15/10/2012 Inside Out Yorkshire and Lincolnshire


15/10/2012

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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Transcript


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

:00:09.:00:18.

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

:00:18.:00:24.

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

:00:24.:00:30.

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

:00:30.:00:34.

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

:00:34.:00:38.

people are suffering unnecessarily from something that is at treatable

:00:38.:00:43.

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

:00:43.:00:49.

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

:00:49.:00:55.

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

:00:55.:01:02.

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

:01:02.:01:12.
:01:12.:01:24.

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

:01:25.:01:28.

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

:01:28.:01:33.

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

:01:33.:01:37.

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

:01:37.:01:42.

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

:01:42.:01:51.

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

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

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

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

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

:02:14.:02:19.

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

:02:19.:02:24.

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

:02:24.:02:27.

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

:02:27.:02:31.

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

:02:31.:02:34.

suffering unnecessarily from something that is essentially a

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

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

:02:47.:02:53.

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

:02:53.:03:03.
:03:03.:03:03.

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

:03:03.:03:08.

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

:03:08.:03:12.

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

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

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

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expert. Depression amongst older people is very common and a

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substantial proportion of older people, that depression will not be

:03:31.:03:34.

recognised or picked up by the general practitioner so we think

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

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be receiving any treatment at all. According to mental health

:03:44.:03:47.

charities looking after the emotional needs of the elderly is

:03:47.:03:51.

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

:03:51.:03:55.

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

:03:55.:04:04.

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

:04:04.:04:10.

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

:04:10.:04:15.

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

:04:15.:04:18.

is the consequence of physical disease and depression that can

:04:18.:04:23.

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

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

:04:27.:04:31.

Grandparents who survived the Second World War were seen as

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

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story. Figures from the Mental Health Foundation show that people

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

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

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

:04:55.:04:59.

working, to actually not having those routines is quite difficult

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

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sometimes their expectations are not met. Opportunities to travel,

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

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

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

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

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

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

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people with depression have had very few treatments available to

:05:49.:05:53.

them well looked after by their general practitioner, other than

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

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people have not appreciated how important depression is up until

:06:00.:06:07.

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

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

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

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

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hoped will influence future NHS policy to deal with depression in

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

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They say they feel comfortable working over the telephone and can

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

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

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

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

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

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

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

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

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

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

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and confusing time. Charities say that with health care spending

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

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

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

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

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talking therapy, the anti- depressants and the tranquillisers

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

:08:01.:08:05.

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

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

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

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local mental guilt trip Arts and Crafts Centre provides to we

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

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

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

:08:37.:08:47.
:08:47.:08:48.

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

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important research that has the potential to transform her care for

:08:52.:08:58.

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

:08:58.:09:02.

treatment options available for people with depression and, to

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ensure that people with depression received treatment, because that is

:09:06.:09:09.

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

:09:09.:09:13.

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

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

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increasingly problematic area of mental health, which many feel has

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

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

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

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makes me feel useful and contributing to something and,

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hopefully, my experience of having mental health problems makes me

:09:46.:09:56.
:09:56.:09:58.

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

:09:58.:10:08.
:10:08.:10:14.

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

:10:14.:10:17.

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

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

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

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

:10:32.:10:35.

Home Affairs Editor Mark Easton has been honoured journey across

:10:36.:10:45.
:10:46.:10:47.

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

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

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

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

:10:57.:11:00.

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

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

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

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

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the Joseph Rowntree Foundation where residents know that if or

:11:18.:11:20.

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

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

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

:11:29.:11:39.
:11:39.:11:42.

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

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

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

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

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

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

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

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:12:48.:12:49.

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

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should be a national state responsibility, paying for the care

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

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

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

:13:13.:13:23.
:13:23.:13:24.

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

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

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politicians will tell you that priorities lie elsewhere. Is it

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

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

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

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

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ridiculous politically because nobody will touch it with a barge

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pole. Why not? Because people are scared of

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

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

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further depression of our economy. So with taxpayers apparently unable

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or unwilling to pay for the increasing care demands of the

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

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

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

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

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

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was getting worse. My daughter did some research and

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

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

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

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

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

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

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

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

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

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

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

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repairs and bits and bobs, a bit of company.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

:16:45.:16:53.

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

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

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

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

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

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

:17:14.:17:21.

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

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

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

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

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actually get out there and do something.

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

:17:39.:17:48.

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

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

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

:17:57.:18:03.

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

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

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

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The problem is whether the next generation is sufficiently keen to

:18:19.:18:22.

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

:18:22.:18:29.

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

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

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

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

:18:41.:18:51.
:18:51.:18:59.

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

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height of the Cold War, the Russians started building missiles

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

:19:08.:19:14.

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

:19:14.:19:19.

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

:19:19.:19:26.

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

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

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

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

:19:45.:19:55.
:19:55.:19:58.

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

:19:58.:20:03.

evidence has established the fact that a series of offensive missiles

:20:03.:20:08.

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

:20:08.:20:13.

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

:20:13.:20:17.

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

:20:17.:20:22.

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

:20:22.:20:27.

conclusion. We were potentially minutes away from nuclear war and

:20:27.:20:30.

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

:20:30.:20:35.

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

:20:36.:20:40.

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

:20:40.:20:44.

east of England. Lincolnshire was very important for deterrent

:20:44.:20:49.

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

:20:49.:20:53.

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

:20:53.:20:59.

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

:20:59.:21:06.

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

:21:06.:21:09.

aviation historians in Lincolnshire, collecting first-hand accounts of

:21:09.:21:13.

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

:21:13.:21:21.

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

:21:21.:21:25.

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

:21:25.:21:29.

say they can remember on the Thursday before, things were

:21:29.:21:36.

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

:21:36.:21:42.

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

:21:42.:21:49.

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

:21:49.:21:54.

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

:21:54.:21:59.

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

:21:59.:22:09.
:22:09.:22:10.

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

:22:11.:22:14.

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

:22:14.:22:18.

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

:22:18.:22:24.

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

:22:24.:22:33.

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

:22:33.:22:37.

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

:22:37.:22:44.

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

:22:44.:22:49.

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

:22:49.:22:56.

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

:22:56.:23:01.

accounts say Saturday but American records say two days earlier,

:23:01.:23:05.

American ballistic weapons were being made ready in the east of

:23:05.:23:12.

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

:23:12.:23:16.

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

:23:16.:23:23.

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

:23:23.:23:28.

huge blast also protected the equipment and personnel from the

:23:28.:23:36.

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

:23:36.:23:44.

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

:23:44.:23:52.

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

:23:52.:23:57.

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

:23:57.:24:02.

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

:24:02.:24:06.

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

:24:06.:24:13.

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

:24:13.:24:17.

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

:24:17.:24:26.

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

:24:26.:24:34.

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

:24:34.:24:39.

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

:24:39.:24:43.

Premier would let that stand in their way of the statesmanlike

:24:43.:24:48.

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

:24:48.:24:51.

deadlock between the Americans and the Russians and we officially went

:24:51.:24:57.

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

:24:57.:25:03.

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

:25:03.:25:11.

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

:25:11.:25:15.

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

:25:15.:25:20.

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

:25:20.:25:25.

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

:25:25.:25:29.

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

:25:30.:25:36.

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

:25:36.:25:40.

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

:25:40.:25:44.

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

:25:44.:25:49.

was slightly different! We were sitting quietly chatting and my

:25:49.:25:57.

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

:25:57.:26:01.

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

:26:01.:26:09.

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

:26:09.:26:14.

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

:26:14.:26:24.
:26:24.:26:26.

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

:26:26.:26:30.

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

:26:31.:26:35.

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

:26:35.:26:42.

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

:26:42.:26:46.

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

:26:46.:26:50.

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

:26:50.:26:55.

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

:26:55.:26:59.

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

:26:59.:27:03.

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

:27:03.:27:07.

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

:27:07.:27:13.

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

:27:13.:27:17.

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

:27:17.:27:22.

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

:27:22.:27:29.

normal court or relations were resumed between the two superpowers.

:27:29.:27:33.

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

:27:33.:27:37.

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

:27:37.:27:40.

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

:27:40.:27:49.

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

:27:49.:27:56.

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

:27:56.:28:02.

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

:28:02.:28:06.

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

:28:06.:28:11.

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

:28:11.:28:21.
:28:21.:28:30.

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

:28:30.:28:36.

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

:28:36.:28:40.

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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