15/10/2012 Inside Out Yorkshire and Lincolnshire


Inside Out investigates the hidden problem of depression amongst the elderly. Also Mark Easton looks at some radical solutions to the rising cost of caring for an aging population.

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Will come to a new series of Inside Out from Yorkshire and Lincolnshire.


Here is what is coming up. The hidden misery of the baby-boom


generation. Who am I going to be when I retire, and what I am I


going to do? The future can be quite frightening. We investigate


why the problem of depression in older people is being taught.


people are suffering unnecessarily from something that is at treatable


condition in most cases. A also tonight, who is going to pay for


your care when you get old? And the spiralling costs of an ageing


population, and how it needs radical solutions. And the untold


story of Lincolnshire's role in the Cuban missile crisis. The tension


built up and we really did not know what was going to happen. Now,


we're all living longer but instead of looking forward to a happy


retirement many of us are facing decays of misery and our twilight


years. It is estimated one in four older people suffers anxiety or


depression. I have been looking at what is being done to tackle this


hidden problem. They are supposed to be the golden years but, for


people like Christine Cook, ring Auld has failed to provide a silver


lining. It's was 18 months before I retired, it was looming large, and


I got quite anxious and depressed about it, when you are going to


work full time, you have a persona, so it was the thought, I don't know


who I am, who am I going to be when I retire and what a might want to


do? To do not have enough research to understand how much of their


need is around being an older person and how much is a round


mentor of conditions. There is a big unmet need, and people are


suffering unnecessarily from something that is essentially a


treatable condition in most cases. From the outside, Christine's life


looks positive, but as have a starter to make up so did her


worries. There are three main wants, the first is help issues. The other


is money. And the third is loneliness, really. If you combine


all those three, the future can be quite frightening. Christine might


feel isolated but she is far from alone. According to some estimates,


as many as one in four elderly people could be suffering from


anxiety or depression. And that figure could be just the tip of the


expert. Depression amongst older people is very common and a


substantial proportion of older people, that depression will not be


recognised or picked up by the general practitioner so we think


that in about 50% of cases of people with depression it will not


be receiving any treatment at all. According to mental health


charities looking after the emotional needs of the elderly is


costing the NHS millions and unless steps are taken to tackle the


problem then the cost and the impact on society in general is


when to get worse. As people get older they access health services


more because of they get high incidences of chronic disease, and


they are more likely to develop depression as a consequence and it


is the consequence of physical disease and depression that can


make it harder to diagnose as people get older. Worrying about


the mental health of the elderly is a relatively new phenomenon.


Grandparents who survived the Second World War were seen as


people who could grin and bear it. But that might have massed the real


story. Figures from the Mental Health Foundation show that people


between the ages of 55-65 are twice as likely to seek help for


depression and anxiety as those beyond retirement age. The baby-


boomers are going to need help. transition from the routines of


working, to actually not having those routines is quite difficult


for people, and many people look forward to their retirement, so


sometimes their expectations are not met. Opportunities to travel,


socialise, go on holiday and all the things you perhaps dream about


and that you have worked towards, then you realise, reality strikes


home and you realise you're not won to be able to do any of these


things. At the University of York, the UK's biggest ever study into


the mental health of the elderly is under way. It is a five-year


project, costing �2.5 million. It is trying to find answers. Older


people with depression have had very few treatments available to


them well looked after by their general practitioner, other than


the prescription of anti-depressant medication. There is a sense that


people have not appreciated how important depression is up until


more recently. Talking therapy over the phone is being trial. What we


talked about last time was talking about one of the things you


mentioned that help you to stay well. As part of research, 1,000


case studies will develop a model of psychotherapy support that it is


hoped will influence future NHS policy to deal with depression in


the elderly. The focus is on changing attitudes and expectations.


They say they feel comfortable working over the telephone and can


discuss with me things in as much debt as if I saw them face-to-face.


But there are things they are not able to do any more, they might


talk about what they got out of doing that activity, what


activities they could do that would give them an alternative. A study


by the LSE put the cost the country of depression of �23 billion. In


terms of benefit costs and lost working days. My until health


services hoping to move people on at 60-65, into older people's


services, but people do not retire from having mentally of difficulty


and losing the support you have had an going into a generic older


person's service with no specialist support can be a hugely difficult


and confusing time. Charities say that with health care spending


unlikely to rise in the future, watching out for the medley of of


older people is a responsibility that we must all bear. Isolation is


one of the most common causes of anxiety and, for Christine, keeping


busy has been a key part of a recovery. I have been through the


talking therapy, the anti- depressants and the tranquillisers


and all that sort of thing and it got to the stage where I would be


well for a period of time then I would relax and go back again, but


I found that when I was well and doing something, an art project or


I was involved in something, then I felt much better. Helping out at a


local mental guilt trip Arts and Crafts Centre provides to we


support. I need a focus a ready, so my diary is full. I found that I


need that so that I have got a reason to get up in the morning.


For people like Christine lack of a co-ordinated approach -- approach


has led to a finding her own solution. We think we're doing


important research that has the potential to transform her care for


depression in the NHS and to ensure that there is a wider range of


treatment options available for people with depression and, to


ensure that people with depression received treatment, because that is


not happening at the moment. Findings might come too late to


have a significant impact for Christine, but for the time being


she is happy doing all she can to help herself and others through an


increasingly problematic area of mental health, which many feel has


been neglected for far too long. has made a big difference. When I


was retired I was scared about being at home on my own, died in,


day out, so coming year, it means that I can use my skills, so it


makes me feel useful and contributing to something and,


hopefully, my experience of having mental health problems makes me


sympathetic and empathetic to So will to come, the Secret Cold


War Plan to launch nuclear bombs A very Council now has less money


to spend and that means tough decisions as to who gets what care


as we get older - should we rely on the state to look after us ordinary


have to find new, imaginative ways to look after the order -- the


elderly, and should we be looking for new ways to liberalise. BBC


Home Affairs Editor Mark Easton has been honoured journey across


England to find out. I wonder what it's like to be 80. If I live that


long, who's going to be there to care for me when I can't manage?


And who is going to pay the bill? They're questions we all ask,


because none of us can know how much it's all going to cost and you


can spend almost everything before the state steps in. But I'm here in


York because in this city, some of the elderly have clubbed together


to share the risk. It's a simple idea. Before you get too decrepit,


you can apply to live out your days at Hartrigg Oaks a community run by


the Joseph Rowntree Foundation where residents know that if or


when they need nursing care, it's available on site at no extra


charge. It's not easy to get in, though. You have to pass a medical.


And one of the leasehold bungalows needs to be vacant. It pays to


apply early. I'm 53. You make a decision to come here at the age of


The residents paid into a communal pot. In return, they can be


confident that whatever happens to them, they will not be hit with


these they cannot afford. It covers your care however much you need.


When you are 50, you are paying over the odds, but when you are


older, you don't pay any more and when you need it. We know where we


will die probably and four meek that is great, we can get on with


It seems to me this is a local solution to what many would argue


should be a national state responsibility, paying for the care


of the elderly, but at the time of public services, the politicians


cannot agree on where to find the money, so the politicians keep


going round in circles. Despite the recession, Britain is still many


times a richer than it was when today's pensioners were born. We


can afford to look after them, but in Westminster, seasoned


politicians will tell you that priorities lie elsewhere. Is it


just too ridiculous to imagine that the answer to this is just to put


taxes up so we can actually pay to look after our elderly?


It isn't ridiculous to suggest that we should use the tax system


progressively to look after and care for people in old age. It's


ridiculous politically because nobody will touch it with a barge


pole. Why not? Because people are scared of


arguing about tax and spend. They're scared of the consequences


at the moment of the economic impact of course in terms of


further depression of our economy. So with taxpayers apparently unable


or unwilling to pay for the increasing care demands of the


elderly, the search is on for ways to provide help without the need


for large amounts of public money. I've come to Wickford in Essex to


see one of the country's hundred or so home-shares in action, an idea


already very popular on the continent. My husband died in 2002.


I've had rheumatoid for about 20 years. And then gradually I found I


was getting worse. My daughter did some research and


came up with Share and Care. She rang up one day and said "how would


you feel about a man?". And I thought, "A man? A man?". Well, why


not!? 80-year-old Iona was matched with 45-year-old Graham, an NHS


worker. Crikey. What's the next one, it'll


come to me. Liberace! For the last two years they've


lived alongside each other here in Iona's home. The deal is that he


lives rent-free in return for spending around ten hours a week


helping out. You see the advert and it says, OK,


this is not going to be a flat- share with another NHS worker. This


is going to be living with an older person. Live-in carer, taking care


of the chickens, doing some shopping, mowing the lawn, a few


repairs and bits and bobs, a bit of company.


It's allowed you to stay here in your own home? Well, exactly. I


desperately wanted to stay here. I love my house, I intend to be


carried out in my coffin from here. You don't have a, it is free board


and lodging in return from some chores? You are friends. We are


friends. He has been absolutely amazing. He's given me my life. My


quality of life has risen like that. We laugh, he makes me roar with


laughter. And sometimes I make you roar with laughter. Yeah, when you


tell dirty jokes! You know, it's so nice when you see


something that clearly works as well as that does. It's not for


everybody. Clearly the older person needs to have a spare room and


their needs, I think, can't be too severe and thirdly and perhaps most


importantly the characters have to be right to get that kind of


special relationship. So it is an answer, but it's not the answer.


need an imaginative, joined-up holistic answer that mobilises and


supports families with caring, that gets the community involved, that


gets younger older people who are still active as part of the


solution. And over on the Isle of Wight, there's a unique social


experiment being piloted that aims to do just that. It's called "Care


4 Care" and, again, the idea is simple. For every hour of voluntary


care that people put in for their elderly neighbours. They build up


an hour's worth of care credit that they can keep in a time bank and


then use for their own care later in life. Hello, Pearl. How are you


today? One of the youngest of the 150 or so members who've signed up


for the pilot scheme is 36-year-old Lewis, who's been helping out 87-


year-old Pearl. I've been coming to see Pearl for about six months now.


I've notched up 20 hours and I would like to think that those


hours are banked to go towards either helping my mother or helping


myself if and when I need it. It can encourage you so much to


actually get out there and do something.


The thing is my fingers, the top joint doesn't go over, so therefore


I can't pick up things properly. I spend quite a lot of time talking


to him and he talks to me, but that's a big help to me because


people don't come. Care 4 Care is the brainchild of Professor Heinz


Woolf, who hopes it will play a key part in solving the care crisis.


hope that over the next three years or so, we will build it into quite


a large national scheme. I hope there might be a million members.


The problem is whether the next generation is sufficiently keen to


ensure safety in the own age to invest the hours which would buy


them their care pension. Here in Westminster of course, the talk is


all about cuts and austerity, not spending billions more caring for


our elderly. So the responsibility falls on wider society. On


communities, on neighbourhoods, on families, to fill that gap and help


all of us feel more confident about Go 50 years ago this week, at the


height of the Cold War, the Russians started building missiles


in Cuba. The Americans reacted and for a few weeks, the world was on


the brink of nuclear war. It was caught the Cuban missile crisis.


But if what all three had begun, it could have started in Lincolnshire,


not in Cuba! It is a summer's day at RAF


Waddington and the crowds are out for the station's annual aviation


showcase. In October 1962, it was home to the Vulcan bombers of the


RAF's V sauce. Today it is hosting the air show. We would have had


none of this if events 50 years ago Within the past week, unmistakable


evidence has established the fact that a series of offensive missiles


sides is now in preparation... Cuban missile crisis was the


nearest we ever got Duke World War Three. Russia placed nuclear


weapons in Cuba and aimed them at America, and they were not scared


off by the Americas setting offers a blockade. There seemed only one


conclusion. We were potentially minutes away from nuclear war and


the first bomb of this conflict could have been launched not from


Cuba, but from Lincolnshire. In 1962, if we had launched a nuclear


bomb towards Russia, the weapon would have begun its journey in the


east of England. Lincolnshire was very important for deterrent


purposes in the Cold War and of course, the V bombers carried the


nuclear-weapons, and you also had the Thor missile complexes that


would applied from 1958 onwards -- that were deployed. It was getting


very hot towards the time of the Cuban missile crisis. A group of


aviation historians in Lincolnshire, collecting first-hand accounts of


the Cuba crisis, are finding that some of them do not quite match the


version on file. In the official record that Bomber Command were put


up to alert condition three at 1pm on Saturday afternoon, but people


say they can remember on the Thursday before, things were


already happening on the station. Attention, attention. It does not


quite tally that some of the time line seems to not go with the


official version. We are so the record say we went on alert on


Saturday but did we actually do this much earlier? We have come to


another old airfield, Newark, looking for a crew who were on duty


that week in 1962. We are at a reunion of the V force. We were


watching television. A shadow across the windows. The knock on


the door and it was the village policeman. He was sent back RAF


Waddington to hoist me out and told me to go to work. I said, what for,


constable? He said, if you don't know, I can't tell you. The ground


crew were generating a their crews as fast as they could comic loading


weapons on to the aircraft, and... I quickly got dressed in uniform, I


kissed my wife and I said, if you hear us take off, you go, take


wickets and go. And then I left. -- take the children. The UK official


accounts say Saturday but American records say two days earlier,


American ballistic weapons were being made ready in the east of


England on RAF bases. This was once Ari of Hampton in Northamptonshire.


This and Lincolnshire are the only places in the UK where there are


visible remains of the Thor nuclear missile -- RAF Harrington. These


huge blast also protected the equipment and personnel from the


actual launch, go and down here, on this concrete pad, there were some


hangars, it run on rails, and when the missile was at risk, as it were,


it lay in the hangouts. A -- hang there. The RAF controls the firing


but it cannot be blasted us without the agreement of the British and US


governments. This was a line of first defence for America. Indeed,


one of the only ways at that stage they could target missiles at


Russia. It made us very vulnerable here. Because Thor was jointly


controlled by Britain and America, when America went on alert, so did


we. Kennedy ordered the Strategic Air Command took two stages below


war, and this was without knowledge of the British public. Britain was


not consulted by President Kennedy, but my bet their ministers nor the


Premier would let that stand in their way of the statesmanlike


assessment of a crisis. By the Saturday, two days on, it was


deadlock between the Americans and the Russians and we officially went


on alert. Unbeknown to the general public, threw up the east of


England Thor and the V bomber crews were ready to 0 at five minutes'


notice. Bath attention, attention, this is the bomber Controller.


Every time the station Tannoy a wind, it would switch a bit because


the Tannoy it would click, "attention, attention, this is the


bomber controlled". We studied the targets, we knew what we had to do,


we knew that if we did have to scramble, if we did have to go to


war, the politicians would have lost control of the situation.


rejoined the aircraft to fly and I wanted to be in the Red Arrows, and


there I was in the wind and the rain arming a nuclear weapon, which


was slightly different! We were sitting quietly chatting and my


dear friend Paul got, in the V bomber, he suddenly got up and


ambled over towards the aircraft, pulled a pencil from his flying


suit pocket and go at eight CND badge on the side of the bomb, and


we said, what did you do that for? And he said, but if we have to drop


that Barber, those BEEP... The goal British people were worried about


the crisis in Cuba but still had been told nothing of how war


preparations had been made at Thames. This was a deliberate ploy


by the Prime Minister. Mick million was concerned that any overt


mobilisation would lead to walk -- Harold Macmillan. He was concerned


that the British public should not panic and therefore, although the


UK was demonstrably very vulnerable at this point, I think Harold


Macmillan felt he wanted to keep the country on the sidelines,


whereas in fact many people would have thought it really was on the


frontline. Do you think he got it right? In the event, he could argue


that he did, but had things gone desperately wrong, I am not sure


those people of the British public would have banned him for it.


the event, the gamble worked. The Russian ships were turned back and


normal court or relations were resumed between the two superpowers.


When we heard the ships had stopped and turned back, there was a very


big sigh of relief because the tension had really built up to a


big peak because we really did not know what was going to happen and


neither did the rest of the world, really. And after the Cuban missile


crisis, we rewrote the UK more books. The Thor places are already


earmarked for closure. Never again will we brought back the same level


of alert. But it is the first hand accounts of these men that will


remind us of just how close we came to war. Look at that! That is


That is all from me in Sheffield. If you have missed anything, you


can catch it on the Via player. Find it on the website. And make


Inside Out investigates the hidden problem of depression amongst the elderly and looks at what's being done to tackle it. Also Mark Easton looks at some radical solutions to the rising cost of caring for an aging population. And the untold story of Lincolnshire's role in the Cuban Missile Crisis.

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