16/09/2013

0:00:08 > 0:00:08Hello from Taunton where we have

0:00:08 > 0:00:10Hello from Taunton where we have a

0:00:10 > 0:00:10Hello from Taunton where we have a special programme looking at the

0:00:10 > 0:00:12special programme looking at the

0:00:12 > 0:00:12special programme looking at the state of our Accident and Emergency

0:00:12 > 0:00:15state of our Accident and Emergency

0:00:15 > 0:00:15state of our Accident and Emergency units. Tonight, with the pressure

0:00:15 > 0:00:15state of our Accident and Emergency units. Tonight, with the pressure of

0:00:15 > 0:00:19units. Tonight, with the pressure of

0:00:19 > 0:00:19units. Tonight, with the pressure of a million more patients than three

0:00:19 > 0:00:20a million more patients than three

0:00:20 > 0:00:20a million more patients than three years ago we ask what the future

0:00:20 > 0:00:23years ago we ask what the future

0:00:23 > 0:00:24years ago we ask what the future looks like. We are in the worst

0:00:24 > 0:00:25looks like. We are in the worst

0:00:25 > 0:00:26looks like. We are in the worst position we have ever been. We

0:00:26 > 0:00:26looks like. We are in the worst position we have ever been. We have

0:00:26 > 0:00:29position we have ever been. We have

0:00:29 > 0:00:31position we have ever been. We have a real crisis. How long can we

0:00:31 > 0:00:31position we have ever been. We have a real crisis. How long can we carry

0:00:31 > 0:00:33a real crisis. How long can we carry

0:00:33 > 0:00:33a real crisis. How long can we carry on working like this? There needs

0:00:33 > 0:00:33a real crisis. How long can we carry on working like this? There needs to

0:00:33 > 0:00:35on working like this? There needs to

0:00:35 > 0:00:36on working like this? There needs to be light at the end of the tunnel.

0:00:36 > 0:00:38be light at the end of the tunnel.

0:00:38 > 0:00:38be light at the end of the tunnel. And we spend 12 hours following

0:00:38 > 0:00:40And we spend 12 hours following

0:00:40 > 0:00:40And we spend 12 hours following events at A&E here at Musgrove

0:00:40 > 0:00:41And we spend 12 hours following events at A&E here at Musgrove Park

0:00:41 > 0:00:46events at A&E here at Musgrove Park

0:00:46 > 0:00:46events at A&E here at Musgrove Park Hospital. It is nonstop. There

0:00:46 > 0:00:47events at A&E here at Musgrove Park Hospital. It is nonstop. There is

0:00:47 > 0:00:49Hospital. It is nonstop. There is

0:00:49 > 0:00:49Hospital. It is nonstop. There is always going to be someone else

0:00:49 > 0:00:52always going to be someone else

0:00:52 > 0:00:52always going to be someone else coming in and that is the service

0:00:52 > 0:00:54always going to be someone else coming in and that is the service we

0:00:54 > 0:00:55coming in and that is the service we

0:00:55 > 0:00:56coming in and that is the service we provide. I'm Alastair McKee and

0:01:05 > 0:01:08stories of this year. What is going

0:01:08 > 0:01:08stories of this year. What is going on with our hospital accident and

0:01:08 > 0:01:09on with our hospital accident and

0:01:09 > 0:01:09on with our hospital accident and emergency departments? To find

0:01:09 > 0:01:10on with our hospital accident and emergency departments? To find out

0:01:10 > 0:01:12emergency departments? To find out

0:01:12 > 0:01:12emergency departments? To find out for ourselves Inside Out cameras

0:01:12 > 0:01:15for ourselves Inside Out cameras

0:01:15 > 0:01:15for ourselves Inside Out cameras spent a full 12 hour shift in the

0:01:15 > 0:01:16spent a full 12 hour shift in the

0:01:16 > 0:01:16spent a full 12 hour shift in the A&E unit here at Musgrove Hospital.

0:01:19 > 0:01:22This man's been in a road accident.

0:01:22 > 0:01:24This man's been in a road accident. The medics treat him with extreme

0:01:24 > 0:01:25The medics treat him with extreme

0:01:25 > 0:01:25The medics treat him with extreme care because they don't know what

0:01:25 > 0:01:27care because they don't know what

0:01:27 > 0:01:27care because they don't know what his injuries are. It's emotional

0:01:27 > 0:01:29care because they don't know what his injuries are. It's emotional to

0:01:29 > 0:01:32his injuries are. It's emotional to

0:01:32 > 0:01:33his injuries are. It's emotional to Musgrove Park it's another day

0:01:33 > 0:01:33his injuries are. It's emotional to Musgrove Park it's another day on

0:01:33 > 0:01:35Musgrove Park it's another day on

0:01:35 > 0:01:38Musgrove Park it's another day on A&E. Over half a million people

0:01:38 > 0:01:38Musgrove Park it's another day on treated here last year. That's

0:01:38 > 0:01:39Musgrove Park it's another day on treated here last year. That's an

0:01:39 > 0:01:44treated here last year. That's an

0:01:44 > 0:01:44treated here last year. That's an service is under pressure like

0:01:44 > 0:01:44treated here last year. That's an service is under pressure like never

0:01:44 > 0:01:47service is under pressure like never

0:01:47 > 0:01:48service is under pressure like never before. More and more people are

0:01:48 > 0:01:50before. More and more people are

0:01:50 > 0:01:56before. More and more people are using it, but not for accidents

0:01:56 > 0:01:57before. More and more people are emergencies. My daughter got her

0:01:57 > 0:01:59emergencies. My daughter got her

0:01:59 > 0:01:59emergencies. My daughter got her finger pulled back last week and

0:01:59 > 0:02:00emergencies. My daughter got her finger pulled back last week and it

0:02:00 > 0:02:02finger pulled back last week and it

0:02:02 > 0:02:02finger pulled back last week and it is a bit swollen. She can't bend

0:02:02 > 0:02:02finger pulled back last week and it is a bit swollen. She can't bend it

0:02:02 > 0:02:07is a bit swollen. She can't bend it

0:02:07 > 0:02:11is a bit swollen. She can't bend it checked out because she is back

0:02:11 > 0:02:11is a bit swollen. She can't bend it school next week. Our cameras have

0:02:11 > 0:02:12school next week. Our cameras have

0:02:12 > 0:02:12school next week. Our cameras have been allowed inside to see the

0:02:12 > 0:02:12been allowed inside to see the

0:02:12 > 0:02:13been allowed inside to see the pressures they're under. We'll

0:02:13 > 0:02:15been allowed inside to see the pressures they're under. We'll be

0:02:15 > 0:02:16pressures they're under. We'll be

0:02:16 > 0:02:17following the staff and patients pressures they're under. We'll be

0:02:17 > 0:02:17following the staff and patients during a 12 hour period to see

0:02:17 > 0:02:17following the staff and patients during a 12 hour period to see what

0:02:17 > 0:02:18during a 12 hour period to see what

0:02:18 > 0:02:18during a 12 hour period to see what it's really like for Somerset's

0:02:21 > 0:02:21It's 8am and the day's beginning

0:02:21 > 0:02:23It's 8am and the day's beginning for

0:02:23 > 0:02:24It's 8am and the day's beginning for the nursing staff we're following.

0:02:24 > 0:02:26the nursing staff we're following.

0:02:26 > 0:02:26the nursing staff we're following. They're briefed about any on—going

0:02:26 > 0:02:28They're briefed about any on—going

0:02:28 > 0:02:28They're briefed about any on—going issues from the previous shift

0:02:28 > 0:02:28They're briefed about any on—going issues from the previous shift in

0:02:28 > 0:02:30issues from the previous shift in

0:02:30 > 0:02:31issues from the previous shift in the hand—over meeting. James Gagg

0:02:31 > 0:02:31issues from the previous shift in the hand—over meeting. James Gagg is

0:02:31 > 0:02:33the hand—over meeting. James Gagg is

0:02:33 > 0:02:33the hand—over meeting. James Gagg is the Consultant on duty today. He's

0:02:33 > 0:02:35the Consultant on duty today. He's

0:02:35 > 0:02:36the Consultant on duty today. He's in overall charge of the department.

0:02:36 > 0:02:38in overall charge of the department.

0:02:38 > 0:02:38in overall charge of the department. 14 patients waiting to be seen

0:02:38 > 0:02:38in overall charge of the department. 14 patients waiting to be seen in

0:02:38 > 0:02:4114 patients waiting to be seen in

0:02:41 > 0:02:4114 patients waiting to be seen in the department at the moment and

0:02:41 > 0:02:4114 patients waiting to be seen in the department at the moment and two

0:02:41 > 0:02:44the department at the moment and two

0:02:44 > 0:02:44the department at the moment and two ambulances coming in. We'll just

0:02:44 > 0:02:46ambulances coming in. We'll just

0:02:46 > 0:02:46ambulances coming in. We'll just wait to see what they are. The

0:02:46 > 0:02:48wait to see what they are. The

0:02:48 > 0:02:48wait to see what they are. The hospital's pretty full. We had

0:02:48 > 0:02:48wait to see what they are. The hospital's pretty full. We had an

0:02:48 > 0:02:50hospital's pretty full. We had an

0:02:50 > 0:02:50hospital's pretty full. We had an extremely busy day yesterday with

0:02:50 > 0:02:51hospital's pretty full. We had an extremely busy day yesterday with a

0:02:51 > 0:02:54extremely busy day yesterday with a

0:02:54 > 0:02:56extremely busy day yesterday with a walk—in attendances coming in and

0:02:56 > 0:02:57walk—in attendances coming in and

0:02:57 > 0:02:57walk—in attendances coming in and ofcourse that has an effect on

0:02:57 > 0:02:57walk—in attendances coming in and ofcourse that has an effect on the

0:02:57 > 0:02:59ofcourse that has an effect on the

0:02:59 > 0:03:00ofcourse that has an effect on the hospital as a whole and that's

0:03:00 > 0:03:00hospital as a whole and that's

0:03:00 > 0:03:01hospital as a whole and that's potentially going to have a knock—on

0:03:01 > 0:03:04potentially going to have a knock—on

0:03:04 > 0:03:04potentially going to have a knock—on effect today depending on how busy

0:03:04 > 0:03:05effect today depending on how busy

0:03:05 > 0:03:06effect today depending on how busy we are and how many patients we

0:03:06 > 0:03:07effect today depending on how busy to bring into the hospital. Karen

0:03:07 > 0:03:10to bring into the hospital. Karen

0:03:10 > 0:03:10to bring into the hospital. Karen Caburn is the lead nurse on duty.

0:03:10 > 0:03:13Caburn is the lead nurse on duty.

0:03:13 > 0:03:13Caburn is the lead nurse on duty. One of her first jobs is to check

0:03:13 > 0:03:15One of her first jobs is to check

0:03:15 > 0:03:16One of her first jobs is to check how many beds are available for

0:03:16 > 0:03:18One of her first jobs is to check patients in the main hospital.

0:03:18 > 0:03:18One of her first jobs is to check patients in the main hospital. We've

0:03:18 > 0:03:21patients in the main hospital. We've

0:03:21 > 0:03:21patients in the main hospital. We've got a few to come up to you. Are

0:03:21 > 0:03:21patients in the main hospital. We've got a few to come up to you. Are you

0:03:21 > 0:03:23got a few to come up to you. Are you

0:03:23 > 0:03:25got a few to come up to you. Are you happy to put it on the screen when

0:03:25 > 0:03:26happy to put it on the screen when

0:03:26 > 0:03:26happy to put it on the screen when beds come up? She also organises

0:03:26 > 0:03:30beds come up? She also organises

0:03:30 > 0:03:30beds come up? She also organises staff cover for the day. I'm just

0:03:30 > 0:03:31staff cover for the day. I'm just

0:03:31 > 0:03:31staff cover for the day. I'm just doing the allocation now. We just

0:03:31 > 0:03:34doing the allocation now. We just

0:03:34 > 0:03:34doing the allocation now. We just split the department into Majors

0:03:34 > 0:03:34doing the allocation now. We just split the department into Majors and

0:03:34 > 0:03:38split the department into Majors and

0:03:38 > 0:03:38split the department into Majors and emergencies has arrived at the

0:03:38 > 0:03:38emergencies has arrived at the

0:03:38 > 0:03:39emergencies has arrived at the Majors end of the department. Colin

0:03:39 > 0:03:42Majors end of the department. Colin

0:03:42 > 0:03:42Majors end of the department. Colin Morgan has had a fall and has been

0:03:42 > 0:03:45Morgan has had a fall and has been

0:03:45 > 0:03:46Morgan has had a fall and has been brought from Minehead. Things are

0:03:46 > 0:03:46Morgan has had a fall and has been brought from Minehead. Things are a

0:03:46 > 0:03:46brought from Minehead. Things are a

0:03:46 > 0:03:47brought from Minehead. Things are a little different at the other end

0:03:47 > 0:03:47brought from Minehead. Things are a little different at the other end of

0:03:47 > 0:03:51little different at the other end of

0:03:51 > 0:03:51little different at the other end of the department. James has discovered

0:03:51 > 0:03:52the department. James has discovered

0:03:52 > 0:03:52the department. James has discovered some news that could impact on

0:03:52 > 0:03:52the department. James has discovered some news that could impact on the

0:03:52 > 0:03:53some news that could impact on the

0:03:53 > 0:03:54some news that could impact on the types of patients they see today

0:03:54 > 0:03:54some news that could impact on the types of patients they see today and

0:03:54 > 0:03:54types of patients they see today and

0:03:54 > 0:03:57types of patients they see today and briefs another doctor about this.

0:03:57 > 0:04:00briefs another doctor about this.

0:04:00 > 0:04:00briefs another doctor about this. There's no out of ours GP service

0:04:00 > 0:04:00briefs another doctor about this. There's no out of ours GP service in

0:04:00 > 0:04:03There's no out of ours GP service in

0:04:03 > 0:04:03There's no out of ours GP service in Taunton or Bridgwater for the next

0:04:03 > 0:04:05Taunton or Bridgwater for the next

0:04:05 > 0:04:05Taunton or Bridgwater for the next 24 hours so that might have an

0:04:05 > 0:04:0724 hours so that might have an

0:04:07 > 0:04:0724 hours so that might have an impact on the sort of patients

0:04:07 > 0:04:09impact on the sort of patients

0:04:09 > 0:04:09impact on the sort of patients you're seeing down at that end

0:04:09 > 0:04:09impact on the sort of patients you're seeing down at that end of

0:04:09 > 0:04:13you're seeing down at that end of

0:04:13 > 0:04:13you're seeing down at that end of the department as the day goes

0:04:13 > 0:04:13you're seeing down at that end of the department as the day goes on

0:04:13 > 0:04:14the department as the day goes on

0:04:14 > 0:04:16the department as the day goes on but lets see what happens. The

0:04:16 > 0:04:17but lets see what happens. The

0:04:17 > 0:04:17but lets see what happens. The waiting room is starting to fill

0:04:17 > 0:04:17but lets see what happens. The waiting room is starting to fill up.

0:04:17 > 0:04:20waiting room is starting to fill up.

0:04:20 > 0:04:21waiting room is starting to fill up. And the lack of an out of hours

0:04:21 > 0:04:21waiting room is starting to fill up. service appears to be having an

0:04:21 > 0:04:25service appears to be having an

0:04:25 > 0:04:26service appears to be having an impact. Lee's been suffering from

0:04:26 > 0:04:26service appears to be having an impact. Lee's been suffering from a

0:04:26 > 0:04:27impact. Lee's been suffering from a

0:04:27 > 0:04:27impact. Lee's been suffering from a stye in his eye over the past few

0:04:27 > 0:04:29stye in his eye over the past few

0:04:29 > 0:04:29stye in his eye over the past few weeks and today he had a nasty

0:04:29 > 0:04:31weeks and today he had a nasty

0:04:31 > 0:04:31weeks and today he had a nasty surprise. I woke up this morning

0:04:31 > 0:04:31weeks and today he had a nasty surprise. I woke up this morning and

0:04:31 > 0:04:34surprise. I woke up this morning and

0:04:34 > 0:04:34surprise. I woke up this morning and it had puffed right up. Let's have

0:04:34 > 0:04:34surprise. I woke up this morning and it had puffed right up. Let's have a

0:04:34 > 0:04:34it had puffed right up. Let's have a

0:04:45 > 0:04:48self—employed so taking time off

0:04:48 > 0:04:48self—employed so taking time off work is always a bit tricky so

0:04:48 > 0:04:48self—employed so taking time off work is always a bit tricky so I

0:04:48 > 0:04:54work is always a bit tricky so I

0:04:54 > 0:04:54work is always a bit tricky so I the only day I have off in the

0:04:54 > 0:04:55work is always a bit tricky so I the only day I have off in the week.

0:04:55 > 0:04:57the only day I have off in the week.

0:04:57 > 0:04:58the only day I have off in the week. I could have gone to my local GP

0:04:58 > 0:05:01I could have gone to my local GP

0:05:01 > 0:05:01I could have gone to my local GP with this if he was open on a Sunday

0:05:01 > 0:05:05with this if he was open on a Sunday

0:05:05 > 0:05:05with this if he was open on a Sunday but my local GP's not open on a

0:05:05 > 0:05:06but my local GP's not open on a

0:05:06 > 0:05:06but my local GP's not open on a Sunday and A&E was the best option.

0:05:06 > 0:05:10Sunday and A&E was the best option.

0:05:10 > 0:05:10Sunday and A&E was the best option. Lee's one of an increasing number

0:05:10 > 0:05:11Lee's one of an increasing number of Lee's one of an increasing number

0:05:11 > 0:05:11Lee's one of an increasing number of people who for whatever reason

0:05:11 > 0:05:11Lee's one of an increasing number of people who for whatever reason are

0:05:11 > 0:05:15people who for whatever reason are

0:05:15 > 0:05:15people who for whatever reason are using A&E instead of their local

0:05:15 > 0:05:15people who for whatever reason are using A&E instead of their local GP.

0:05:15 > 0:05:17using A&E instead of their local GP.

0:05:17 > 0:05:17using A&E instead of their local GP. department a real emergency has

0:05:17 > 0:05:18department a real emergency has

0:05:18 > 0:05:21department a real emergency has arrived. Barry Reed's been in a

0:05:21 > 0:05:23department a real emergency has accident. What's happened? Barry

0:05:23 > 0:05:23department a real emergency has accident. What's happened? Barry was

0:05:23 > 0:05:33accident. What's happened? Barry was

0:05:33 > 0:05:34accident. What's happened? Barry was on a push—bike. The paramedics

0:05:34 > 0:05:34accident. What's happened? Barry was on a push—bike. The paramedics are

0:05:34 > 0:05:36on a push—bike. The paramedics are

0:05:36 > 0:05:38on a push—bike. The paramedics are concerned about his neck and that's

0:05:38 > 0:05:40concerned about his neck and that's

0:05:40 > 0:05:41concerned about his neck and that's why he's come in with blocks. He's

0:05:41 > 0:05:42why he's come in with blocks. He's

0:05:42 > 0:05:44why he's come in with blocks. He's fully conscious but he's got a

0:05:44 > 0:05:44why he's come in with blocks. He's fully conscious but he's got a bit

0:05:44 > 0:05:46fully conscious but he's got a bit

0:05:46 > 0:05:46fully conscious but he's got a bit of pain in his chest and difficulty

0:05:46 > 0:05:52of pain in his chest and difficulty

0:05:52 > 0:05:53of pain in his chest and difficulty with his breathing. Back in the

0:05:53 > 0:05:57with his breathing. Back in the

0:05:57 > 0:05:57with his breathing. Back in the waiting room and a tale of a lesser

0:05:57 > 0:05:57waiting room and a tale of a lesser

0:05:57 > 0:06:00waiting room and a tale of a lesser casualty is emerging. Michael Norman

0:06:00 > 0:06:00casualty is emerging. Michael Norman

0:06:00 > 0:06:01casualty is emerging. Michael Norman Jnr was playing in the garden half

0:06:01 > 0:06:02Jnr was playing in the garden half

0:06:02 > 0:06:08Jnr was playing in the garden half an hour ago. He's hurt his toe.

0:06:08 > 0:06:10Jnr was playing in the garden half an hour ago. He's hurt his toe. He

0:06:10 > 0:06:12an hour ago. He's hurt his toe. He

0:06:12 > 0:06:12an hour ago. He's hurt his toe. He was playing football with his shoes

0:06:12 > 0:06:15was playing football with his shoes

0:06:15 > 0:06:24was playing football with his shoes off. Are you a wounded soldier,

0:06:24 > 0:06:26was playing football with his shoes did you do this? Playing football.

0:06:26 > 0:06:28did you do this? Playing football.

0:06:38 > 0:06:41department and we're finding out

0:06:41 > 0:06:44department and we're finding out what happened to Colin from his

0:06:44 > 0:06:44department and we're finding out Sheila. We were going into church

0:06:44 > 0:06:44department and we're finding out Sheila. We were going into church in

0:06:44 > 0:06:47Sheila. We were going into church in

0:06:47 > 0:06:47Sheila. We were going into church in Minehead and he has a walker because

0:06:47 > 0:06:48Minehead and he has a walker because

0:06:48 > 0:06:48Minehead and he has a walker because he's had lots of operations and

0:06:48 > 0:06:52he's had lots of operations and

0:06:52 > 0:06:52he's had lots of operations and somehow he went onto a very hard

0:06:52 > 0:06:53somehow he went onto a very hard

0:06:53 > 0:06:53somehow he went onto a very hard tiled floor there was a big crash

0:06:53 > 0:06:54tiled floor there was a big crash

0:06:57 > 0:07:03The nurses take a first look at

0:07:03 > 0:07:03The nurses take a first look at injuries. Colin ,you've cut your

0:07:03 > 0:07:10injuries. Colin ,you've cut your

0:07:10 > 0:07:11injuries. Colin ,you've cut your finger as well. Badly, you might

0:07:11 > 0:07:13finger as well. Badly, you might

0:07:13 > 0:07:14finger as well. Badly, you might need a stitch in that as well Karen.

0:07:14 > 0:07:17need a stitch in that as well Karen.

0:07:17 > 0:07:17need a stitch in that as well Karen. injury is being revealed. He caught

0:07:17 > 0:07:20injury is being revealed. He caught

0:07:20 > 0:07:21injury is being revealed. He caught his toe on a stick in the garden.

0:07:21 > 0:07:24his toe on a stick in the garden.

0:07:24 > 0:07:25his toe on a stick in the garden. Was it your garden? No, it was

0:07:25 > 0:07:27Was it your garden? No, it was

0:07:27 > 0:07:28Was it your garden? No, it was Grandads. We'll give it a good

0:07:28 > 0:07:28Was it your garden? No, it was Grandads. We'll give it a good clean

0:07:28 > 0:07:30Grandads. We'll give it a good clean

0:07:30 > 0:07:31Grandads. We'll give it a good clean to makes sure the's no dirt in

0:07:31 > 0:07:38to makes sure the's no dirt in

0:07:38 > 0:07:39to makes sure the's no dirt in there. I think he has peeled some

0:07:39 > 0:07:39to makes sure the's no dirt in there. I think he has peeled some of

0:07:39 > 0:07:43there. I think he has peeled some of

0:07:43 > 0:07:47there. I think he has peeled some of the skin back. Dad has put that

0:07:47 > 0:07:47there. I think he has peeled some of and it has stayed in place. That

0:07:47 > 0:07:47there. I think he has peeled some of and it has stayed in place. That was

0:07:47 > 0:07:50and it has stayed in place. That was

0:07:50 > 0:07:50and it has stayed in place. That was the main worry, that there was

0:07:50 > 0:07:50and it has stayed in place. That was the main worry, that there was going

0:07:50 > 0:07:51the main worry, that there was going

0:07:51 > 0:07:51the main worry, that there was going to be some dirt in there and it

0:07:51 > 0:07:55to be some dirt in there and it

0:07:55 > 0:07:55to be some dirt in there and it would be easier for them to do

0:07:55 > 0:07:55to be some dirt in there and it would be easier for them to do it

0:07:55 > 0:07:56would be easier for them to do it

0:07:56 > 0:07:56would be easier for them to do it rather than him screaming if we

0:07:58 > 0:08:02It's been ten minutes since Barry

0:08:02 > 0:08:02It's been ten minutes since Barry who was knocked off his bike was

0:08:02 > 0:08:05who was knocked off his bike was

0:08:05 > 0:08:05who was knocked off his bike was admitted. James is trying to find

0:08:05 > 0:08:05admitted. James is trying to find

0:08:18 > 0:08:20We often find they may be harbouring

0:08:20 > 0:08:21We often find they may be harbouring a number of injuries at multiple

0:08:21 > 0:08:24a number of injuries at multiple

0:08:24 > 0:08:24a number of injuries at multiple levels in the body and we have

0:08:24 > 0:08:24a number of injuries at multiple levels in the body and we have to

0:08:24 > 0:08:24a number of injuries at multiple levels in the body and we have to be

0:08:24 > 0:08:27levels in the body and we have to be

0:08:27 > 0:08:27levels in the body and we have to be quite aggressive to find out what

0:08:27 > 0:08:27levels in the body and we have to be quite aggressive to find out what is

0:08:27 > 0:08:30quite aggressive to find out what is

0:08:30 > 0:08:30quite aggressive to find out what is the actual injury and what is going

0:08:30 > 0:08:33the actual injury and what is going

0:08:33 > 0:08:33the actual injury and what is going on. You will feel a scratch in

0:08:33 > 0:08:33the actual injury and what is going on. You will feel a scratch in your

0:08:33 > 0:08:38on. You will feel a scratch in your

0:08:38 > 0:08:38on. You will feel a scratch in your arm now. Back in the waiting room

0:08:38 > 0:08:41arm now. Back in the waiting room

0:08:41 > 0:08:41arm now. Back in the waiting room and Jennifer Smith has arrived

0:08:41 > 0:08:41arm now. Back in the waiting room and Jennifer Smith has arrived with

0:08:41 > 0:08:44and Jennifer Smith has arrived with

0:08:44 > 0:08:44and Jennifer Smith has arrived with what looks like a minor injury.

0:08:44 > 0:08:44and Jennifer Smith has arrived with what looks like a minor injury. I

0:08:44 > 0:08:48what looks like a minor injury. I

0:08:48 > 0:08:49what looks like a minor injury. I was playing with my grandson in

0:08:49 > 0:08:49what looks like a minor injury. I son's garden hide and seek and

0:08:49 > 0:08:50what looks like a minor injury. I son's garden hide and seek and on

0:08:50 > 0:08:50what looks like a minor injury. I son's garden hide and seek and on my

0:08:50 > 0:08:54son's garden hide and seek and on my

0:08:54 > 0:08:54son's garden hide and seek and on my last game before I went home I

0:08:54 > 0:08:55last game before I went home I fell last game before I went home I

0:08:55 > 0:08:55last game before I went home I fell in the garden and landed on a stone.

0:08:55 > 0:09:00in the garden and landed on a stone.

0:09:00 > 0:09:00in the garden and landed on a stone. My son decided he should bring

0:09:00 > 0:09:00in the garden and landed on a stone. My son decided he should bring me

0:09:00 > 0:09:01in the garden and landed on a stone. My son decided he should bring me to

0:09:01 > 0:09:01My son decided he should bring me to

0:09:01 > 0:09:01My son decided he should bring me to A&E. I'm 66 and it's the first

0:09:01 > 0:09:01My son decided he should bring me to A&E. I'm 66 and it's the first time

0:09:01 > 0:09:07A&E. I'm 66 and it's the first time

0:09:07 > 0:09:07A&E. I'm 66 and it's the first time I've been to A&E. It turns out

0:09:07 > 0:09:07A&E. I'm 66 and it's the first time I've been to A&E. It turns out her

0:09:07 > 0:09:09I've been to A&E. It turns out her

0:09:09 > 0:09:09I've been to A&E. It turns out her she first thought. That cut needed

0:09:09 > 0:09:13she first thought. That cut needed

0:09:13 > 0:09:13she first thought. That cut needed stiches. And that's not all. She's

0:09:13 > 0:09:14stiches. And that's not all. She's

0:09:14 > 0:09:14stiches. And that's not all. She's fractured her wrist. Six weeks

0:09:14 > 0:09:15fractured her wrist. Six weeks in fractured her wrist. Six weeks

0:09:15 > 0:09:15fractured her wrist. Six weeks in plaster it's not good. It's an

0:09:15 > 0:09:17plaster it's not good. It's an

0:09:17 > 0:09:18plaster it's not good. It's an experience, can't fault them at

0:09:21 > 0:09:21James has come back to examine

0:09:21 > 0:09:23James has come back to examine Colin

0:09:23 > 0:09:24James has come back to examine Colin who was admitted after falling

0:09:24 > 0:09:24James has come back to examine Colin who was admitted after falling down

0:09:24 > 0:09:26who was admitted after falling down

0:09:26 > 0:09:30who was admitted after falling down at church. We need to get under

0:09:30 > 0:09:30who was admitted after falling down bandage and see what's happening

0:09:30 > 0:09:32bandage and see what's happening

0:09:32 > 0:09:32bandage and see what's happening pretty quickly. Can you see my

0:09:32 > 0:09:34pretty quickly. Can you see my

0:09:34 > 0:09:34pretty quickly. Can you see my finger? It'll take some time to

0:09:34 > 0:09:36finger? It'll take some time to

0:09:36 > 0:09:36finger? It'll take some time to uncover the full extent of Colin's

0:09:36 > 0:09:38uncover the full extent of Colin's

0:09:38 > 0:09:39uncover the full extent of Colin's injuries. And Barry's are also

0:09:39 > 0:09:39uncover the full extent of Colin's injuries. And Barry's are also not

0:09:39 > 0:09:40injuries. And Barry's are also not

0:09:48 > 0:09:49I can't breathe. We will get an

0:09:59 > 0:10:01We will be checking on the progress

0:10:01 > 0:10:02We will be checking on the progress but first a scale of the problem

0:10:02 > 0:10:05but first a scale of the problem

0:10:05 > 0:10:05but first a scale of the problem facing A&E departments. Last year

0:10:05 > 0:10:07facing A&E departments. Last year

0:10:07 > 0:10:07facing A&E departments. Last year they dealt with over a million

0:10:07 > 0:10:07facing A&E departments. Last year they dealt with over a million more

0:10:07 > 0:10:10they dealt with over a million more

0:10:10 > 0:10:10they dealt with over a million more patients than three years ago and

0:10:10 > 0:10:14patients than three years ago and

0:10:14 > 0:10:14patients than three years ago and announced a fund to bail out the

0:10:14 > 0:10:24announced a fund to bail out the

0:10:24 > 0:10:25announced a fund to bail out the areas. Will it be enough? Jamie

0:10:25 > 0:10:27areas. Will it be enough? Jamie

0:10:27 > 0:10:29areas. Will it be enough? Jamie Coulson looks at what's gone wrong

0:10:29 > 0:10:32Coulson looks at what's gone wrong

0:10:32 > 0:10:33Coulson looks at what's gone wrong and what the cure might be. Jamie

0:10:33 > 0:10:35and what the cure might be. Jamie

0:10:35 > 0:10:35and what the cure might be. Jamie Coulson looks at what's gone wrong

0:10:35 > 0:10:38Coulson looks at what's gone wrong

0:10:38 > 0:10:38Coulson looks at what's gone wrong and what the cure might be. The

0:10:38 > 0:10:41and what the cure might be. The

0:10:41 > 0:10:41and what the cure might be. The prospect of arriving here at A&E

0:10:41 > 0:10:41and what the cure might be. The prospect of arriving here at A&E is

0:10:41 > 0:10:44prospect of arriving here at A&E is

0:10:44 > 0:10:47prospect of arriving here at A&E is never a pleasant one. We are in

0:10:47 > 0:10:48prospect of arriving here at A&E is worst position we have ever been

0:10:48 > 0:10:50prospect of arriving here at A&E is worst position we have ever been in.

0:10:50 > 0:10:52worst position we have ever been in.

0:10:52 > 0:10:53worst position we have ever been in. There needs to be light at the

0:10:53 > 0:10:53worst position we have ever been in. There needs to be light at the end

0:10:53 > 0:10:55There needs to be light at the end

0:10:55 > 0:10:56There needs to be light at the end of the tunnel. And at the moment

0:10:56 > 0:10:59of the tunnel. And at the moment

0:10:59 > 0:10:59of the tunnel. And at the moment there isn't. So how did such a

0:10:59 > 0:10:59of the tunnel. And at the moment there isn't. So how did such a vital

0:10:59 > 0:11:02there isn't. So how did such a vital

0:11:02 > 0:11:02there isn't. So how did such a vital organ of the NHS become such a

0:11:02 > 0:11:06organ of the NHS become such a

0:11:06 > 0:11:08organ of the NHS become such a problem and what can be done to

0:11:08 > 0:11:08organ of the NHS become such a it? These patients are seeing their

0:11:08 > 0:11:18it? These patients are seeing their

0:11:18 > 0:11:19it? These patients are seeing their English was what? Fried egg, bacon,

0:11:19 > 0:11:23English was what? Fried egg, bacon,

0:11:23 > 0:11:23English was what? Fried egg, bacon, sausages, the lot. Maureen Lloyd

0:11:23 > 0:11:25English was what? Fried egg, bacon, sausages, the lot. Maureen Lloyd was

0:11:25 > 0:11:27sausages, the lot. Maureen Lloyd was

0:11:27 > 0:11:30sausages, the lot. Maureen Lloyd was once very likely to have become

0:11:30 > 0:11:31sausages, the lot. Maureen Lloyd was department. Along withher fellow

0:11:31 > 0:11:32department. Along withher fellow

0:11:32 > 0:11:32department. Along withher fellow patients, at risk of diabetes,

0:11:32 > 0:11:33department. Along withher fellow patients, at risk of diabetes, she

0:11:33 > 0:11:34patients, at risk of diabetes, she

0:11:34 > 0:11:34patients, at risk of diabetes, she faced a future of chronic health

0:11:34 > 0:11:38faced a future of chronic health

0:11:38 > 0:11:42faced a future of chronic health problems. I started watching my

0:11:42 > 0:11:42faced a future of chronic health better and from the practise I

0:11:42 > 0:11:43faced a future of chronic health better and from the practise I was

0:11:43 > 0:11:45better and from the practise I was

0:11:45 > 0:11:47better and from the practise I was prescription. Today we're going

0:11:47 > 0:11:48better and from the practise I was do a few rounds of boxing, get

0:11:48 > 0:11:48better and from the practise I was do a few rounds of boxing, get your

0:11:48 > 0:11:51do a few rounds of boxing, get your

0:11:51 > 0:11:51do a few rounds of boxing, get your heart rate up on the boxing. She's

0:11:51 > 0:11:53heart rate up on the boxing. She's

0:11:53 > 0:11:53heart rate up on the boxing. She's gone from being a poorly controlled

0:11:53 > 0:11:54gone from being a poorly controlled

0:11:54 > 0:11:54gone from being a poorly controlled diabetic to having no diabetes

0:11:54 > 0:11:54gone from being a poorly controlled diabetic to having no diabetes in

0:11:54 > 0:11:56diabetic to having no diabetes in

0:11:56 > 0:11:56diabetic to having no diabetes in the pre—diabetes stage. Emergency

0:11:56 > 0:11:57the pre—diabetes stage. Emergency

0:11:57 > 0:11:59the pre—diabetes stage. Emergency hospital admissions from patients

0:11:59 > 0:12:02hospital admissions from patients

0:12:02 > 0:12:02hospital admissions from patients Smethwick in the West Midlands

0:12:02 > 0:12:02hospital admissions from patients Smethwick in the West Midlands are

0:12:02 > 0:12:06Smethwick in the West Midlands are

0:12:06 > 0:12:06Smethwick in the West Midlands are 18 months. I simply won't have

0:12:06 > 0:12:06Smethwick in the West Midlands are 18 months. I simply won't have an

0:12:06 > 0:12:0818 months. I simply won't have an

0:12:08 > 0:12:1018 months. I simply won't have an hour or two to spend with every

0:12:10 > 0:12:11hour or two to spend with every

0:12:11 > 0:12:13hour or two to spend with every patient and that's what they need

0:12:13 > 0:12:13hour or two to spend with every patient and that's what they need so

0:12:13 > 0:12:14patient and that's what they need so

0:12:14 > 0:12:16patient and that's what they need so I can spend time with 18 or 19

0:12:16 > 0:12:17I can spend time with 18 or 19

0:12:17 > 0:12:17I can spend time with 18 or 19 patients together and patients

0:12:17 > 0:12:17I can spend time with 18 or 19 patients together and patients with

0:12:17 > 0:12:18patients together and patients with

0:12:18 > 0:12:18patients together and patients with lifestyle related illnesses relate

0:12:18 > 0:12:19lifestyle related illnesses relate

0:12:19 > 0:12:19lifestyle related illnesses relate better to their peers than doctors

0:12:19 > 0:12:24better to their peers than doctors

0:12:24 > 0:12:26better to their peers than doctors or nurses. Do you want to share

0:12:26 > 0:12:26better to their peers than doctors us what's he been doing? Bring

0:12:26 > 0:12:27better to their peers than doctors us what's he been doing? Bring it

0:12:27 > 0:12:30us what's he been doing? Bring it

0:12:30 > 0:12:30us what's he been doing? Bring it down? Has it been unusual talking

0:12:30 > 0:12:33down? Has it been unusual talking

0:12:33 > 0:12:34down? Has it been unusual talking about something so personal? Yeah,

0:12:34 > 0:12:37about something so personal? Yeah,

0:12:37 > 0:12:37about something so personal? Yeah, it's unusual. I think the first

0:12:37 > 0:12:40it's unusual. I think the first

0:12:40 > 0:12:40it's unusual. I think the first one's the hardest and then the

0:12:40 > 0:12:42it's unusual. I think the first one's the hardest and then the next

0:12:42 > 0:12:44one's the hardest and then the next

0:12:44 > 0:12:47one's the hardest and then the next one more at ease with it and by

0:12:47 > 0:12:47one's the hardest and then the next third one you discuss everything

0:12:47 > 0:12:48third one you discuss everything

0:12:48 > 0:12:48third one you discuss everything that needs to be discussed. Do

0:12:48 > 0:12:51third one you discuss everything that needs to be discussed. Do you

0:12:51 > 0:12:52that needs to be discussed. Do you

0:12:52 > 0:12:52that needs to be discussed. Do you think you would have done this

0:12:52 > 0:12:53think you would have done this

0:12:53 > 0:12:53think you would have done this anyway? I doubt it, I don't think

0:12:53 > 0:12:56think you would have done this anyway? I doubt it, I don't think I

0:12:56 > 0:12:57anyway? I doubt it, I don't think I

0:12:57 > 0:12:58would. What we've seen with Maureen anyway? I doubt it, I don't think I

0:12:58 > 0:12:58would. What we've seen with Maureen is a bit unusual and a different

0:12:58 > 0:12:59is a bit unusual and a different

0:12:59 > 0:13:01is a bit unusual and a different approach but ultimately it's about

0:13:01 > 0:13:02approach but ultimately it's about

0:13:02 > 0:13:02approach but ultimately it's about trying to keep people out of here.

0:13:02 > 0:13:05trying to keep people out of here.

0:13:05 > 0:13:05trying to keep people out of here. The patient, the person has to

0:13:05 > 0:13:06The patient, the person has to

0:13:06 > 0:13:06The patient, the person has to manage themselves 24 hours a day.

0:13:06 > 0:13:06The patient, the person has to manage themselves 24 hours a day. So

0:13:06 > 0:13:07manage themselves 24 hours a day. So

0:13:07 > 0:13:09manage themselves 24 hours a day. So if we can get people to understand

0:13:09 > 0:13:15if we can get people to understand

0:13:15 > 0:13:15if we can get people to understand quarter of the people we see have

0:13:15 > 0:13:19quarter of the people we see have

0:13:19 > 0:13:20quarter of the people we see have actually take more than a quarter

0:13:20 > 0:13:20quarter of the people we see have actually take more than a quarter of

0:13:20 > 0:13:20actually take more than a quarter of

0:13:20 > 0:13:21actually take more than a quarter of the time because there often quite

0:13:21 > 0:13:22the time because there often quite

0:13:22 > 0:13:23the time because there often quite complex. Generally speaking where

0:13:23 > 0:13:23complex. Generally speaking where

0:13:23 > 0:13:23complex. Generally speaking where access to GP services is good,

0:13:23 > 0:13:24access to GP services is good,

0:13:24 > 0:13:24access to GP services is good, attendance at A& E departments

0:13:24 > 0:13:25access to GP services is good, attendance at A& E departments is

0:13:25 > 0:13:26attendance at A& E departments is

0:13:26 > 0:13:26attendance at A& E departments is lower. So it seems your family

0:13:26 > 0:13:28lower. So it seems your family

0:13:28 > 0:13:28lower. So it seems your family doctor has a major role in helping

0:13:28 > 0:13:30doctor has a major role in helping

0:13:30 > 0:13:30doctor has a major role in helping ease the pressure on emergency

0:13:30 > 0:13:31ease the pressure on emergency

0:13:31 > 0:13:31ease the pressure on emergency departments. The last Department

0:13:31 > 0:13:31ease the pressure on emergency departments. The last Department of

0:13:31 > 0:13:34departments. The last Department of

0:13:34 > 0:13:34departments. The last Department of Health figures show that annually

0:13:34 > 0:13:35Health figures show that annually

0:13:35 > 0:13:35Health figures show that annually over one million more people visited

0:13:35 > 0:13:41over one million more people visited

0:13:41 > 0:13:42over one million more people visited This recent report published by

0:13:42 > 0:13:42over one million more people visited England admits A&E services had

0:13:42 > 0:13:42England admits A&E services had

0:13:42 > 0:13:42England admits A&E services had deteriorated significantly. The

0:13:42 > 0:13:43deteriorated significantly. The

0:13:43 > 0:13:45deteriorated significantly. The number of hospitals failing to

0:13:45 > 0:13:45deteriorated significantly. The number of hospitals failing to treat

0:13:45 > 0:13:47number of hospitals failing to treat

0:13:47 > 0:13:47number of hospitals failing to treat and discharge 95% of patients within

0:13:47 > 0:13:48and discharge 95% of patients within

0:13:48 > 0:13:51and discharge 95% of patients within four hours doubled in six months.

0:13:51 > 0:13:54four hours doubled in six months.

0:13:54 > 0:13:54four hours doubled in six months. Inside Out has filmed at ten A&E's

0:13:54 > 0:13:56Inside Out has filmed at ten A&E's

0:13:56 > 0:14:00Inside Out has filmed at ten A&E's across England on the same day.

0:14:00 > 0:14:01Inside Out has filmed at ten A&E's government's waiting time target.

0:14:01 > 0:14:03government's waiting time target.

0:14:03 > 0:14:06government's waiting time target. Our figures are just a snapshot

0:14:06 > 0:14:06government's waiting time target. hospital trusts are measured weekly,

0:14:06 > 0:14:06hospital trusts are measured weekly,

0:14:11 > 0:14:14Great Yarmouth in Norfolk. It's

0:14:14 > 0:14:15Great Yarmouth in Norfolk. It's early morning before the tourists

0:14:15 > 0:14:17early morning before the tourists

0:14:17 > 0:14:18early morning before the tourists hit the beach. The resort attracts

0:14:18 > 0:14:18hit the beach. The resort attracts

0:14:18 > 0:14:19hit the beach. The resort attracts holiday—makers in their thousands

0:14:19 > 0:14:23holiday—makers in their thousands

0:14:23 > 0:14:23holiday—makers in their thousands over the summer. But a few miles

0:14:23 > 0:14:25over the summer. But a few miles

0:14:25 > 0:14:26over the summer. But a few miles from the seafront the local A&E

0:14:26 > 0:14:28from the seafront the local A&E

0:14:28 > 0:14:28from the seafront the local A&E department struggles to cope with

0:14:28 > 0:14:29department struggles to cope with

0:14:29 > 0:14:29department struggles to cope with the demands of the town's population

0:14:29 > 0:14:31the demands of the town's population

0:14:31 > 0:14:31the demands of the town's population even before the season influx of

0:14:31 > 0:14:33even before the season influx of

0:14:33 > 0:14:34even before the season influx of tourists. Now this hospital is

0:14:34 > 0:14:34even before the season influx of tourists. Now this hospital is in

0:14:34 > 0:14:34even before the season influx of tourists. Now this hospital is in a

0:14:34 > 0:14:37tourists. Now this hospital is in a

0:14:37 > 0:14:37tourists. Now this hospital is in a struggles to recruit enough A&E

0:14:37 > 0:14:40struggles to recruit enough A&E

0:14:40 > 0:14:40struggles to recruit enough A&E doctors. Here they're just coming

0:14:40 > 0:14:40struggles to recruit enough A&E doctors. Here they're just coming to

0:14:40 > 0:14:42doctors. Here they're just coming to

0:14:42 > 0:14:43doctors. Here they're just coming to the end of busy holiday season

0:14:43 > 0:14:43doctors. Here they're just coming to the end of busy holiday season but

0:14:43 > 0:14:44the end of busy holiday season but

0:14:44 > 0:14:44the end of busy holiday season but there's no respite with winter

0:14:44 > 0:14:45the end of busy holiday season but there's no respite with winter just

0:14:45 > 0:14:49there's no respite with winter just

0:14:49 > 0:14:52there's no respite with winter just just worked 15 out of the last

0:14:52 > 0:14:53there's no respite with winter just days. The scan shows a kidney stone

0:14:53 > 0:14:54days. The scan shows a kidney stone

0:14:54 > 0:14:55days. The scan shows a kidney stone that's down in the bladder now.

0:14:55 > 0:14:58that's down in the bladder now.

0:14:58 > 0:14:58that's down in the bladder now. Staff shortages in A&E have become

0:14:58 > 0:14:58that's down in the bladder now. Staff shortages in A&E have become a

0:14:58 > 0:15:01Staff shortages in A&E have become a

0:15:01 > 0:15:01Staff shortages in A&E have become a way of life here at the James Paget

0:15:01 > 0:15:03way of life here at the James Paget

0:15:03 > 0:15:03way of life here at the James Paget Hospital. We've got eight posts

0:15:03 > 0:15:05Hospital. We've got eight posts

0:15:05 > 0:15:05Hospital. We've got eight posts filled out of 42 posts this year.

0:15:05 > 0:15:08filled out of 42 posts this year.

0:15:08 > 0:15:08filled out of 42 posts this year. Which means 34 gaps across the

0:15:08 > 0:15:08filled out of 42 posts this year. Which means 34 gaps across the East

0:15:08 > 0:15:09Which means 34 gaps across the East

0:15:09 > 0:15:09Which means 34 gaps across the East of England from Peterborough through

0:15:09 > 0:15:12of England from Peterborough through

0:15:12 > 0:15:12of England from Peterborough through Consultants are having to work

0:15:12 > 0:15:12of England from Peterborough through Consultants are having to work a

0:15:12 > 0:15:14of England from Peterborough through Consultants are having to work a lot

0:15:14 > 0:15:17Consultants are having to work a lot

0:15:17 > 0:15:17Consultants are having to work a lot harder to fill those gaps so are

0:15:17 > 0:15:17Consultants are having to work a lot harder to fill those gaps so are the

0:15:17 > 0:15:20harder to fill those gaps so are the

0:15:20 > 0:15:21harder to fill those gaps so are the junior doctors who are here as

0:15:21 > 0:15:21harder to fill those gaps so are the junior doctors who are here as part

0:15:21 > 0:15:22junior doctors who are here as part

0:15:22 > 0:15:22junior doctors who are here as part of their rotations and they look

0:15:22 > 0:15:22junior doctors who are here as part of their rotations and they look at

0:15:22 > 0:15:27of their rotations and they look at

0:15:27 > 0:15:27of their rotations and they look at breaking point just to keep things

0:15:27 > 0:15:30breaking point just to keep things

0:15:30 > 0:15:31breaking point just to keep things ticking over and say, well, I don't

0:15:31 > 0:15:31ticking over and say, well, I don't

0:15:31 > 0:15:32ticking over and say, well, I don't want to be doing that for the rest

0:15:32 > 0:15:34want to be doing that for the rest

0:15:34 > 0:15:34want to be doing that for the rest themselves something less stressful.

0:15:34 > 0:15:37themselves something less stressful.

0:15:37 > 0:15:37themselves something less stressful. Medicine's London headquarters,

0:15:37 > 0:15:38Medicine's London headquarters,

0:15:38 > 0:15:38Medicine's London headquarters, there's alarm about the situation

0:15:38 > 0:15:38Medicine's London headquarters, there's alarm about the situation in

0:15:38 > 0:15:40there's alarm about the situation in

0:15:40 > 0:15:40there's alarm about the situation in A&E departments up and down the

0:15:40 > 0:15:43A&E departments up and down the

0:15:43 > 0:15:44A&E departments up and down the patients be? We're coming to the

0:15:44 > 0:15:46patients be? We're coming to the

0:15:46 > 0:15:46patients be? We're coming to the point where the situation will

0:15:46 > 0:15:49point where the situation will

0:15:49 > 0:15:49point where the situation will episodes where patient care and

0:15:49 > 0:15:51episodes where patient care and

0:15:51 > 0:15:51episodes where patient care and safety is compromised due to a

0:15:51 > 0:15:52episodes where patient care and safety is compromised due to a lack

0:15:52 > 0:15:54safety is compromised due to a lack

0:15:54 > 0:15:54safety is compromised due to a lack of emergency care doctors. So you're

0:15:54 > 0:15:57of emergency care doctors. So you're

0:15:57 > 0:15:57of emergency care doctors. So you're situations? If you have a problem

0:15:57 > 0:15:59situations? If you have a problem

0:15:59 > 0:15:59situations? If you have a problem for which a time critical element

0:15:59 > 0:16:00situations? If you have a problem for which a time critical element is

0:16:00 > 0:16:02for which a time critical element is

0:16:02 > 0:16:02for which a time critical element is relevant and that's true for many

0:16:02 > 0:16:05relevant and that's true for many

0:16:05 > 0:16:06relevant and that's true for many conditions that present to emergency

0:16:06 > 0:16:06conditions that present to emergency

0:16:06 > 0:16:06conditions that present to emergency departments, that increase in time

0:16:06 > 0:16:07departments, that increase in time

0:16:07 > 0:16:07departments, that increase in time will self—evidently compromise

0:16:07 > 0:16:07departments, that increase in time will self—evidently compromise the

0:16:07 > 0:16:08will self—evidently compromise the

0:16:08 > 0:16:09will self—evidently compromise the care of that patient. I can't move

0:16:09 > 0:16:11care of that patient. I can't move

0:16:11 > 0:16:11care of that patient. I can't move my wrist very well. Dr Tamer Okasha

0:16:11 > 0:16:13my wrist very well. Dr Tamer Okasha

0:16:13 > 0:16:13my wrist very well. Dr Tamer Okasha divides his working week between

0:16:13 > 0:16:16divides his working week between

0:16:16 > 0:16:16divides his working week between shifts as an A&E consultant at

0:16:16 > 0:16:16divides his working week between shifts as an A&E consultant at Great

0:16:16 > 0:16:19shifts as an A&E consultant at Great

0:16:19 > 0:16:19shifts as an A&E consultant at Great he simultaneously specialises in

0:16:19 > 0:16:21he simultaneously specialises in

0:16:21 > 0:16:21he simultaneously specialises in both primary care and emergency

0:16:21 > 0:16:23both primary care and emergency

0:16:23 > 0:16:23both primary care and emergency medicine. How many patients do

0:16:23 > 0:16:25both primary care and emergency medicine. How many patients do you

0:16:25 > 0:16:27medicine. How many patients do you

0:16:27 > 0:16:27medicine. How many patients do you see here in A&E that you could

0:16:27 > 0:16:29see here in A&E that you could

0:16:29 > 0:16:29see here in A&E that you could perhaps deal with as a GP? You

0:16:29 > 0:16:31see here in A&E that you could perhaps deal with as a GP? You might

0:16:31 > 0:16:33perhaps deal with as a GP? You might

0:16:33 > 0:16:33perhaps deal with as a GP? You might get up to 60% patients could have

0:16:33 > 0:16:37get up to 60% patients could have

0:16:37 > 0:16:39get up to 60% patients could have still need A & E consultants of

0:16:39 > 0:16:40still need A & E consultants of

0:16:40 > 0:16:40still need A & E consultants of course to run the department but

0:16:40 > 0:16:40still need A & E consultants of course to run the department but you

0:16:40 > 0:16:44course to run the department but you

0:16:44 > 0:16:44course to run the department but you can still find a place for primary

0:16:44 > 0:16:44can still find a place for primary

0:16:44 > 0:16:45can still find a place for primary care trained doctors for patients

0:16:45 > 0:16:47care trained doctors for patients

0:16:47 > 0:16:48care trained doctors for patients who come in with a primary care

0:16:48 > 0:16:48who come in with a primary care

0:16:48 > 0:16:51who come in with a primary care presentation. Many patients who

0:16:51 > 0:16:51who come in with a primary care to the emergency department simply

0:16:51 > 0:16:52to the emergency department simply

0:16:52 > 0:16:52to the emergency department simply don't need to be here. A&E's were

0:16:52 > 0:16:54don't need to be here. A&E's were

0:16:54 > 0:16:54don't need to be here. A&E's were never meant to be an access point

0:16:54 > 0:16:55never meant to be an access point

0:16:58 > 0:17:02The 111 phone line was introduced,

0:17:02 > 0:17:02The 111 phone line was introduced, patients. But in some cases it

0:17:02 > 0:17:03The 111 phone line was introduced, patients. But in some cases it had

0:17:03 > 0:17:05patients. But in some cases it had

0:17:05 > 0:17:05patients. But in some cases it had the opposite effect. Call centre

0:17:05 > 0:17:07the opposite effect. Call centre

0:17:07 > 0:17:08the opposite effect. Call centre staff with minimal training ended

0:17:08 > 0:17:08the opposite effect. Call centre staff with minimal training ended up

0:17:08 > 0:17:08staff with minimal training ended up

0:17:08 > 0:17:09staff with minimal training ended up dispatching ambulances too readily.

0:17:09 > 0:17:14dispatching ambulances too readily.

0:17:14 > 0:17:15dispatching ambulances too readily. medication that has been prescribed

0:17:15 > 0:17:17medication that has been prescribed

0:17:17 > 0:17:19medication that has been prescribed for anybody else. OK? Here in Derby

0:17:19 > 0:17:22for anybody else. OK? Here in Derby

0:17:22 > 0:17:22for anybody else. OK? Here in Derby the new service has been a success.

0:17:22 > 0:17:25the new service has been a success.

0:17:25 > 0:17:25the new service has been a success. received six weeks training have

0:17:25 > 0:17:26received six weeks training have

0:17:26 > 0:17:26received six weeks training have medical experts on hand to intervene

0:17:26 > 0:17:28medical experts on hand to intervene

0:17:28 > 0:17:28medical experts on hand to intervene at any stage of a call. 111 works

0:17:28 > 0:17:29medical experts on hand to intervene at any stage of a call. 111 works in

0:17:29 > 0:17:32at any stage of a call. 111 works in

0:17:32 > 0:17:32at any stage of a call. 111 works in our area because we are a GP led

0:17:32 > 0:17:33our area because we are a GP led

0:17:33 > 0:17:33our area because we are a GP led organisation and we are not for

0:17:33 > 0:17:36organisation and we are not for

0:17:36 > 0:17:36organisation and we are not for profit. 70% of the time the 111

0:17:36 > 0:17:38profit. 70% of the time the 111

0:17:38 > 0:17:38profit. 70% of the time the 111 service is first service they will

0:17:38 > 0:17:43service is first service they will

0:17:43 > 0:17:43service is first service they will service has to be aware of the

0:17:43 > 0:17:45service has to be aware of the

0:17:45 > 0:17:45service has to be aware of the effect on the A&E department and

0:17:45 > 0:17:47effect on the A&E department and

0:17:47 > 0:17:48effect on the A&E department and work with them. The Secretary of

0:17:48 > 0:17:54work with them. The Secretary of

0:17:54 > 0:17:54work with them. The Secretary of now starting to work. We did have

0:17:54 > 0:17:56now starting to work. We did have

0:17:56 > 0:18:00now starting to work. We did have some teething problems with 111

0:18:00 > 0:18:00now starting to work. We did have you're always going to have some

0:18:00 > 0:18:01you're always going to have some

0:18:01 > 0:18:04you're always going to have some people who are not doctors and

0:18:04 > 0:18:05people who are not doctors and

0:18:05 > 0:18:05people who are not doctors and nurses who will handle the call

0:18:05 > 0:18:06nurses who will handle the call

0:18:06 > 0:18:09nurses who will handle the call right at the very start of the

0:18:09 > 0:18:10right at the very start of the

0:18:10 > 0:18:10right at the very start of the process but what we need to do is,

0:18:10 > 0:18:11process but what we need to do is,

0:18:11 > 0:18:15process but what we need to do is, if you need to talk to a doctor

0:18:15 > 0:18:15process but what we need to do is, nurse you get put through to them

0:18:15 > 0:18:16nurse you get put through to them

0:18:16 > 0:18:16nurse you get put through to them very quickly. A&E departments will

0:18:16 > 0:18:20very quickly. A&E departments will

0:18:20 > 0:18:20very quickly. A&E departments will be given an additional £500 million

0:18:20 > 0:18:21be given an additional £500 million

0:18:21 > 0:18:26be given an additional £500 million over the next two years to deal

0:18:26 > 0:18:26be given an additional £500 million seasonal pressures. And Jeremy

0:18:26 > 0:18:26be given an additional £500 million seasonal pressures. And Jeremy Hunt

0:18:26 > 0:18:27seasonal pressures. And Jeremy Hunt

0:18:27 > 0:18:27seasonal pressures. And Jeremy Hunt for A&E departments. But a report

0:18:27 > 0:18:27seasonal pressures. And Jeremy Hunt for A&E departments. But a report on

0:18:27 > 0:18:30for A&E departments. But a report on

0:18:30 > 0:18:30for A&E departments. But a report on the future shape of urgent and

0:18:30 > 0:18:31the future shape of urgent and

0:18:31 > 0:18:34the future shape of urgent and emergency care provision is due

0:18:34 > 0:18:38the future shape of urgent and redesign the service across England.

0:18:38 > 0:18:41redesign the service across England.

0:18:41 > 0:18:42redesign the service across England. I've heard a lot of people talking

0:18:42 > 0:18:43I've heard a lot of people talking

0:18:43 > 0:18:45I've heard a lot of people talking about sticking plasters for that.

0:18:45 > 0:18:48about sticking plasters for that.

0:18:48 > 0:18:48about sticking plasters for that. sticking plasters is a bit emotive

0:18:48 > 0:18:52sticking plasters is a bit emotive

0:18:52 > 0:18:52sticking plasters is a bit emotive but that the NHS is very grateful

0:18:52 > 0:18:53but that the NHS is very grateful

0:18:53 > 0:18:53but that the NHS is very grateful for that money from the Department

0:18:53 > 0:18:55for that money from the Department

0:18:55 > 0:18:55for that money from the Department of Health. What we have to do with

0:18:55 > 0:18:57of Health. What we have to do with

0:18:57 > 0:18:58of Health. What we have to do with that is to optimise this current

0:18:58 > 0:19:01that is to optimise this current

0:19:01 > 0:19:02that is to optimise this current model of care that we have to reduce

0:19:02 > 0:19:02model of care that we have to reduce

0:19:02 > 0:19:05model of care that we have to reduce the pressues over the next two

0:19:05 > 0:19:09the pressues over the next two

0:19:09 > 0:19:09the pressues over the next two moment? At the moment our figures

0:19:09 > 0:19:10moment? At the moment our figures

0:19:10 > 0:19:10moment? At the moment our figures for the summer period look very

0:19:10 > 0:19:13for the summer period look very

0:19:13 > 0:19:14for the summer period look very good. We are monitoring safety.

0:19:14 > 0:19:15for the summer period look very can't give you a prediction of

0:19:15 > 0:19:15for the summer period look very can't give you a prediction of what

0:19:15 > 0:19:18can't give you a prediction of what

0:19:18 > 0:19:19can't give you a prediction of what will happen. What I can guarantee

0:19:19 > 0:19:19will happen. What I can guarantee

0:19:19 > 0:19:19will happen. What I can guarantee though is that the local areas

0:19:19 > 0:19:20will happen. What I can guarantee though is that the local areas are

0:19:20 > 0:19:23though is that the local areas are

0:19:23 > 0:19:23though is that the local areas are doing everything they can to create

0:19:23 > 0:19:23doing everything they can to create

0:19:23 > 0:19:25doing everything they can to create a system going forward that has

0:19:25 > 0:19:27doing everything they can to create many safeguards in it as possible.

0:19:27 > 0:19:29many safeguards in it as possible.

0:19:29 > 0:19:29many safeguards in it as possible. emergency care in England is due

0:19:29 > 0:19:29many safeguards in it as possible. emergency care in England is due out

0:19:29 > 0:19:35emergency care in England is due out

0:19:35 > 0:19:35emergency care in England is due out this autumn. In the tools with

0:19:35 > 0:19:39this autumn. In the tools with

0:19:39 > 0:19:40this autumn. In the tools with I am still here outside Musgrove

0:19:40 > 0:19:42I am still here outside Musgrove

0:19:42 > 0:19:43I am still here outside Musgrove Park hospital in Taunton, so let's

0:19:43 > 0:19:44Park hospital in Taunton, so let's

0:19:44 > 0:19:45Park hospital in Taunton, so let's go back inside for the second part

0:19:45 > 0:19:51go back inside for the second part

0:19:51 > 0:19:51go back inside for the second part The staff have been kept busy all

0:19:51 > 0:19:53The staff have been kept busy all

0:19:53 > 0:19:53The staff have been kept busy all day, but it seems some patients

0:19:53 > 0:19:58day, but it seems some patients

0:19:58 > 0:19:58day, but it seems some patients There have been things that have

0:19:58 > 0:20:00There have been things that have

0:20:00 > 0:20:01There have been things that have come through that could have been

0:20:01 > 0:20:05come through that could have been

0:20:05 > 0:20:06come through that could have been dealt with by the GP or the out

0:20:06 > 0:20:06come through that could have been hours doctor, especially when it

0:20:06 > 0:20:07hours doctor, especially when it

0:20:07 > 0:20:07hours doctor, especially when it comes to things like pain relief

0:20:07 > 0:20:07hours doctor, especially when it comes to things like pain relief or

0:20:07 > 0:20:08comes to things like pain relief or

0:20:08 > 0:20:10comes to things like pain relief or simple ailments, something we would

0:20:10 > 0:20:15simple ailments, something we would

0:20:15 > 0:20:15simple ailments, something we would It's something that has been echoed

0:20:15 > 0:20:16It's something that has been echoed

0:20:16 > 0:20:18It's something that has been echoed by the clinical director for, care

0:20:18 > 0:20:20by the clinical director for, care

0:20:20 > 0:20:22by the clinical director for, care NHS England, who said last week

0:20:22 > 0:20:24by the clinical director for, care up to of patients in A&E should

0:20:24 > 0:20:26by the clinical director for, care treated by GPs. But for Colin,

0:20:26 > 0:20:26by the clinical director for, care treated by GPs. But for Colin, that

0:20:26 > 0:20:29treated by GPs. But for Colin, that

0:20:29 > 0:20:30treated by GPs. But for Colin, that is not the case. He was brought

0:20:30 > 0:20:33treated by GPs. But for Colin, that by ambulance after falling down

0:20:33 > 0:20:34treated by GPs. But for Colin, that church. His head and hand were

0:20:34 > 0:20:34treated by GPs. But for Colin, that church. His head and hand were badly

0:20:34 > 0:20:38church. His head and hand were badly

0:20:38 > 0:20:38church. His head and hand were badly dressed. There are still important

0:20:38 > 0:20:40dressed. There are still important

0:20:40 > 0:20:40dressed. There are still important decisions to be made about his

0:20:40 > 0:20:43decisions to be made about his

0:20:43 > 0:20:43decisions to be made about his We have to assess what is mobility

0:20:43 > 0:20:46We have to assess what is mobility

0:20:46 > 0:20:46We have to assess what is mobility is like, because he needs his hand

0:20:46 > 0:20:48is like, because he needs his hand

0:20:48 > 0:20:53is like, because he needs his hand to use his Walker. The question

0:20:53 > 0:20:53is like, because he needs his hand what is the safest place for him

0:20:53 > 0:20:53is like, because he needs his hand what is the safest place for him to

0:20:53 > 0:20:56what is the safest place for him to

0:20:56 > 0:21:01what is the safest place for him to be cared for in the next day or

0:21:01 > 0:21:01what is the safest place for him to And Barry, who came in after being

0:21:01 > 0:21:01And Barry, who came in after being

0:21:01 > 0:21:04And Barry, who came in after being knocked off his bicycle, is still

0:21:04 > 0:21:04And Barry, who came in after being knocked off his bicycle, is still in

0:21:04 > 0:21:04knocked off his bicycle, is still in

0:21:04 > 0:21:04knocked off his bicycle, is still in the resuscitation. The nurses giving

0:21:04 > 0:21:08the resuscitation. The nurses giving

0:21:08 > 0:21:08the resuscitation. The nurses giving him morphine for the pain. Full

0:21:08 > 0:21:08him morphine for the pain. Full

0:21:08 > 0:21:09him morphine for the pain. Full extent of his injuries are still

0:21:09 > 0:21:09him morphine for the pain. Full extent of his injuries are still not

0:21:09 > 0:21:12extent of his injuries are still not

0:21:12 > 0:21:13extent of his injuries are still not known. As the day goes on, a variety

0:21:13 > 0:21:18known. As the day goes on, a variety

0:21:18 > 0:21:18known. As the day goes on, a variety of them is Beryl K, whose year

0:21:18 > 0:21:19known. As the day goes on, a variety of them is Beryl K, whose year after

0:21:19 > 0:21:23of them is Beryl K, whose year after

0:21:23 > 0:21:23of them is Beryl K, whose year after I was eating a piece of skate,

0:21:23 > 0:21:24of them is Beryl K, whose year after I was eating a piece of skate, and

0:21:24 > 0:21:24of them is Beryl K, whose year after I was eating a piece of skate, and I

0:21:24 > 0:21:28I was eating a piece of skate, and I

0:21:28 > 0:21:28I was eating a piece of skate, and I thought I had a ball in court in

0:21:28 > 0:21:28I was eating a piece of skate, and I thought I had a ball in court in my

0:21:28 > 0:21:29thought I had a ball in court in my

0:21:29 > 0:21:30thought I had a ball in court in my throat. I was not sure whether

0:21:30 > 0:21:30thought I had a ball in court in my throat. I was not sure whether the

0:21:30 > 0:21:32throat. I was not sure whether the

0:21:32 > 0:21:37throat. I was not sure whether the bone was still in my throat, so

0:21:37 > 0:21:37throat. I was not sure whether the It varies as to the kind of fish

0:21:37 > 0:21:39It varies as to the kind of fish

0:21:39 > 0:21:40It varies as to the kind of fish whether the bone shows up on x—ray,

0:21:40 > 0:21:41whether the bone shows up on x—ray,

0:21:41 > 0:21:43whether the bone shows up on x—ray, and skate is difficult to see,

0:21:43 > 0:21:43whether the bone shows up on x—ray, and skate is difficult to see, so

0:21:43 > 0:21:44and skate is difficult to see, so

0:21:44 > 0:21:44and skate is difficult to see, so I'm not expecting to see anything

0:21:44 > 0:21:46and skate is difficult to see, so I'm not expecting to see anything on

0:21:46 > 0:21:47I'm not expecting to see anything on

0:21:47 > 0:21:49I'm not expecting to see anything on here, but the other thing is that

0:21:49 > 0:21:50here, but the other thing is that

0:21:50 > 0:21:50here, but the other thing is that she has had major surgery on her

0:21:50 > 0:21:55she has had major surgery on her

0:21:55 > 0:21:55she has had major surgery on her neck a few weeks ago. I can see

0:21:55 > 0:21:55neck a few weeks ago. I can see

0:21:55 > 0:21:58neck a few weeks ago. I can see evidence of the bone there, but

0:21:58 > 0:21:59neck a few weeks ago. I can see it may not show up on x—ray, I

0:21:59 > 0:21:59neck a few weeks ago. I can see it may not show up on x—ray, I can't

0:21:59 > 0:22:03it may not show up on x—ray, I can't

0:22:03 > 0:22:03it may not show up on x—ray, I can't The x—ray does not get to the bottom

0:22:03 > 0:22:06The x—ray does not get to the bottom

0:22:06 > 0:22:06The x—ray does not get to the bottom referred to the ear, nose and throat

0:22:06 > 0:22:08referred to the ear, nose and throat

0:22:08 > 0:22:10referred to the ear, nose and throat specialist. At the other end of

0:22:10 > 0:22:11referred to the ear, nose and throat department, there is a new arrival.

0:22:11 > 0:22:13department, there is a new arrival.

0:22:13 > 0:22:13department, there is a new arrival. Sheila has come in suffering from

0:22:13 > 0:22:16Sheila has come in suffering from

0:22:16 > 0:22:16Sheila has come in suffering from shortness of breath. She had her

0:22:16 > 0:22:18shortness of breath. She had her

0:22:18 > 0:22:18shortness of breath. She had her pacemaker replaced a few days ago,

0:22:18 > 0:22:20pacemaker replaced a few days ago,

0:22:20 > 0:22:20pacemaker replaced a few days ago, and is worried it is not working

0:22:20 > 0:22:29and is worried it is not working

0:22:29 > 0:22:30and is worried it is not working Your pacemaker was originally fitted

0:22:30 > 0:22:36Your pacemaker was originally fitted

0:22:36 > 0:22:36Your pacemaker was originally fitted I had a heart attack, but that

0:22:36 > 0:22:36Your pacemaker was originally fitted I had a heart attack, but that have

0:22:36 > 0:22:39I had a heart attack, but that have

0:22:39 > 0:22:39I had a heart attack, but that have been perfect for eight years. This

0:22:39 > 0:22:46been perfect for eight years. This

0:22:46 > 0:22:46been perfect for eight years. This I been trying to get breath, this

0:22:46 > 0:22:48I been trying to get breath, this

0:22:48 > 0:22:49I been trying to get breath, this morning it has been really bad.

0:22:49 > 0:22:52morning it has been really bad.

0:22:52 > 0:22:52morning it has been really bad. Her family week with her for the

0:22:52 > 0:22:57Her family week with her for the

0:22:57 > 0:22:57Her family week with her for the results. When they come, it turns

0:22:57 > 0:22:58results. When they come, it turns

0:22:58 > 0:22:58results. When they come, it turns out the problem is not what is

0:22:58 > 0:22:59results. When they come, it turns out the problem is not what is first

0:22:59 > 0:23:00out the problem is not what is first

0:23:00 > 0:23:03out the problem is not what is first The cardiologist has said it is

0:23:03 > 0:23:03out the problem is not what is first related to the pacemaker, but to

0:23:03 > 0:23:04out the problem is not what is first related to the pacemaker, but to the

0:23:04 > 0:23:05related to the pacemaker, but to the

0:23:05 > 0:23:05related to the pacemaker, but to the underlying heart problem she has.

0:23:05 > 0:23:08underlying heart problem she has.

0:23:08 > 0:23:08underlying heart problem she has. She has got to be admitted on to

0:23:08 > 0:23:11underlying heart problem she has. She has got to be admitted on to the

0:23:11 > 0:23:12She has got to be admitted on to the

0:23:12 > 0:23:12She has got to be admitted on to the cardiology ward to have some fluid

0:23:12 > 0:23:12cardiology ward to have some fluid

0:23:12 > 0:23:13cardiology ward to have some fluid removed from around her heart.

0:23:13 > 0:23:16removed from around her heart.

0:23:16 > 0:23:20removed from around her heart. They're going to fit a catheter

0:23:20 > 0:23:20removed from around her heart. drain it out. And I can tell you

0:23:20 > 0:23:21removed from around her heart. drain it out. And I can tell you all

0:23:21 > 0:23:32drain it out. And I can tell you all

0:23:32 > 0:23:32drain it out. And I can tell you all off, then. One of the staff takes

0:23:32 > 0:23:32drain it out. And I can tell you all off, then. One of the staff takes a

0:23:32 > 0:23:35off, then. One of the staff takes a

0:23:35 > 0:23:36off, then. One of the staff takes a call from someone who needs advice

0:23:36 > 0:23:38call from someone who needs advice

0:23:38 > 0:23:43call from someone who needs advice after seeing there out of hours

0:23:43 > 0:23:43call from someone who needs advice out of hours can't help you we

0:23:43 > 0:23:45call from someone who needs advice out of hours can't help you we can

0:23:45 > 0:23:46out of hours can't help you we can

0:23:46 > 0:23:55out of hours can't help you we can have a look at you in hospital.

0:23:55 > 0:23:56out of hours can't help you we can It happened sometimes, usually

0:23:56 > 0:23:56out of hours can't help you we can It happened sometimes, usually you

0:23:56 > 0:24:01It happened sometimes, usually you

0:24:01 > 0:24:01It happened sometimes, usually you can redirect them to 111, but it

0:24:01 > 0:24:06can redirect them to 111, but it

0:24:06 > 0:24:06can redirect them to 111, but it It's been 20 minutes since Barry

0:24:06 > 0:24:09It's been 20 minutes since Barry

0:24:09 > 0:24:11It's been 20 minutes since Barry came in. He is stable enough to

0:24:11 > 0:24:15It's been 20 minutes since Barry x—rayed. They are about to find

0:24:15 > 0:24:15It's been 20 minutes since Barry the extent of his injuries so they

0:24:15 > 0:24:17the extent of his injuries so they

0:24:17 > 0:24:22the extent of his injuries so they can decide how best to treat him.

0:24:22 > 0:24:25can decide how best to treat him.

0:24:25 > 0:24:25can decide how best to treat him. Meanwhile, Colin is doing a little

0:24:25 > 0:24:29Meanwhile, Colin is doing a little

0:24:29 > 0:24:29Meanwhile, Colin is doing a little better and has had some good news.

0:24:29 > 0:24:31better and has had some good news.

0:24:31 > 0:24:32better and has had some good news. He has been patched up and staff

0:24:32 > 0:24:35He has been patched up and staff

0:24:35 > 0:24:35He has been patched up and staff have found him in bed near his

0:24:35 > 0:24:35He has been patched up and staff have found him in bed near his wife

0:24:35 > 0:24:42have found him in bed near his wife

0:24:42 > 0:24:42have found him in bed near his wife hospital where he can go through

0:24:42 > 0:24:43have found him in bed near his wife hospital where he can go through the

0:24:43 > 0:24:44hospital where he can go through the

0:24:44 > 0:24:44hospital where he can go through the rehabilitation was at home, which

0:24:44 > 0:24:45hospital where he can go through the rehabilitation was at home, which is

0:24:45 > 0:24:51rehabilitation was at home, which is

0:24:51 > 0:24:51rehabilitation was at home, which is Today is a last day of the school

0:24:51 > 0:24:52Today is a last day of the school

0:24:52 > 0:24:54Today is a last day of the school holidays, and Charlotte Jenkins

0:24:54 > 0:24:56Today is a last day of the school brought her daughter, Ellen. She

0:24:56 > 0:24:56Today is a last day of the school brought her daughter, Ellen. She has

0:24:56 > 0:24:59brought her daughter, Ellen. She has

0:24:59 > 0:24:59brought her daughter, Ellen. She has got a problem that needs sorting

0:24:59 > 0:24:59brought her daughter, Ellen. She has got a problem that needs sorting out

0:24:59 > 0:25:04got a problem that needs sorting out

0:25:04 > 0:25:04got a problem that needs sorting out My daughter got her finger pulled

0:25:04 > 0:25:07My daughter got her finger pulled

0:25:07 > 0:25:08My daughter got her finger pulled back last week and it is a bit

0:25:08 > 0:25:10back last week and it is a bit

0:25:10 > 0:25:10back last week and it is a bit swollen. She can't bend it, so

0:25:10 > 0:25:10back last week and it is a bit swollen. She can't bend it, so we

0:25:10 > 0:25:11swollen. She can't bend it, so we

0:25:11 > 0:25:14swollen. She can't bend it, so we thought we would get it checked

0:25:14 > 0:25:14swollen. She can't bend it, so we because she has got school next

0:25:14 > 0:25:18because she has got school next

0:25:18 > 0:25:18because she has got school next She has had the finger x—rayed

0:25:18 > 0:25:18because she has got school next She has had the finger x—rayed and

0:25:18 > 0:25:26She has had the finger x—rayed and

0:25:26 > 0:25:27She has had the finger x—rayed and Ellen Jenkins. Good news. Nothing

0:25:27 > 0:25:31Ellen Jenkins. Good news. Nothing

0:25:31 > 0:25:33Ellen Jenkins. Good news. Nothing broken. So it's just the quicker

0:25:33 > 0:25:33Ellen Jenkins. Good news. Nothing broken. So it's just the quicker you

0:25:33 > 0:25:35broken. So it's just the quicker you

0:25:35 > 0:25:35broken. So it's just the quicker you can get it moving again, the quicker

0:25:35 > 0:25:40can get it moving again, the quicker

0:25:40 > 0:25:48can get it moving again, the quicker If you have any major problems,

0:25:48 > 0:25:48can get it moving again, the quicker Down the corridor, something a

0:25:48 > 0:25:48can get it moving again, the quicker Down the corridor, something a bit

0:25:48 > 0:25:50Down the corridor, something a bit

0:25:50 > 0:25:52Down the corridor, something a bit more serious is happening. Mary

0:25:52 > 0:25:53Down the corridor, something a bit been brought in from a nursing

0:25:53 > 0:25:53Down the corridor, something a bit been brought in from a nursing home

0:25:53 > 0:25:55been brought in from a nursing home

0:25:55 > 0:25:56been brought in from a nursing home suffering from pains in her chest.

0:25:56 > 0:25:59suffering from pains in her chest.

0:25:59 > 0:25:59suffering from pains in her chest. arthritis or a problem with her

0:25:59 > 0:26:01arthritis or a problem with her

0:26:01 > 0:26:01arthritis or a problem with her heart. We test for blood to find

0:26:01 > 0:26:03heart. We test for blood to find

0:26:03 > 0:26:05heart. We test for blood to find We got blood tests back for Mary.

0:26:05 > 0:26:07We got blood tests back for Mary.

0:26:07 > 0:26:08We got blood tests back for Mary. The one specifically we wanted

0:26:08 > 0:26:08We got blood tests back for Mary. The one specifically we wanted to

0:26:08 > 0:26:09The one specifically we wanted to

0:26:09 > 0:26:09The one specifically we wanted to check to give the reassurance,

0:26:09 > 0:26:12check to give the reassurance,

0:26:12 > 0:26:12check to give the reassurance, looking at the heart, has come

0:26:12 > 0:26:12check to give the reassurance, looking at the heart, has come back

0:26:12 > 0:26:15looking at the heart, has come back

0:26:15 > 0:26:15looking at the heart, has come back normal, so it can be sure this

0:26:15 > 0:26:15looking at the heart, has come back normal, so it can be sure this is

0:26:15 > 0:26:19normal, so it can be sure this is

0:26:19 > 0:26:20normal, so it can be sure this is not a heart attack she has had,

0:26:20 > 0:26:23normal, so it can be sure this is the pain she is getting his more

0:26:23 > 0:26:23the pain she is getting his more

0:26:23 > 0:26:23the pain she is getting his more related to her arthritis. We will

0:26:23 > 0:26:28related to her arthritis. We will

0:26:28 > 0:26:28related to her arthritis. We will get her back to the care home just

0:26:28 > 0:26:28get her back to the care home just

0:26:28 > 0:26:34get her back to the care home just with some additional medicines.

0:26:34 > 0:26:34get her back to the care home just doctor says she is happy if we

0:26:34 > 0:26:35get her back to the care home just doctor says she is happy if we can

0:26:35 > 0:26:35doctor says she is happy if we can

0:26:35 > 0:26:35doctor says she is happy if we can get the wheelchair to get her to

0:26:35 > 0:26:36get the wheelchair to get her to the get the wheelchair to get her to

0:26:36 > 0:26:36get the wheelchair to get her to the car, then she will take her from

0:26:36 > 0:26:38car, then she will take her from

0:26:38 > 0:26:38car, then she will take her from It is a welcome relief for her

0:26:38 > 0:26:47It is a welcome relief for her

0:26:47 > 0:26:51It is a welcome relief for her And things are starting to look

0:26:51 > 0:26:51It is a welcome relief for her We have x—rayed his entire spine,

0:26:51 > 0:26:54We have x—rayed his entire spine,

0:26:54 > 0:26:54We have x—rayed his entire spine, which looks fine. We looked at

0:26:54 > 0:26:54We have x—rayed his entire spine, which looks fine. We looked at his

0:26:54 > 0:26:55which looks fine. We looked at his

0:26:55 > 0:26:55which looks fine. We looked at his chest because he was complaining

0:26:55 > 0:26:57which looks fine. We looked at his chest because he was complaining of

0:26:57 > 0:26:58chest because he was complaining of

0:26:58 > 0:27:00chest because he was complaining of pain is again, that looks fine

0:27:00 > 0:27:01chest because he was complaining of pain is again, that looks fine and

0:27:01 > 0:27:01pain is again, that looks fine and

0:27:01 > 0:27:02pain is again, that looks fine and there is no major injury. The only

0:27:02 > 0:27:03there is no major injury. The only

0:27:03 > 0:27:07there is no major injury. The only thing we have picked up is that

0:27:07 > 0:27:07there is no major injury. The only right side side of his pelvis has

0:27:07 > 0:27:07there is no major injury. The only right side side of his pelvis has a

0:27:07 > 0:27:09right side side of his pelvis has a

0:27:09 > 0:27:09right side side of his pelvis has a hairline fracture. We can at least

0:27:09 > 0:27:13hairline fracture. We can at least

0:27:13 > 0:27:18hairline fracture. We can at least supports that he isn't, because

0:27:18 > 0:27:18hairline fracture. We can at least uncomfortable things for a patient

0:27:18 > 0:27:22uncomfortable things for a patient

0:27:22 > 0:27:23uncomfortable things for a patient who is conscious and listed, so

0:27:23 > 0:27:23uncomfortable things for a patient can free him up now that we know

0:27:23 > 0:27:23uncomfortable things for a patient can free him up now that we know his

0:27:23 > 0:27:28can free him up now that we know his

0:27:28 > 0:27:28can free him up now that we know his neck is OK. But we will have to

0:27:28 > 0:27:28neck is OK. But we will have to

0:27:28 > 0:27:28neck is OK. But we will have to speak to the orthopaedic surgeon

0:27:28 > 0:27:32speak to the orthopaedic surgeon

0:27:32 > 0:27:32speak to the orthopaedic surgeon It is 8pm. The 12 hour shift is

0:27:32 > 0:27:34It is 8pm. The 12 hour shift is

0:27:34 > 0:27:34It is 8pm. The 12 hour shift is finishing. The new team is starting

0:27:34 > 0:27:35finishing. The new team is starting

0:27:35 > 0:27:35finishing. The new team is starting with a handover meeting. Over the

0:27:35 > 0:27:37with a handover meeting. Over the

0:27:37 > 0:27:37with a handover meeting. Over the course of both shifts, staff will

0:27:37 > 0:27:40course of both shifts, staff will

0:27:40 > 0:27:40course of both shifts, staff will treat 188 patients. 50 will stay

0:27:40 > 0:27:40course of both shifts, staff will treat 188 patients. 50 will stay in

0:27:40 > 0:27:42treat 188 patients. 50 will stay in

0:27:42 > 0:27:42treat 188 patients. 50 will stay in hospital, and the Department will

0:27:42 > 0:27:45hospital, and the Department will

0:27:45 > 0:27:45hospital, and the Department will meet all its targets for the day.

0:27:45 > 0:27:49meet all its targets for the day.

0:27:49 > 0:27:49meet all its targets for the day. One of the key things are working

0:27:49 > 0:27:49meet all its targets for the day. One of the key things are working in

0:27:49 > 0:27:51One of the key things are working in

0:27:51 > 0:27:51One of the key things are working in a knee is that it is nonstop. It

0:27:51 > 0:27:52One of the key things are working in a knee is that it is nonstop. It is

0:27:52 > 0:27:56a knee is that it is nonstop. It is

0:27:56 > 0:27:56a knee is that it is nonstop. It is service. When we look at a shift

0:27:56 > 0:27:59service. When we look at a shift

0:27:59 > 0:28:02service. When we look at a shift that the staff work, have to work

0:28:02 > 0:28:02service. When we look at a shift that the staff work, have to work on

0:28:02 > 0:28:03that the staff work, have to work on

0:28:03 > 0:28:03that the staff work, have to work on the basis that you're never going

0:28:03 > 0:28:03that the staff work, have to work on the basis that you're never going to

0:28:03 > 0:28:08the basis that you're never going to

0:28:08 > 0:28:08the basis that you're never going to clear the Department, the result

0:28:08 > 0:28:08the basis that you're never going to clear the Department, the result is

0:28:08 > 0:28:08clear the Department, the result is

0:28:08 > 0:28:09clear the Department, the result is someone else coming in. And that

0:28:09 > 0:28:09clear the Department, the result is someone else coming in. And that is

0:28:09 > 0:28:12someone else coming in. And that is

0:28:12 > 0:28:12someone else coming in. And that is And if you would like to join the

0:28:12 > 0:28:14And if you would like to join the

0:28:14 > 0:28:14And if you would like to join the debate on the future of A&E come

0:28:14 > 0:28:17debate on the future of A&E come

0:28:17 > 0:28:20debate on the future of A&E come then starting right now on your

0:28:20 > 0:28:20debate on the future of A&E come local radio station. That is just

0:28:20 > 0:28:23local radio station. That is just

0:28:23 > 0:28:24local radio station. That is just about all for tonight. You can

0:28:24 > 0:28:24local radio station. That is just about all for tonight. You can keep

0:28:24 > 0:28:25about all for tonight. You can keep

0:28:25 > 0:28:25about all for tonight. You can keep in touch with what we're up to

0:28:25 > 0:28:26about all for tonight. You can keep in touch with what we're up to on

0:28:26 > 0:28:27in touch with what we're up to on

0:28:27 > 0:28:27in touch with what we're up to on Twitter, or e—mail us at the address

0:28:27 > 0:28:32Twitter, or e—mail us at the address

0:28:32 > 0:28:32Twitter, or e—mail us at the address Taunton, thanks for watching. Good

0:28:32 > 0:28:37Taunton, thanks for watching. Good

0:28:37 > 0:28:37Taunton, thanks for watching. Good night. Next week, with more than

0:28:37 > 0:28:39night. Next week, with more than

0:28:39 > 0:28:39night. Next week, with more than 16,000 children in the West of

0:28:39 > 0:28:4116,000 children in the West of

0:28:41 > 0:28:4116,000 children in the West of England excluded from school last

0:28:41 > 0:28:44England excluded from school last

0:28:44 > 0:28:46England excluded from school last year, we find out what happened

0:28:46 > 0:28:46England excluded from school last some of them. And we ask whether

0:28:46 > 0:28:47England excluded from school last some of them. And we ask whether one

0:28:47 > 0:28:49some of them. And we ask whether one

0:28:49 > 0:28:49some of them. And we ask whether one of the schools now teaching them

0:28:49 > 0:28:49some of them. And we ask whether one of the schools now teaching them is

0:28:49 > 0:28:59of the schools now teaching them is