needs to keep us all fit and healthy has been going up like | :02:48. | :02:51. | |
this. And by 2020 it is estimated there will be a funding difference | :02:52. | :02:59. | |
of ?22 billion. Here in the south, our share of the | :03:00. | :03:02. | |
shortfall adds up to ?2.2 billion a year. In the entire health budget | :03:03. | :03:12. | |
for the Isle of Wight is only 215 million. The meeting the soaring | :03:13. | :03:15. | |
costs of health care in the south would require cutting the island's | :03:16. | :03:18. | |
health services more than ten times over. The island's well aware of the | :03:19. | :03:25. | |
cost of caring for an ageing population. A quarter of its | :03:26. | :03:30. | |
residents are pensioners. The NHS here faces a ?52 million shortfall | :03:31. | :03:35. | |
by 2020. So they're trying to make some radical changes. | :03:36. | :03:40. | |
We've had the phone call through the 111 service, and they've asked us to | :03:41. | :03:43. | |
come out and see you. Lousi leads the Isle of Wight crisis | :03:44. | :03:49. | |
response team. To keep hospital admission down, they're bringing the | :03:50. | :03:53. | |
NHS to your door. These three are practically dead | :03:54. | :03:56. | |
now. It started on that hand as well. | :03:57. | :04:00. | |
90-year-old Joan has severe arthritis, which means caring for | :04:01. | :04:03. | |
her 94-year-old husband is a struggle. Their house also poses | :04:04. | :04:08. | |
some risks. Oh, yes. I see. When was the last | :04:09. | :04:14. | |
fall that your husband had? Actually, he had won about three | :04:15. | :04:17. | |
days ago. I had to call the neighbour. | :04:18. | :04:21. | |
Our job is to keep people out of hospital safely and independently in | :04:22. | :04:23. | |
their rain residence. I'm just going to pop it in your | :04:24. | :04:30. | |
ear, take your temperature. We have nurses, occupational therapists and | :04:31. | :04:32. | |
We have the luxury of having more We have the luxury of having more | :04:33. | :04:35. | |
time in the emergency services and GPs have got, so we can go in and | :04:36. | :04:42. | |
look at keeping these people at home. | :04:43. | :04:44. | |
Lousi provides a carer to come and help with the morning and a builder | :04:45. | :04:49. | |
to sort out the back step. The local council will pick up the tab on the | :04:50. | :04:53. | |
basis that prevention is better and cheaper than cure. | :04:54. | :04:57. | |
We can get that all sorted out for you, can't we? Thank you. We can get | :04:58. | :05:02. | |
people so you're not struggling on your own, all right? | :05:03. | :05:08. | |
The island's health services reviewing everything it does to be | :05:09. | :05:14. | |
cost-effective. And you keep people healthy and out of Saint Mary's | :05:15. | :05:18. | |
Hospital, the only one on the island. Lucy's office as part of the | :05:19. | :05:23. | |
process. It's now an integrated care hub. It's home to council workers | :05:24. | :05:29. | |
and charity staff, as well as the NHS. | :05:30. | :05:34. | |
The 999 and 111 calls coming to this centre here on the island, and we | :05:35. | :05:37. | |
have generically trained staff who are able to answer both sets of | :05:38. | :05:39. | |
calls. Have you ever had a leg ulcer? | :05:40. | :05:44. | |
Solar putting everyone in the same room so they can talk face-to-face? | :05:45. | :05:48. | |
So they can actually talk to each other. | :05:49. | :05:50. | |
The district nurse said she is bleeding from her right ear. When | :05:51. | :05:55. | |
the call comes into here, we decide on what services need to actually | :05:56. | :05:58. | |
attend that. When you think an ambulance call costs ?202 per call, | :05:59. | :06:05. | |
here on the island we have saved over 1000 of those Popa. The IM's | :06:06. | :06:08. | |
NHS says it joined up approach of saving money. But money isn't the | :06:09. | :06:18. | |
only problem. The hospital is full. Saint Mary's | :06:19. | :06:25. | |
is on black alert. That means there's no room for new patients. | :06:26. | :06:29. | |
They're going to tell us he's got increased wounds. | :06:30. | :06:34. | |
It's a serious incident, and it's worryingly common. Last year, the | :06:35. | :06:38. | |
alert. alert. | :06:39. | :06:43. | |
It's a surge of services within the trust, within the hospital and | :06:44. | :06:47. | |
within our community services. They're under particular pressure. | :06:48. | :06:50. | |
Hospitals should have enough spare beds to cope. | :06:51. | :06:54. | |
But in Saint Mary 's, they sometimes don't. Patients who could be at home | :06:55. | :06:59. | |
get stuck in hospital, because community care services already at | :07:00. | :07:03. | |
capacity. We are in difficulty. We have had to | :07:04. | :07:07. | |
slow down access to planned care, so two operations, to enable us to | :07:08. | :07:12. | |
manage the flow through our emergency department. | :07:13. | :07:17. | |
Lack of beds meant 400 cancelled operations last year. The hospital | :07:18. | :07:22. | |
was ?4 million overspend. Tough times for chief executive Karen | :07:23. | :07:26. | |
Baker. You've innovated, you're trying | :07:27. | :07:29. | |
different things, and here we are on black alert. Absolutely we are. And | :07:30. | :07:33. | |
I guess that's the pressure - that's the pressure in the system. We know | :07:34. | :07:36. | |
at the moment that we're not looking after people in the community as | :07:37. | :07:41. | |
well as we could be. When there was people are not accessing different | :07:42. | :07:45. | |
going to see their pharmacist, being going to see their pharmacist, being | :07:46. | :07:48. | |
cared for by the community teams. All of those things are available | :07:49. | :07:53. | |
and we need to make sure people are unaware and ultimately that will | :07:54. | :07:56. | |
save money in the system. But the worry is the pressures are | :07:57. | :07:59. | |
increasing faster than the solutions that can be found for it. They're | :08:00. | :08:03. | |
still a queue at both doors. You're absolutely right. The answer is we | :08:04. | :08:08. | |
continue to work on those solution. Pub managers here believe it of | :08:09. | :08:12. | |
working methods can bridge the financial gap. But across the whole | :08:13. | :08:16. | |
of the self, ?2.2 billion needs to be found by 2020. -- health managers | :08:17. | :08:23. | |
here. Some health analysts like Roy Lilley, himself a former Trust | :08:24. | :08:27. | |
chairman, so the changes needed will be radical and unpopular. | :08:28. | :08:31. | |
If we want to save 2.2 billion, with God to stop doing things. We will | :08:32. | :08:37. | |
seem hospitals closed, we will see A merged. GPs surgeries will have | :08:38. | :08:41. | |
to be merged and put together. The Public were like that. The real | :08:42. | :08:45. | |
solutions are the ones that are really painful. -- the public won't | :08:46. | :08:50. | |
like that. The Isle of Wight faces a challenge | :08:51. | :08:53. | |
because of its older proportion of older residents, but it's a crystal | :08:54. | :08:55. | |
ball for the rest of the South. In ball for the rest of the South. In | :08:56. | :08:59. | |
the rapidly ageing population, in 20 years' time the region's age profile | :09:00. | :09:05. | |
is set to match the island's. So to help the NHS, we all need to do our | :09:06. | :09:08. | |
bit. If I had a message for the public, | :09:09. | :09:12. | |
it would be there's a lot. If you smoke, that they daft idea because | :09:13. | :09:16. | |
that costs the NHS a fortune. If you're overweight, lose weight | :09:17. | :09:20. | |
because that leads to obesity and cardiac problems. But we know these | :09:21. | :09:23. | |
messages. I'm not telling you anything that we all don't know. How | :09:24. | :09:28. | |
do we make people do? I don't know, but we really have got to take | :09:29. | :09:33. | |
better care of ourselves. Back in Bournemouth, the Spartan | :09:34. | :09:40. | |
swimmers are doing just that. A year ago, I was crippled with | :09:41. | :09:47. | |
depression. And in the last six or seven weeks I've made leaps and | :09:48. | :09:51. | |
bounds. And a lot of it is in part of this. There were fireworks going | :09:52. | :09:59. | |
off in your brain. It makes you feel amazing, it really does. It makes | :10:00. | :10:00. | |
you feel alive. You know, and I you feel alive. You know, and I | :10:01. | :10:11. | |
encourage anybody to give it a try. Still to come, how we can help get | :10:12. | :10:17. | |
the NHS back on its feet. Walking is the single most important | :10:18. | :10:20. | |
thing that everyone can do for their health. | :10:21. | :10:26. | |
As ever, I'd love to hear what you think. You can always drop me an | :10:27. | :10:32. | |
e-mail at the below address. Next, does where you live matter more than | :10:33. | :10:36. | |
ever now when it comes to the provision of health care? Chris | :10:37. | :10:42. | |
Jackson has been investigating. The NHS is facing the most | :10:43. | :10:45. | |
significant financial challenge in its history. There are fears the | :10:46. | :10:50. | |
service were growing up with is beginning to fragment. | :10:51. | :10:56. | |
It's not a National Service. Absolutely, there is a postcode | :10:57. | :11:00. | |
lottery. It's criminal. It is absolutely | :11:01. | :11:03. | |
criminal. This is the start. It's going to get | :11:04. | :11:09. | |
worse. So, it is the NHS in danger of | :11:10. | :11:14. | |
ceasing to be a National Service where everyone is entitled to the | :11:15. | :11:18. | |
same care? It is treating more patients, but is it becoming a | :11:19. | :11:21. | |
postcode lottery where access can depend on where you live? Were going | :11:22. | :11:31. | |
to put that to the test. On a bad day, it ruins your life. | :11:32. | :11:37. | |
The muscle pain, it feels like my bones are screaming at me at times. | :11:38. | :11:44. | |
33-year-old Ben Franklin has Hepatitis C. | :11:45. | :11:45. | |
The virus can cause life-threatening liver damage. | :11:46. | :11:48. | |
I'm about to lose my job. I haven't been at work since April, I've been | :11:49. | :11:54. | |
off sick. And I could possibly lose my flat. | :11:55. | :11:55. | |
There are new drugs that could potentially cure Ben's Hepatitis, | :11:56. | :11:58. | |
All I got was, you have two worried - basically because my liver wasn't | :11:59. | :12:12. | |
bad enough. That made me want to go out and get absolutely wasted and | :12:13. | :12:15. | |
when my brother just so that they would treat me. I wouldn't do that, | :12:16. | :12:19. | |
but I wouldn't be surprised if nobody else would. | :12:20. | :12:21. | |
The money is there for just over 10,000 treatments. | :12:22. | :12:24. | |
It's claimed that means there are no queues in parts | :12:25. | :12:28. | |
of the North ? and long waits in places like London. | :12:29. | :12:33. | |
Two people will exactly the same state of liver damage could present | :12:34. | :12:39. | |
themselves in different parts of the country, and in one watt able to | :12:40. | :12:44. | |
walk in, get hepatitis C treatment immediately, get to it. In another | :12:45. | :12:47. | |
part of the country they will be told, I'm sorry, you're going to | :12:48. | :12:51. | |
have to do it. This is inherently unfair. | :12:52. | :12:52. | |
NHS England told us it was regularly reallocating unused Hepatitis C | :12:53. | :12:55. | |
treatments to places with waiting lists. | :12:56. | :12:56. | |
The number of patients treated will increase by 25% next year. | :12:57. | :13:08. | |
The fact that it's down to money, that upsets me the most. It's just | :13:09. | :13:12. | |
money. So Ben is taking the risk | :13:13. | :13:13. | |
of treating himself with cheaper How much have you spent on that box? | :13:14. | :13:31. | |
?1300. ?1300 but I don't really have. The fact that I've had to pay | :13:32. | :13:37. | |
for my treatment, it's criminal. It is absolutely criminal. I'm sorry. | :13:38. | :13:43. | |
I'm just tired of being tired. Ben is hoping the generic drugs will | :13:44. | :13:59. | |
cure him within a matter of weeks, and he's not alone. The hepatitis C | :14:00. | :14:03. | |
Trust estimates around 1000 people in Britain may have bought the drugs | :14:04. | :14:09. | |
abroad. If you go outside, there's halos | :14:10. | :14:12. | |
around the lights. Lights and around the lights. Lights and | :14:13. | :14:15. | |
shadows. It's often hard to see things, they're a bit distorted. | :14:16. | :14:17. | |
Gloria McShane has cataracts in both eyes. | :14:18. | :14:22. | |
I can't take stairs, go up or down stairs with any kind of confidence. | :14:23. | :14:26. | |
Cataracts are supposed to be treated within four | :14:27. | :14:29. | |
Gloria, who lives in the North East, says she's been waiting seven. | :14:30. | :14:35. | |
It's too long because there is such potential for accidents, and there | :14:36. | :14:43. | |
is such a change in a person's mood. If Gloria had lived in Luton, | :14:44. | :14:45. | |
her wait could have been Absolutely, there is a postcode | :14:46. | :14:58. | |
lottery. It's not about the clinical need. It's about some places in | :14:59. | :15:02. | |
England having poor systems, having budget pressures, and deep | :15:03. | :15:07. | |
prioritising cataract surgery. That doesn't feel too national to me. | :15:08. | :15:09. | |
Gloria expects to get her operation later this month. | :15:10. | :15:15. | |
It really makes me angry because I think it's almost like survival of | :15:16. | :15:19. | |
the fittest. Clinical Commissioning Groups, | :15:20. | :15:20. | |
or CCGs, control health budgets. It's claimed some are delaying | :15:21. | :15:22. | |
treatments like cataract surgery Others are requiring patients | :15:23. | :15:24. | |
to lose weight before getting Postponing an operation in these | :15:25. | :15:41. | |
circumstances can save money in the short term. And most of the CCG say | :15:42. | :15:45. | |
can be clinically justified, the Royal College of surgeons say it | :15:46. | :15:48. | |
can't. There is a vague evidence that | :15:49. | :15:54. | |
people are now not getting elective operations, which they desperately | :15:55. | :15:58. | |
sometimes require. -- there is very good evidence. Simply because the | :15:59. | :16:02. | |
financial restrictions. It is up to the clinicians to decide who should | :16:03. | :16:06. | |
have what treatments, and therefore a bureaucratic system which produces | :16:07. | :16:10. | |
a blanket ban, we think, is morally wrong. | :16:11. | :16:12. | |
It's also claimed new systems for vetting appointments | :16:13. | :16:14. | |
with specialists are another form of rationing. | :16:15. | :16:20. | |
Why are they treating their patients with such contempt? | :16:21. | :16:23. | |
Last month, MPs complained about a private company | :16:24. | :16:25. | |
being paid ?10 for every GP referral they stopped. | :16:26. | :16:31. | |
This is rationing by the back door. And it has the potential to patient | :16:32. | :16:34. | |
safety. The same private company oversees | :16:35. | :16:36. | |
referrals in North Tyneside. We've spoken to doctors who say the | :16:37. | :16:47. | |
system is putting patients at risk. The GPs, who fear speaking out, have | :16:48. | :16:50. | |
told us that cancer diagnosis are being held up. | :16:51. | :17:16. | |
In a statement, North Tyneside CCG said there was no evidence the | :17:17. | :17:21. | |
system course additional risk or delay. Cancer referrals do not go | :17:22. | :17:25. | |
through the system and are made directly to hospital. The number of | :17:26. | :17:29. | |
referrals knocked back to GPs in England has risen by about 30% in | :17:30. | :17:30. | |
the last two years. You can see the details | :17:31. | :17:32. | |
of our research online. Shortage and regional difference | :17:33. | :17:35. | |
have always been part of the NHS. Today, the differences | :17:36. | :17:39. | |
could get much worse. The NHS is under an unprecedented | :17:40. | :17:50. | |
level of pressure at the moment. If it doesn't get more funding, waiting | :17:51. | :17:54. | |
times will get longer and the quality of patient care is going to | :17:55. | :17:58. | |
suffer. So we will see different decisions taken in different parts | :17:59. | :18:00. | |
of the country, and different of the country, and different | :18:01. | :18:02. | |
services being available to patients. | :18:03. | :18:04. | |
So, is the NHS still a national service? | :18:05. | :18:05. | |
One of our most prominent medics is clear. | :18:06. | :18:11. | |
No, it's not a National Service. It is now a local health service. It | :18:12. | :18:18. | |
matters because it leads to an inequality in health care. Somebody | :18:19. | :18:22. | |
will get health care for free, and others won't. | :18:23. | :18:25. | |
In a statement, the Department of Health told us that far from | :18:26. | :18:28. | |
getting prompt treatment. 3261 more getting prompt treatment. 3261 more | :18:29. | :18:34. | |
cancer patients are being seen every day, and standards of care an | :18:35. | :18:38. | |
improving. We asked the Health Secretary and NHS England for an | :18:39. | :18:43. | |
interview. Both declined. The people actually paying for NHS | :18:44. | :18:46. | |
the clinical commissioners, did the clinical commissioners, did | :18:47. | :18:49. | |
agree to speak. It's a National Service with local | :18:50. | :18:54. | |
variation based on the need of the population. Demographically, the | :18:55. | :18:58. | |
populations vary quite significantly from town, to rubble, to county. | :18:59. | :19:02. | |
It's really important that we respond to that population on a | :19:03. | :19:08. | |
local basis. -- from town, to rural. We don't want to squander any money. | :19:09. | :19:12. | |
We have limited resources. It's really important that we most | :19:13. | :19:17. | |
effectively and get the best value for our population. | :19:18. | :19:20. | |
For those forced to take their own action, rationing appears all too | :19:21. | :19:26. | |
real. Chris Jackson reporting. Don't | :19:27. | :19:30. | |
forget, where one Twitter. You can find out more about the show and see | :19:31. | :19:35. | |
behind the scenes - Paul Dunne - at... | :19:36. | :19:42. | |
-- hold on. Now, it's not all doom and gloom. There are some things we | :19:43. | :19:45. | |
can do to help the NHS. One of them doesn't cost a penny and involves | :19:46. | :19:48. | |
the ancient art of putting this foot in front of this foot. | :19:49. | :19:58. | |
Human beings were designed to sit down all day. We evolved to walk. | :19:59. | :20:03. | |
But modern life means few of us are working enough, and it's making us | :20:04. | :20:09. | |
all. Everyone at South Central Ambulance Service is in the business | :20:10. | :20:13. | |
of saving lives. Tanya speaking, how can I help quiz? I name is Tanya and | :20:14. | :20:21. | |
I been with the service for ten years. I've save five lives. My name | :20:22. | :20:28. | |
is David. I'm 25 years old. I been working here for two years. | :20:29. | :20:33. | |
Whether the patient live? Sitting down a day, like so many of | :20:34. | :20:37. | |
us too, means Tanya and Dave are putting their own health at risk. | :20:38. | :20:42. | |
You get half an hour meal break, but we are supposed to leave the screen | :20:43. | :20:45. | |
every hour for five minutes. But I don't. | :20:46. | :20:53. | |
Walking is the single most important thing everyone can do for their | :20:54. | :20:58. | |
health. Both in the short term and long term. I believe health care is | :20:59. | :21:06. | |
what we do for ourselves, and what I'm prescribing doesn't cost a | :21:07. | :21:11. | |
penny. Sitting at work means you lose fitness, strength, stamina, | :21:12. | :21:17. | |
suppleness and skill. So you've got to build walking into the working | :21:18. | :21:20. | |
day. Have you got your patient's NHS | :21:21. | :21:23. | |
number? It is a secret that many of our | :21:24. | :21:26. | |
health problems are caused by not doing enough exercise. | :21:27. | :21:33. | |
I've got to have a flutter, which I got on the 18th of March 20 13. -- | :21:34. | :21:41. | |
arterial flutter. The first one happened here. I was diagnosed as a | :21:42. | :21:48. | |
diabetic. Type II. It's quite good at the moment. I'm | :21:49. | :21:52. | |
keeping in check with good eating, as much exercise as I can. I've got | :21:53. | :21:58. | |
a few problems with my back. It's manageable if I try not to think | :21:59. | :22:02. | |
about! One in four women and one in | :22:03. | :22:04. | |
men do less than half an hour of men do less than half an hour of | :22:05. | :22:08. | |
even moderate activity in whole week. We start ageing from the age | :22:09. | :22:16. | |
of 20. So keeping moving is crucial. Whatever your lifestyle, whether | :22:17. | :22:20. | |
it's 2000 steps a day or 10,000 steps a day, if you walk 3000 extra | :22:21. | :22:26. | |
vital steps a day, you'll transform the way you feel now and reduce your | :22:27. | :22:31. | |
risk of death, disease, disability and dementia. So I've set Tanya and | :22:32. | :22:39. | |
Dave a challenge. Record their daily step count and then up it. | :22:40. | :22:47. | |
So far today I've done... 1065 steps. The time is just after ten. | :22:48. | :22:57. | |
Just after 10:10. On this one, I've done 1470 steps. | :22:58. | :23:02. | |
It took me an hour just to get into work this morning, so that was a lot | :23:03. | :23:09. | |
of it. At this rate, they're going to struggle to clock up the extra | :23:10. | :23:15. | |
3000 steps which I call my Walking Cure. 3000 sounds a lot. It's 30 | :23:16. | :23:20. | |
minutes. But we now know it's just as good as three ten minute 1000 | :23:21. | :23:28. | |
steps episode. So on the way to work, get off the bus early. | :23:29. | :23:32. | |
Lunchtime, got to get out and do 1000. Then on the way home, do | :23:33. | :23:36. | |
another 1000. That's the way to build it into your lifestyle. Before | :23:37. | :23:42. | |
I challenge Tanya to walk more, lunchtime often involves no more | :23:43. | :23:45. | |
than a few steps to the call centre's kitchen. Those also, like | :23:46. | :23:52. | |
many others, would simply eat a sandwich at his desk. But today he | :23:53. | :23:57. | |
spends of his break out walking. Good on you, Dave. That's perfect. | :23:58. | :24:03. | |
As well as the ten minute additions, in your working day there are things | :24:04. | :24:06. | |
you can do. Obviously, Tanya and David can't stand and walk about. | :24:07. | :24:11. | |
Although I will be speaking to the call standing desks. -- I'll be | :24:12. | :24:19. | |
speaking to the call centres about standing desks. How is this likely | :24:20. | :24:25. | |
to revolutionise - one meetings work very well, particularly if you have | :24:26. | :24:32. | |
something tough to say. I blew to eyeball is not necessarily as good | :24:33. | :24:36. | |
as shoulder to shoulder. -- working meetings. Research things that in an | :24:37. | :24:40. | |
hour, fit for no more than 20 minutes. Stand for eight. And | :24:41. | :24:46. | |
walkabout for two. So if you're busy and have a telephone call to make, | :24:47. | :24:53. | |
why not make it while walking? Hi, I've got ten minutes, so we can | :24:54. | :24:57. | |
catch up. Really nice to speak to you. Where are you? Walking, I hope. | :24:58. | :25:03. | |
I'm convinced there's no easy way to improve our general health than | :25:04. | :25:05. | |
through this. The simplest of activities. OK, that's it. Ten | :25:06. | :25:12. | |
minutes on the phone, ten minutes walking. That's 1000 steps. That's a | :25:13. | :25:17. | |
kilometre. And we're both better off for it. Back at the call centre, | :25:18. | :25:22. | |
after sitting down for almost seven hours solid, it's clocking off time. | :25:23. | :25:26. | |
So how many steps have Tanya and Dave clocked up? Today's abysmal. | :25:27. | :25:31. | |
2186. That is dismal. 2186. That is dismal. | :25:32. | :25:43. | |
3275 steps. I didn't like the 2000 steps. | :25:44. | :25:48. | |
Especially if you're supposed to 10,000 a day, I'm way behind. | :25:49. | :25:59. | |
one of us making the effort with one of us making the effort with | :26:00. | :26:04. | |
more active day to day life, and losing our terrible habit of sitting | :26:05. | :26:08. | |
for long periods of time. Obviously, if you've a heart condition or other | :26:09. | :26:12. | |
underlying health conditions and check with your doctor first before | :26:13. | :26:14. | |
stepping up the pace. I suppose stepping up the pace. I suppose | :26:15. | :26:19. | |
you've got lots of things wrong with you, but if you can do 100 steps | :26:20. | :26:23. | |
more to start wrong with you, start with that. You'll feel better and | :26:24. | :26:30. | |
reduce your risk of disease, disability and dementia. That's the | :26:31. | :26:34. | |
bottom line. When we first met Tanya and Dave at | :26:35. | :26:38. | |
the call centre, they were doing just 3000 or so steps a day. How are | :26:39. | :26:44. | |
they doing now? It's been two weeks since the challenge. My best score | :26:45. | :26:48. | |
is just over 6000 but through the day. I have to go by what my | :26:49. | :26:52. | |
daughter once, because I've got no one else there helping me as a | :26:53. | :26:58. | |
single dad. It can be difficult, but it's good fun as well. | :26:59. | :27:02. | |
I've opted mainly at the weekends. Not while I'm working because of | :27:03. | :27:06. | |
having to sit down and answer the telephone. -- I have upped it. The | :27:07. | :27:11. | |
last few days have been in the seven thousands. I would like to be in the | :27:12. | :27:16. | |
10,000, but I will get there slowly. Here is the bottom line - no matter | :27:17. | :27:20. | |
your age, no matter what long-term condition or disease you've got, | :27:21. | :27:25. | |
walking more is the single best thing that you can do. And talking | :27:26. | :27:31. | |
of bottom lines, Tanya and Dave, and little Edie, are at the foot of | :27:32. | :27:37. | |
of Winchester, contemplating whether of Winchester, contemplating whether | :27:38. | :27:39. | |
to take their step count to new heights. I could give some of it a | :27:40. | :27:48. | |
go, yeah. Coming down will be easy! Go through the gate first. This is a | :27:49. | :27:55. | |
steep bit. Oh, I'll wait here. Tanya gets most of the way and vows | :27:56. | :28:00. | |
to return to Congress Saint Catherine's another day. But Dave's | :28:01. | :28:08. | |
pushing on. -- return to conquer Saint Catherine's. | :28:09. | :28:13. | |
top! Yay! I could quite happily top! Yay! I could quite happily | :28:14. | :28:22. | |
liver pate, e.g.. Couldn't you? -- I could quite happily live up here. | :28:23. | :28:27. | |
Well done, Dave and Tanya. Good effort. That's it for now. Don't | :28:28. | :28:31. | |
forget the e-mail. I'd better get walking, see you. | :28:32. | :28:39. | |
Next week... They just moved out onto the right, | :28:40. | :28:44. | |
and she's almost overcompensating. The junior doctors at risk driving | :28:45. | :28:47. | |
home after their night shifts. She getting quite bad now. That's | :28:48. | :28:52. | |
terrifying. That's really, really scary. | :28:53. | :29:06. | |
Hello, I'm Louisa Preston with your 90 second update. | :29:07. | :29:09. | |
30 British tourists shot dead in Tunisia in 2015. | :29:10. | :29:12. | |
Today, an inquest was told that security forces | :29:13. | :29:15. |