21/01/2013

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:00:05. > :00:08.services are once again under the spotlight. Tonight, two years on

:00:08. > :00:18.from a report into misdiagnoses, some of which led to deaths,

:00:18. > :00:21.

:00:21. > :00:25.doctors and campaigners are still concerned. If they delay biopsies

:00:25. > :00:29.on my new lungs, they messed up last time, I don't know I would be

:00:29. > :00:39.happy for them to be reported here. Also tonight, we find out what the

:00:39. > :00:47.biggest ever changes to the NHS will mean to you. Three for the

:00:47. > :00:50.price of two. Did you know this health centre was run by Virgin?

:00:50. > :01:00.And we tell the extraordinary story of a Dorset barrister, who is

:01:00. > :01:01.

:01:01. > :01:11.completing a transformation from man to woman. I'm Alastair McKee,

:01:11. > :01:15.It's been more than eight years since allegations about

:01:15. > :01:17.misdiagnosis at the Bristol Royal Infirmary first emerged. An

:01:17. > :01:19.independent inquiry was hugely critical of the hospital's

:01:19. > :01:27.department of Pathology, describing an "unwillingness to learn from

:01:27. > :01:30.mistakes" and "an overconfidence bordering on arrogance." Now,

:01:30. > :01:32.campaigners have told Inside Out West they are far from satisfied by

:01:32. > :01:40.the hospital trust's assurances that all the recommended changes

:01:41. > :01:46.have been made. After scandal and inquiry, reform

:01:46. > :01:52.was supposed to follow. But tonight the Bristol Trust is once again

:01:52. > :01:56.under scrutiny. What we've have asked for is evidence have you done

:01:56. > :02:00.what you've said you've done? Trust is severely criticized by a

:02:00. > :02:04.leading international cancer expert. Where was management? Why wasn't

:02:04. > :02:08.management sorting this out? And a patient whose cancer was

:02:08. > :02:13.misdiagnosed fears returning to the same hospital. They messed up last

:02:14. > :02:16.time so what's going to give me confidence. The problem has been in

:02:16. > :02:23.the pathology department in the University Hospitals Bristol Trust

:02:23. > :02:27.or UHBT. That's the part of a hospital that runs the tests that

:02:27. > :02:33.diagnose whether you are well or whether you are ill. And whether

:02:33. > :02:36.you need life-saving medication or an operation or not. So the

:02:36. > :02:39.consequences if they get it wrong can be devastating. In 2010 there

:02:39. > :02:45.was a major report into allegations that the pathology department had

:02:45. > :02:54.been misdiagnosing patients. It found that overall it was providing

:02:54. > :03:04.a safe service but it did make severe criticisms of the management.

:03:04. > :03:04.

:03:04. > :03:07.May I begin by apologising without reservation? Now two years on - the

:03:07. > :03:11.watchdog Monitor still has concerns. And has published a red/amber alert

:03:11. > :03:17.about the Trust's governance on its website. And campaigner Daphne

:03:17. > :03:20.Havercroft is pushing UHBT for evidence that it has improved.

:03:20. > :03:30.Inside Out can exclusively reveal the National Audit Office has

:03:30. > :03:30.

:03:30. > :03:32.responded to Daphne's complaint and is awaiting a report from UHBT.

:03:32. > :03:35.Catherine Calland was one of the patients who was misdiagnosed. In

:03:35. > :03:45.2005 doctors said her tumour was benign but the pathologist had got

:03:45. > :03:49.it wrong. The consequences for me are that I now have cancer that I

:03:49. > :03:51.might not have had and that can be quite painful when one can dream of

:03:52. > :03:58.what might have been and the consequences for my family, the

:03:58. > :04:01.pain and the trauma we've been through. Catherine's cancer is

:04:01. > :04:07.incurable and it is spreading so surgeons may have to extract more

:04:07. > :04:09.tissue from her in a procedure known as a biopsy. And then

:04:09. > :04:15.pathologists would have to analyse that tissue and report their

:04:15. > :04:21.findings. If they do biopsies on my new lumps where are they going to

:04:21. > :04:26.be reported. I don't know whether I would be happy for them to be

:04:26. > :04:36.reported here in Bristol. They messed up last time so what's going

:04:36. > :04:43.

:04:43. > :04:48.to give me confidence? Catherine's case was not isolated. This woman

:04:48. > :04:55.had to have part of a breast removed unnecessarily. I was

:04:55. > :04:58.horrified they could make such a decision. Worries about patients

:04:58. > :05:01.like Jane Hopes were given the all clear for breast cancer only to die

:05:01. > :05:04.three years later. It wasn't only adults who were affected, Richard

:05:04. > :05:07.Spicer is a retired paediatric surgeon from Bristol. He operated

:05:07. > :05:14.on a child based on a pathologist's inaccurate report that had missed

:05:15. > :05:22.crucial details. Sadly the child died due to that misdiagnosis.

:05:23. > :05:25.pathologist told me that a certain part was normal. The child did go

:05:25. > :05:34.home but subsequently became very ill because there was still disease

:05:34. > :05:37.in the circuit and the child died as a direct consequence of that.

:05:37. > :05:42.Where did that leave you personally? Obviously, personally

:05:42. > :05:44.very distressed. Professionally in a position where I felt very

:05:44. > :05:47.worried about treating further cases until we had an expert person

:05:47. > :05:50.who knew what they were doing in the Pathology department.$$WHITE We

:05:50. > :06:00.don't know how many patients were misdiagnosed but in August 2004

:06:00. > :06:00.

:06:00. > :06:02.there'd been enough to make doctors to act. For the next five years

:06:02. > :06:11.until 2009 doctors raised concerns with their managers about

:06:11. > :06:14.pathologists' reports from UHBT but no effective action was taken. A

:06:14. > :06:17.surgeon also emailed concerns to Daphne Havercroft - a high profile

:06:17. > :06:25.charity worker with connections in the NHS in Bristol - and a breast

:06:25. > :06:28.cancer survivor herself. When I started hearing about people being

:06:28. > :06:30.harmed by aidable misdiagnosis I thought that could have been me

:06:30. > :06:40.that's really how the campaign got started the campaign for justice

:06:40. > :06:43.

:06:43. > :06:46.patients and a safe service. first email she received read: "We

:06:46. > :06:51.will not have pathologists at UHBT doing our pathology because we

:06:51. > :06:56.don't trust them! They are not specialist pathologists and they

:06:56. > :06:58.don' t double report the specimens." We showed these emails

:06:58. > :07:06.to the former chief executive of Cancer Research, UK Prof Gordon

:07:06. > :07:16.McVie. There seems to be a degree of anarchy emerging from these

:07:16. > :07:17.

:07:17. > :07:20.emails, moral issues and threats of resignation. The language here is

:07:20. > :07:27.diagnostic of an issue that has been neglected and allowed to

:07:27. > :07:31.fester, this would require urgent action as a manager. But the

:07:31. > :07:37.management at UHBT weren't taking effective action. So the doctors

:07:37. > :07:45.went public and sent their concerns to Private Eye. Soon after

:07:45. > :07:49.publication UHBT ordered an inquiry into its own pathology department.

:07:49. > :07:51.It had now been five years since doctors first raised the alarm. The

:07:51. > :07:56.inquiry was a major undertaking costing three quarters of a million

:07:56. > :07:58.pounds. The report severely criticized UHBT's management. It

:07:58. > :08:05.confirmed doctors' concerns had not been taken sufficiently seriously

:08:05. > :08:10.and were not properly investigated. And it heavily criticized the

:08:10. > :08:12.pathology department itself. There were battles running with other

:08:12. > :08:15.Pathology departments, there was lack of consultation with other

:08:15. > :08:20.pathologists who might know a bit more about the particular

:08:20. > :08:22.speciality. Staff were at times unwilling to acknowledge, let alone

:08:22. > :08:28.learn from mistakes - an overconfidence bordering on

:08:28. > :08:31.arrogance. The report recommended that pathologists should cross-

:08:31. > :08:37.check or double report - their work more and there should be more

:08:37. > :08:43.specialists in the department. And it recommended that the Trust merge

:08:43. > :08:49.its pathology services with another Bristol trust. But it said overall

:08:49. > :08:51.the Trust was providing a safe service. Some disagree. The report

:08:51. > :08:59.says doctors were not providing a specialist service, they were not

:08:59. > :09:05.double reporting, they were over confident and arrogant. That's not

:09:06. > :09:09.a service that gives me confidence. We asked the Trust to take part in

:09:09. > :09:12.this programme. In a statement Chief Executive Robert Woolley

:09:12. > :09:15.said: "This Trust has dealt robustly with the inquiry panel's

:09:15. > :09:18.concerns and has worked tirelessly to implement its recommendations.

:09:18. > :09:20.Patients and the public should be reassured by the findings of the

:09:20. > :09:22.independent inquiry, two inspections by the Care Quality

:09:22. > :09:30.Commission and the conclusions reached by Monitor, that

:09:30. > :09:35.histopathology services in Bristol are safe." The Trust said the

:09:35. > :09:39.inquiry found very few cases that led to harm. The current red/amber

:09:39. > :09:41.status from Monitor does not relate to pathology services. And it has

:09:41. > :09:47.implemented all but one of the report's recommendations including

:09:47. > :09:53.double reporting. But it's yet to create a single pathology service

:09:53. > :10:03.for Bristol although it does now have one clinical lead. Doctors and

:10:03. > :10:08.

:10:08. > :10:13.campaigners still have concerns. They publish their of progress

:10:13. > :10:23.against these recommendations, but it is just ticking boxes. We asked

:10:23. > :10:26.

:10:26. > :10:28.for evidence showing they are doing what they are saying. Daphne

:10:28. > :10:31.Havercroft has also raised concerns about UHBT's regulators with

:10:31. > :10:34.Parliament. And as a result the National Audit Office is doing some

:10:34. > :10:37.research into her allegations. In a letter to the campaigner, Margaret

:10:37. > :10:40.Hodge MP wrote: "I know the National Audit Office is taking

:10:40. > :10:49.this issue seriously and we will come back to you. Thank you for

:10:49. > :10:54.raising the issues." This needs proper sorting, the patients need

:10:54. > :11:04.advice. They should be rattling the cages of these defensive medical

:11:04. > :11:09.

:11:09. > :11:18.practitioners. Coming up we find out how the

:11:18. > :11:23.reaching deals with the snow. For 65 years the National Health

:11:23. > :11:25.Service has been here to look after us when we're ill. But in just ten

:11:25. > :11:30.weeks' time it will undergo the biggest re-organisation in its

:11:30. > :11:32.history. So what will that mean for patients where you live? We asked

:11:32. > :11:41.doctor, comedian and Radio Bristol presenter Phil Hammond to

:11:41. > :11:45.This is lovely, madam, because this inhaler would actually go with your

:11:45. > :11:49.coat. And a free examination. Do you want to come here and cough,

:11:49. > :11:55.sir? I can give you those half price. Plus something for your

:11:55. > :12:05.water retention. I'm a GP. And today I'm taking healthcare into

:12:05. > :12:23.

:12:23. > :12:25.the community, where it's needed. That is the government's plan. But

:12:26. > :12:28.many doctors think the reforms are untested, expensive and over-

:12:29. > :12:31.complicated - a view I shared with the former health secretary Andrew

:12:32. > :12:34.Lansley. The difficulty with this is that it's 353 pages of wonk.

:12:34. > :12:37.It's absolutely impossible to understand it. I choose my words

:12:37. > :12:40.carefully. It is unreadable. What did you actually say? It's wonk.

:12:40. > :12:43.But I've been wading through the jargon, and it's clear the reforms

:12:43. > :12:45.will affect us all. It's vital we put politics aside and try to

:12:45. > :12:49.understand exactly what they'll mean for patients. Until now the

:12:49. > :12:52.NHS has been like a big supermarket chain that only sells its own

:12:52. > :12:55.brands. It's a one stop shop where all the tricky decisions are made

:12:55. > :12:58.for you. In theory, you should get the same high quality care whether

:12:58. > :13:01.you live in Scunthorpe or Southend. But like any monopoly, it's far

:13:01. > :13:03.from perfect. The Government's bringing in the market place model

:13:03. > :13:09.instead - introducing more choice and competition, and putting GPs in

:13:10. > :13:12.charge instead of civil servants. But will it work? So if I just

:13:13. > :13:16.check your eyes there... I can confirm you have two eyes. We're

:13:16. > :13:19.doing two X-rays for the price of one. And I can throw in a free

:13:19. > :13:27.brain scan if you like. One change we're told patients should notice

:13:27. > :13:29.is care much closer to home. Hospitals and GPs will have more

:13:29. > :13:32.freedom to bring in innovative ideas. Technology might monitor

:13:32. > :13:35.your health at home and routine surgery could be done at high

:13:35. > :13:38.street clinics. Hospitals in Gloucestershire have already teamed

:13:38. > :13:46.up with a charity to send this mobile chemotherapy unit into rural

:13:46. > :13:53.communities. For cancer patients like Graham Freeman, it's a

:13:53. > :13:56.lifeline. The concept is great, moving the treatment to the person.

:13:56. > :14:02.Because it is a bit of a trauma, suffering from the chemotherapy and

:14:02. > :14:09.the travelling. Bringing the treatment closer to the person is a

:14:09. > :14:18.lot better. You do feel a little bit better. But could this shift

:14:18. > :14:21.towards more localised care mean hospitals will have to close? To

:14:21. > :14:27.find out, I've come to London, to one of the world's most respected

:14:27. > :14:30.independent think tanks on health policy - the King's Fund. I don't

:14:30. > :14:32.think we'll see many hospitals closing as a result of care coming

:14:32. > :14:34.closer to home. It will mean hospitals changing their roles,

:14:34. > :14:38.perhaps fewer A&E departments, fewer maternity services provided

:14:38. > :14:41.in existing hospitals. But that could be to the benefit of patients

:14:41. > :14:46.if we're able to plan that in the appropriate way and get better

:14:46. > :14:49.outcomes by concentrating those services in fewer hospitals.

:14:49. > :14:52.might not be keen though, if it's your A&E that's closing. The second

:14:52. > :14:55.thing patients should notice is more choice. Three tomatoes for �1!

:14:55. > :15:01.Anybody? Three inhalers for the price of two. Come and get them!

:15:01. > :15:04.Two caulies, �1.50 over there! Competition in the NHS isn't new,

:15:04. > :15:07.but the reforms step it up a notch. The NHS will become a marketplace,

:15:07. > :15:11.with private companies competing with the NHS for business. So when

:15:11. > :15:18.your GP says you need a scan, your options may look less like this,

:15:18. > :15:25.and more like this. But it should be quality, not price, that will

:15:25. > :15:27.decide which are allowed to offer care. It's already happening here

:15:27. > :15:33.on the high street, where Specsavers are treating NHS

:15:33. > :15:37.patients in 218 of its hearing centres. When I came to Specsavers,

:15:37. > :15:47.they do private and NHS, which I find is better than going to the

:15:47. > :15:47.

:15:47. > :15:52.hospital. You know, you go to the hospital, there's a lot of

:15:52. > :15:57.travelling and I don't think you get such a personal attention. So

:15:57. > :16:01.this is much, much better. When you press the button in, you'll hear

:16:01. > :16:04.two beeps which will allow you to use the telephone then. The plan is

:16:04. > :16:08.for patients like Doreen to choose their provider by looking at new

:16:08. > :16:10.performance league tables. But companies must play by the rules

:16:10. > :16:14.and can't encourage NHS patients to go private. Ultimately, Specsavers

:16:14. > :16:17.want to protect the NHS work that we've managed to gain here and we

:16:17. > :16:21.don't want to do anything to try and jeopardise that. We're not

:16:21. > :16:27.going to try and sell a hearing aid, upsell a patient at all during that

:16:27. > :16:30.time. More competition could drive up standards and lower costs. But

:16:30. > :16:35.if profits slip, companies could pull out or even go under, leaving

:16:35. > :16:38.patients in the lurch. Remember the collapse of Northern Rock? Imagine

:16:38. > :16:44.if its customers had been queuing not for their life savings but for

:16:44. > :16:46.life-saving surgery. If there is going to be a bigger role for

:16:46. > :16:49.private companies in delivering care to patients, then there is

:16:49. > :16:51.always a possibility, however remote, that that company will not

:16:51. > :16:56.be successful, that we will see something like Northern Rock in

:16:56. > :16:59.healthcare. The Government's anticipating that. It's putting in

:16:59. > :17:01.place what's called a "failure regime" so that the regulator can

:17:01. > :17:07.intervene and ensure continuity of services even if the organisations

:17:07. > :17:15.are not providing care to the right standard. The third thing patients

:17:15. > :17:19.may notice is a shift in their relationship with their GP. So if I

:17:19. > :17:24.said, "Trust me, I know the best place to go to get your heart

:17:25. > :17:28.surgery." Would you say, "Yeah, you're the doctor. Dr Phil, you

:17:28. > :17:31.look like a ginger George Clooney. I love, I trust you."? Since the

:17:31. > :17:35.birth of the NHS, doctors have taken the trust of patients for

:17:35. > :17:39.granted. But as GPs offer more and more treatments, they could find

:17:39. > :17:42.themselves referring patients to their own services. Add private

:17:42. > :17:52.companies into the mix and there's real scope for a conflict of

:17:52. > :18:01.

:18:01. > :18:05.interest. So just open really wide. But should we really be worried? In

:18:05. > :18:08.Bath, Jasmine Bishop is seeing a GP on the NHS. But believe it or not,

:18:08. > :18:11.he actually works for Virgin. Yup - they of planes, trains and super-

:18:11. > :18:13.fast broadband fame also run this walk-in centre, along with 170

:18:13. > :18:17.other NHS services... Although you wouldn't know it from the branding.

:18:17. > :18:19.As Virgin takes over more of the NHS, what's to stop you referring

:18:19. > :18:23.patients on to another Virgin service to make money for the

:18:23. > :18:26.company, rather than in the best interests of the patient? All of

:18:26. > :18:29.our GPs, like any GP in the country, have to offer patients a choice

:18:29. > :18:33.when they're being referred for another service. So in the end,

:18:33. > :18:35.it's down to the patient to choose where they go. And of course, GPs

:18:35. > :18:39.and other clinical staff have a professional responsibility too to

:18:39. > :18:45.make sure that they're finding the best care for their patients. That

:18:45. > :18:50.doesn't differ because those GPs are employed by us. And you have to

:18:50. > :18:55.ask if patients really mind who provides their care. Did you know

:18:55. > :18:58.that this health centre was run by Virgin? No. Would it make any

:18:58. > :19:04.difference to you as a patient whether it's run by an ordinary NHS

:19:04. > :19:08.GP or a private company? No. So all that matters to you is what? What

:19:08. > :19:11.do you care about in your treatment? That I get the best

:19:11. > :19:15.treatment I possibly can get really. Which of these sample bottles would

:19:15. > :19:18.you like, madam? We've got three on choice today. The bottom line is

:19:18. > :19:22.that if you have a good idea to improve your care, tell your GP. If

:19:22. > :19:27.he or she can make it happen, we know the reforms are working. It's

:19:27. > :19:30.been a huge upheaval just to get the NHS to listen to patients. And

:19:31. > :19:40.I hope for all our sakes it works. I can't lug all this back again.

:19:41. > :19:43.

:19:43. > :19:47.Come on, it's got to go today. Last Last Friday, a big freeze hit the

:19:48. > :19:56.West Country. The Met Office issued a rare amber warning and traffic

:19:56. > :19:59.chaos was predicted. How did it all turnout? Inside Out spent the day

:19:59. > :20:03.with Gloucestershire Constabulary to see how they traffic officers

:20:03. > :20:09.coped. It is 7am. It has already been sold

:20:09. > :20:16.for three hours and is forecast to continue all day. Gloucestershire's

:20:16. > :20:23.traffic police are being briefed on the busy day ahead. Rosie and Steve,

:20:23. > :20:28.you can be my it 1-5. We have got four 4x4s. We are following PCs

:20:28. > :20:34.Steve Parr and Darren "Rosie" Rosewell. They will travel all over

:20:34. > :20:38.Gloucestershire dealing with snow chaos. Make sure you wrap up warm.

:20:38. > :20:43.Predominantly, it will be stranded motorists on the hills. Most of our

:20:43. > :20:49.calls will be going out to assist them and getting them moving or

:20:49. > :20:56.moving them pro place of safety. these dangerous conditions, Rosie

:20:56. > :21:00.and Steve's help could be the difference between life and death.

:21:00. > :21:05.Gloucestershire's emergency call centre is already taking 999 calls.

:21:05. > :21:11.Any signs of any injuries? Any blood in the vehicle? It is looking

:21:12. > :21:17.like a busy day. On some of the hills where the ice has had a

:21:17. > :21:22.chance to form overnight, it is very slippery. It is now 8:15am and

:21:22. > :21:26.Rosie and Steve are on their first call. Vehicles are getting stuck

:21:26. > :21:33.between the air balloon roundabout and Cosworth. A lorry has had to

:21:33. > :21:38.stop on a hill and cannot get going. I stopped at the top there and

:21:38. > :21:42.managed to get going. But all of the traffic stopped here at the

:21:42. > :21:52.roundabout. We will try to get you some traction. It is already

:21:52. > :21:57.

:21:57. > :22:07.causing congestion so they need to We have just assisted a heavy goods

:22:07. > :22:16.

:22:16. > :22:20.vehicle behind us as far as we can We are going to see whether he has

:22:20. > :22:30.got a towbar and hopefully he will have more room to get us going.

:22:30. > :22:31.

:22:31. > :22:39.Have you got a towbar? Nothing at all? No worries. They have not got

:22:39. > :22:49.one. What he does have is 10 tons of grit. We find the community as a

:22:49. > :22:49.

:22:49. > :22:53.halt comes together to help. -- as a whole. Put some salt under the

:22:53. > :22:59.wheels to melt the snow and give it some grit. Hopefully it will get

:22:59. > :23:02.some momentum and to get up the hill. Less than 20 minutes after

:23:02. > :23:08.Rosie and Steve arrived on the scene, they have the lorry on his

:23:08. > :23:18.way again. Back in the emergency call centre, they have another job

:23:18. > :23:19.

:23:19. > :23:24.for the guys. Sera tango. Request for you to assist. Reports of a

:23:24. > :23:30.broken-down vehicle stopping the traffic. Yes, we are just round the

:23:30. > :23:36.corner. No problem. Somebody had got stuck and slipped and not been

:23:36. > :23:40.able to move. They left they have their car halfway in the

:23:40. > :23:44.carriageway. -- they left the vehicle. The problem with Crickley

:23:44. > :23:49.Hill is that there is only one lane coming down and two coming up so it

:23:49. > :23:59.causes a danger to oncoming motorists. If you go for it, we

:23:59. > :24:04.

:24:04. > :24:08.will try to get the back wheels up. After three. One. Two. 3. That is

:24:08. > :24:14.the best we are going to get it. People will have to take it steady

:24:15. > :24:20.and we will put a marker rout. Trying to help our colleagues get

:24:20. > :24:24.the car off the road. The problem is, the handbrake is on so we

:24:24. > :24:30.cannot get traction. Calls are still coming in. A lot of them are

:24:30. > :24:36.not emergencies. Could you ring one no one. This is not a life-and-

:24:36. > :24:41.death emergency. -- 101. They have even had a prank calls. It was your

:24:41. > :24:45.friend, was it? You will get your phone disconnected if you do not

:24:45. > :24:51.keep your phone out of your friend's hand. For a snowy day, it

:24:51. > :25:01.has been relatively quiet. Not too bad today. It is 11am. We still

:25:01. > :25:06.have the rest of the day to go! Back on the road, Rosie and Steve

:25:06. > :25:11.come across another motorist in trouble on the way to Painswick.

:25:11. > :25:16.The car was refusing to go up the hill. He could not get any grip so

:25:16. > :25:24.we have hitched him up to a vehicle and we will tear him up to the flat

:25:24. > :25:29.part of the road. -- we will pull him. Thank you very much. Really

:25:29. > :25:36.appreciate that. They have spent most of their police careers in

:25:36. > :25:42.Gloucestershire. I started off in the Cotswolds, Stroud. Then I

:25:42. > :25:47.joined Cirencester went we were a divisional traffic unit. Then we

:25:48. > :25:52.merged and I came here along with everyone else. I I have been in the

:25:52. > :26:00.police for 12 years. It is a great job. The odd cliche, you do not

:26:00. > :26:03.know what to expect each day. -- the old cliche. The morning saw

:26:03. > :26:08.Rosie and Steve prevent accidents by getting vehicles moving again.

:26:08. > :26:14.Now they are on their way to a more serious road traffic collision that

:26:14. > :26:20.has already happened in Cheltenham. We have just received a call from

:26:20. > :26:24.the control room that there is a two vehicle collision. We are on

:26:24. > :26:29.our way there. We are not sure whether there are injuries. We have

:26:29. > :26:34.been dispatched to have a look and assist where we can. There are more

:26:34. > :26:39.than two cars involved. The Mini crashed into a van forcing it to

:26:39. > :26:44.rear end a Citroen. I try to put my foot on the break but I was not

:26:44. > :26:49.slowing down, it was too late, I went straight into the back of them.

:26:49. > :26:54.In a separate smash, a red car lost control. I ended up colliding with

:26:54. > :27:01.a fan who was driving up the hill. That force may tear one side and I

:27:01. > :27:06.have hit two cars as far -- that forced me to one side. We saw, what

:27:06. > :27:14.are they doing? It turns up, they could not do anything. They lost

:27:14. > :27:22.control. We saw the first Mini. Old guard. There is some one side in

:27:22. > :27:27.there. As if Rosie and Steve did not have enough to deal with. It is

:27:27. > :27:31.dangerously bald tyres. That has contributed hugely to what has

:27:31. > :27:36.happened. They are below the legal limit. My back tyres are illegal

:27:36. > :27:42.which I did not realise. It is my own fault. I cannot blame anyone

:27:42. > :27:45.else. An hour after Rosie and Steve arrived, everyone is back on their

:27:45. > :27:55.way. My son gentle on the accelerator. It is the end of the

:27:55. > :27:55.

:27:55. > :27:58.day for the guys -- nice and gentle. But they have one last job. We will

:27:58. > :28:05.debrief to the late Crusoe they know what we have done and where we

:28:05. > :28:10.have been and the roads that are tricky -- the late crew. It was a

:28:10. > :28:15.good day. Thoroughly enjoyed it. You can hear regular travel and

:28:15. > :28:21.weather updates on all our BBC local radio stations. That is just

:28:21. > :28:31.about it for tonight. Keep in touch with what we are up to on Twitter

:28:31. > :28:35.

:28:35. > :28:39.Next week, why will young families and larger council properties be

:28:39. > :28:46.kicked out of their homes when all the tenants are allowed to stay