Tue, 14 Mar 2017 21:30

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0:00:00 > 0:00:00- .

0:00:00 > 0:00:04- Welsh Accident & Emergency units - are under pressure.

0:00:05 > 0:00:09- There is constant criticism from - patients waiting to be treated.

0:00:10 > 0:00:13- 15 hours in the hospital.

0:00:13 > 0:00:17- The best part of 12 hours - in the cubicle.

0:00:18 > 0:00:22- The Red Cross has described - the situation in the NHS...

0:00:23 > 0:00:25- ..as a humanitarian crisis.

0:00:25 > 0:00:29- We hear from one doctor who says - the situation in Wales is pitiful.

0:00:30 > 0:00:35- There is such a lack of funding - in Wales compared to England.

0:00:35 > 0:00:38- I told someone, - "I feel like I'm working in Africa."

0:00:39 > 0:00:41- Does it fill you with fear...

0:00:41 > 0:00:44- ..when you hear a doctor - speaking in those terms?

0:00:44 > 0:00:48- I recognise it's a difficult job - on the frontline.

0:00:48 > 0:00:51- There's huge pressure on people.

0:00:52 > 0:00:58- Every Welsh health board refused our - request to film in their hospitals.

0:01:00 > 0:01:05- Tonight, we join families - calling on emergency departments...

0:01:05 > 0:01:07- ..to get better soon.

0:01:08 > 0:01:11- Three and a half, almost four hours.

0:01:11 > 0:01:15- We haven't seen a doctor yet. - We'll be waiting a while.

0:01:21 > 0:01:23- St George's Hospital, London.

0:01:23 > 0:01:27- This is one of Britain's - busiest A&E departments.

0:01:27 > 0:01:30- It's just after 7.00am - on a Sunday morning.

0:01:31 > 0:01:34- Dr Rhys Beynon - has just started his shift.

0:01:34 > 0:01:35- It's busy, Rhys.

0:01:35 > 0:01:37- It's busy, Rhys.- - Mmm!

0:01:38 > 0:01:43- It's a normal day in A&E. - This actually isn't really busy.

0:01:43 > 0:01:49- Within minutes, a patient - is rushed in after a car accident.

0:01:49 > 0:01:51- Neck injury, high speed.

0:01:54 > 0:01:58- Dr Rhys Beynon is responsible for - directing care for all patients...

0:01:59 > 0:02:01- ..over the next eight hours.

0:02:02 > 0:02:06- It's a bit like having an orchestra - and I'm the conductor.

0:02:07 > 0:02:11- I'm making sure that everything's - working as one department.

0:02:11 > 0:02:15- Let me have a look at her throat - once we have a line in.

0:02:15 > 0:02:18- Rhys, originally from - the Vale of Glamorgan...

0:02:18 > 0:02:21- ..has been in St George's - since 2012.

0:02:21 > 0:02:23- He previously worked in Cardiff.

0:02:24 > 0:02:27- He can see a difference in care - between England and Wales.

0:02:28 > 0:02:32- We don't keep people in ambulances, - we get them in.

0:02:32 > 0:02:34- It's more of a problem in Wales.

0:02:35 > 0:02:40- The trolley waits in London are - a lot less than they were in Wales.

0:02:41 > 0:02:47- To meet Government targets, - 95% of patients arriving at A&E...

0:02:47 > 0:02:50- ..should be seen within four hours.

0:02:50 > 0:02:55- In January, only 85% of patients - were seen within the target time...

0:02:55 > 0:02:57- ..in England.

0:02:58 > 0:03:03- Very rarely do we have anyone - in A&E for more than 12 hours.

0:03:03 > 0:03:06- That's one of our targets.

0:03:09 > 0:03:13- In Wales, there are constant - complaints about waiting times.

0:03:14 > 0:03:19- Just before Christmas, Magi Buck - received a late-night phone call...

0:03:19 > 0:03:22- ..summoning her - to Morriston Hospital.

0:03:23 > 0:03:26- Her 92-year-old mother - was seriously ill.

0:03:26 > 0:03:31- Mam was one of the sweetest, most - tender people you could ever meet.

0:03:31 > 0:03:35- She'd had dementia - since she was 90 years old.

0:03:36 > 0:03:39- She'd become very hesitant.

0:03:39 > 0:03:43- She kept thinking that people - were in the house at night...

0:03:43 > 0:03:47- ..taking drugs, - she was worried about everything.

0:03:49 > 0:03:53- Magi drove from Cardiff - to the hospital near Swansea.

0:03:53 > 0:03:56- When she arrived - at the A&E department...

0:03:57 > 0:03:59- ..there was no sign of her mother.

0:03:59 > 0:04:02- When we arrived, - Mam was still in the ambulance.

0:04:03 > 0:04:06- We went in to A&E to ask - if Menna Thomas had arrived.

0:04:07 > 0:04:08- There was no sign of her there.

0:04:09 > 0:04:12- They said, "Would you go out - and check the ambulances.

0:04:12 > 0:04:16- "Knock on the door and see - if she's in one of the ambulances."

0:04:16 > 0:04:19- Mam was in the last one we checked.

0:04:21 > 0:04:25- She never found out how long her - mother had been in the ambulance.

0:04:26 > 0:04:30- Another two hours passed before - her mother was taken into A&E.

0:04:32 > 0:04:36- She looked angry and worried.

0:04:41 > 0:04:43- It's hard to describe, really.

0:04:43 > 0:04:49- Someone with that condition - can't tell you how they feel...

0:04:49 > 0:04:52- ..or what's hurting them.

0:04:52 > 0:04:55- Her suffering wasn't over.

0:04:55 > 0:04:58- She was moved back - to the ambulance again...

0:04:58 > 0:05:02- ..before being transferred - to a trolley for 24 hours.

0:05:02 > 0:05:06- Magi praises the standard of - medical care her mother received...

0:05:07 > 0:05:09- ..but the delay left a bitter taste.

0:05:09 > 0:05:12- For someone who was so weak - and confused...

0:05:13 > 0:05:17- ..it's hard when you're taken out - of familiar surroundings.

0:05:17 > 0:05:21- To go from an ambulance to a ward, - back to an ambulance...

0:05:21 > 0:05:27- ..and back to a different place, - then being moved to another ward...

0:05:27 > 0:05:31- ..only for someone to decide - you can go home again...

0:05:31 > 0:05:35- ..it was bound to have - a negative effect on her.

0:05:36 > 0:05:40- On February 1, 2017, - Menna Thomas passed away.

0:05:40 > 0:05:42- She was 92 years old.

0:05:44 > 0:05:47- In response to what happened - to Menna Thomas...

0:05:48 > 0:05:52- ..a spokesperson for Abertawe Bro - Morgannwg University Health Board...

0:05:52 > 0:05:54- ..said that in some instances...

0:05:55 > 0:05:58- ..patients return to the ambulance - after being assessed.

0:05:58 > 0:06:01- According to the spokesperson...

0:06:01 > 0:06:04- ..this happens when patients - with complex problems...

0:06:04 > 0:06:07- ..put emergency departments - under pressure.

0:06:09 > 0:06:13- The Board wanted to apologise - to patients...

0:06:13 > 0:06:16- ..who've had to wait - in A&E departments.

0:06:16 > 0:06:21- They say that winter is a busy time - for hospitals throughout Britain.

0:06:24 > 0:06:27- Menna Thomas - isn't the only family member...

0:06:27 > 0:06:31- ..to have had a bad experience - in an A&E department.

0:06:31 > 0:06:36- Her granddaughter, Gwenllian Hill, - has a long list of grievances...

0:06:36 > 0:06:39- ..about the Heath Hospital - in Cardiff.

0:06:41 > 0:06:42- Hiya.

0:06:42 > 0:06:44- Hiya.- - Come in.

0:06:44 > 0:06:46- It's like a warzone.

0:06:47 > 0:06:53- I dread to think about myself - or my family going to A&E.

0:06:53 > 0:06:57- I don't think they're coping. - It's a dangerous place.

0:06:57 > 0:07:01- Gwenllian - has an autoimmune disease...

0:07:01 > 0:07:05- ..which causes - serious breathing difficulties.

0:07:05 > 0:07:07- She attends A&E regularly.

0:07:08 > 0:07:12- In August last year, - she had her worst experience there.

0:07:12 > 0:07:16- I've waited more than 20 hours - to be seen before now.

0:07:17 > 0:07:20- Then I was eventually admitted - to the ward.

0:07:20 > 0:07:26- Even when I've been on a trolley, - I've been there for two days before.

0:07:26 > 0:07:30- It's not comfortable, - it's not ideal.

0:07:30 > 0:07:31- It's cold.

0:07:33 > 0:07:35- It's just a nightmare.

0:07:36 > 0:07:40- According to the Cardiff and Vale - University Health Board...

0:07:41 > 0:07:44- ..some patients wait longer - during the winter.

0:07:44 > 0:07:48- The Heath has the best performing - A&E department in Wales.

0:07:50 > 0:07:53- Theatr Brycheiniog in Brecon.

0:07:53 > 0:07:56- Colwyn Bay actor James Lusted...

0:07:56 > 0:07:59- ..is rehearsing his latest show.

0:07:59 > 0:08:01- Biting the babies in their cots.

0:08:02 > 0:08:06- On January 4, - he waited for 15 hours...

0:08:06 > 0:08:09- ..in Glan Clwyd's A&E department - in Bodelwyddan...

0:08:10 > 0:08:13- ..when his wife had complained - of pain in her side.

0:08:13 > 0:08:17- We were in A&E - and we were in a small cubicle.

0:08:17 > 0:08:20- I'd say, usually...

0:08:20 > 0:08:25- ..only three people were meant - to be in this blinkin' cubicle.

0:08:28 > 0:08:31- There were seven or eight of us - in there.

0:08:31 > 0:08:35- We didn't move from the cubicle - for about 12 hours.

0:08:38 > 0:08:42- Chloe Lusted didn't find out - what had caused the pain...

0:08:42 > 0:08:46- ..since there was some confusion - when she was transferred for a scan.

0:08:46 > 0:08:49- They returned home - without an answer.

0:08:49 > 0:08:51- We were there for 15 hours.

0:08:52 > 0:08:55- We still don't know - what's wrong with Chloe...

0:08:55 > 0:08:58- ..why she was in pain - - she's had it again since then.

0:08:59 > 0:09:01- We're almost two months - down the line.

0:09:01 > 0:09:04- Is it acceptable? I don't think so.

0:09:04 > 0:09:08- Betsi Cadwaladr Health Board - apologised to Chloe Lusted...

0:09:08 > 0:09:12- ..for the delays in Glan Clwyd's - A&E department during her visit.

0:09:12 > 0:09:16- A spokesperson said that - every patient at the department...

0:09:16 > 0:09:18- ..is assessed on arrival.

0:09:18 > 0:09:21- Treatments depend - on clinical priorities.

0:09:23 > 0:09:27- James Lusted says that the - department was packed that night.

0:09:29 > 0:09:32- The pressure on the staff - was evident.

0:09:33 > 0:09:39- I could see that the nurses were - stressed, they were under pressure.

0:09:42 > 0:09:44- They weren't falling out...

0:09:44 > 0:09:48- ..but sometimes, you could see - the temperature rising.

0:09:48 > 0:09:52- "Why haven't you done this? - Why haven't you done that?"

0:09:54 > 0:09:58- It's lunchtime in St George's. - It's busy in the A&E department.

0:09:59 > 0:10:01- Because of the pressure...

0:10:01 > 0:10:04- ..Dr Rhys Beynon - struggles to find time to eat.

0:10:04 > 0:10:08- I have to eat, - otherwise I can't think straight.

0:10:09 > 0:10:13- Usually, I try to eat a sandwich - when I'm on the move.

0:10:15 > 0:10:17- On the move, - he has an emergency call.

0:10:19 > 0:10:23- A patient's had a heart attack - while running.

0:10:23 > 0:10:28- The paramedics and hospital staff - do everything they can...

0:10:28 > 0:10:30- ..but he can't be saved.

0:10:33 > 0:10:36- He's been in cardiac arrest - for an hour and a half.

0:10:36 > 0:10:39- Time of death is twelve o'clock - on the dot.

0:10:39 > 0:10:44- Rhys Beynon has worked as a doctor - for over 15 years.

0:10:44 > 0:10:47- Cases like this still affect him.

0:10:47 > 0:10:51- When it's unexpected...

0:10:51 > 0:10:54- ..he was a young, fit man...

0:10:56 > 0:10:59- ..and now he's not with us anymore.

0:10:59 > 0:11:04- That reality, it never - gets easier to deal with it.

0:11:04 > 0:11:06- Not at all.

0:11:06 > 0:11:08- Difficult?

0:11:08 > 0:11:09- Difficult?- - Yes, it is difficult.

0:11:11 > 0:11:13- Can you stop filming?

0:11:15 > 0:11:20- In Part 2, doctors give us a view - of the frontline in Welsh hospitals.

0:11:21 > 0:11:24- We've heard about trollies - in corridors...

0:11:24 > 0:11:28- ..ambulances queuing up - outside A&E departments.

0:11:28 > 0:11:30- Is that a regular event?

0:11:30 > 0:11:33- Yes, but where can you put them?

0:11:33 > 0:11:38- They either stay in the ambulance - or you put them in a corridor.

0:11:40 > 0:11:45- We see first hand the effects of - delays at under pressure hospitals.

0:11:46 > 0:11:46- .

0:11:51 > 0:11:51- Subtitles

0:11:51 > 0:11:53- Subtitles- - Subtitles

0:11:57 > 0:11:59- It's 2.00pm on a Sunday afternoon.

0:11:59 > 0:12:04- St George's Hospital's - A&E department is packed.

0:12:04 > 0:12:07- Consultant doctor Rhys Beynon - is hard at work.

0:12:09 > 0:12:12- We have 71 patients - in the department.

0:12:14 > 0:12:16- That's quite a lot at this time.

0:12:17 > 0:12:20- We expect it to get busier - this afternoon.

0:12:21 > 0:12:23- Hiya, sorry.

0:12:23 > 0:12:26- He's called away to treat a baby.

0:12:28 > 0:12:31- Has he had sticky eyes, I believe. - Is that right?

0:12:31 > 0:12:34- How many days has he had that for?

0:12:34 > 0:12:36- Since he was born?

0:12:37 > 0:12:38- OK.

0:12:38 > 0:12:40- The baby had a cold.

0:12:40 > 0:12:46- Less serious cases like this add to - the pressure on our A&E departments.

0:12:48 > 0:12:51- Part of my job is treating people - who need treatment.

0:12:51 > 0:12:55- If that means you come to A&E, - that's what has to happen.

0:12:55 > 0:12:58- It puts us under more pressure.

0:12:58 > 0:13:02- St George's Hospital - has missed the Government targets...

0:13:02 > 0:13:06- ..of treating 95% of patients - within four hours.

0:13:06 > 0:13:10- This A&E department's average - was 87% in January.

0:13:12 > 0:13:15- Since December, - the pressure has increased.

0:13:15 > 0:13:18- We're between 85% and 90%.

0:13:18 > 0:13:23- Compared to figures in Wales, - that's quite good...

0:13:23 > 0:13:26- ..but for us, it's not good.

0:13:30 > 0:13:34- We wanted to see - doctors at work in Wales too...

0:13:34 > 0:13:39- ..but every health board refused us - permission to film in A&E.

0:13:40 > 0:13:44- It's 8.00am and I'm on my way - to Merthyr Tydfil...

0:13:44 > 0:13:49- ..to meet a doctor coming off - a night-shift in an A&E department.

0:13:49 > 0:13:52- Dr Dai Samuel - agreed to meet me in his home.

0:13:53 > 0:13:55- He's willing - to share his experiences...

0:13:55 > 0:13:58- ..of working in a busy - A&E department in Wales.

0:13:58 > 0:14:03- He considers comparing the service - in Wales with England as unfair.

0:14:07 > 0:14:10- I wouldn't say - there's a crisis in Wales...

0:14:10 > 0:14:14- ..but the problems we have - are a little different.

0:14:14 > 0:14:17- We're dealing - with different social problems.

0:14:18 > 0:14:23- I don't accept that Wales - is performing worse than England.

0:14:23 > 0:14:27- The Welsh and Westminster - governments believe...

0:14:27 > 0:14:30- ..targets should inspire - health boards to perform better.

0:14:31 > 0:14:33- For Dai Samuel, - that's not always true.

0:14:34 > 0:14:39- The four-hour target creates - more problems than it solves.

0:14:40 > 0:14:44- All people think about, - especially during busy periods...

0:14:44 > 0:14:46- .."Oh, we'll go over four hours.

0:14:46 > 0:14:51- "Let's get them into the hospital. - Let's get them into a ward."

0:14:51 > 0:14:54- That might not be beneficial - for the patient.

0:14:54 > 0:14:57- It might be better - to wait five hours...

0:14:57 > 0:15:00- ..and then make a decision - - do they need to be in hospital?

0:15:04 > 0:15:07- In August, Celyn Kenny - moved to Wales to work...

0:15:08 > 0:15:11- ..after a period working - in the Royal Shrewsbury Hospital.

0:15:12 > 0:15:15- Her first day back in Wales - was an eye-opener for her.

0:15:17 > 0:15:20- I had a shock when I returned.

0:15:20 > 0:15:24- In England, there's an emphasis - on electronic data.

0:15:24 > 0:15:29- Patient observations - are all kept on a computer.

0:15:29 > 0:15:31- We use paper in Wales.

0:15:31 > 0:15:35- I told someone, - "I feel like I'm working in Africa."

0:15:35 > 0:15:40- The sad thing is - I was only over the border in Wales.

0:15:40 > 0:15:46- There is such a lack of funding - in Wales compared to England.

0:15:46 > 0:15:51- The Welsh Government's budget - for Health, Sport and Welfare...

0:15:51 > 0:15:53- ..is over 7bn.

0:15:53 > 0:15:57- An additional 240m has been - earmarked for the health service...

0:15:57 > 0:16:00- ..for the next financial year.

0:16:00 > 0:16:06- I don't think the Welsh - health service is inferior...

0:16:06 > 0:16:10- ..but the financial situation - isn't the best.

0:16:10 > 0:16:14- It's obvious where money - has been invested in England...

0:16:14 > 0:16:15- ..compared to Wales.

0:16:16 > 0:16:22- Dr Kenny now works in a ward - caring for new-born babies.

0:16:22 > 0:16:24- She's spent periods working in A&E.

0:16:25 > 0:16:29- By now, she's opted out - of working in emergency department.

0:16:30 > 0:16:33- It can be horrific.

0:16:33 > 0:16:35- It can be lonely.

0:16:36 > 0:16:38- It can also be dangerous for you.

0:16:38 > 0:16:41- Many times I've told myself...

0:16:41 > 0:16:43- .."Right, - I need to take a step back."

0:16:44 > 0:16:48- Not only have I've been tired, - I've been in a vulnerable state.

0:16:48 > 0:16:53- I've been worried about things - instead of sorting out problems.

0:16:53 > 0:16:55- You're under so much pressure.

0:16:55 > 0:17:00- In December 2016, Morriston - Hospital's A&E department...

0:17:01 > 0:17:04- ..had the worst - waiting time figures in Wales.

0:17:04 > 0:17:10- Back then, 59.9% of patients - were treated within four hours.

0:17:10 > 0:17:14- The Welsh Government's target - is 95%.

0:17:14 > 0:17:18- We asked Abertawe Bro Morgannwg - University Health Board...

0:17:18 > 0:17:21- ..for permission to film - in Morriston but they refused...

0:17:21 > 0:17:24- ..along with every other - health board.

0:17:24 > 0:17:30- We decided to chronicle patient - experiences in A&E on our phones.

0:17:31 > 0:17:35- In Morriston one afternoon, - we met a woman who'd been waiting...

0:17:35 > 0:17:39- ..more than four hours - with her 81-year-old mother.

0:17:40 > 0:17:45- She fell in the house - and had done something to her foot.

0:17:45 > 0:17:48- She had X-rays - about three hours ago.

0:17:48 > 0:17:50- We're still waiting for the doctor.

0:17:51 > 0:17:54- Another man, - who didn't want to be recognised...

0:17:54 > 0:17:57- ..said he'd been waiting there - all night...

0:17:57 > 0:18:00- ..with his daughter - who'd been seriously injured.

0:18:00 > 0:18:05- We've been here since about - ten, eleven o'clock last night.

0:18:05 > 0:18:10- Three, four hours before she saw - someone who just came long...

0:18:10 > 0:18:12- ..and spent less than a minute.

0:18:13 > 0:18:15- She hasn't seen a doctor today.

0:18:18 > 0:18:21- In January, - in Glan Clwyd Hospital...

0:18:21 > 0:18:24- ..66% of patients - were seen within four hours.

0:18:25 > 0:18:27- There, - we met Mair Edwards and her son...

0:18:28 > 0:18:31- ..who'd been waiting for an X-ray - for four hours.

0:18:31 > 0:18:36- They were told that the waiting - time was longer than that.

0:18:36 > 0:18:40- Six hours. We're hoping - to be seen within the next hour.

0:18:40 > 0:18:42- We've been looking around the room.

0:18:43 > 0:18:45- In a way, - we're fortunate to have the service.

0:18:47 > 0:18:51- She was worried her son had - broken ribs during a rugby match.

0:18:52 > 0:18:56- Two hours later, - they were both waiting.

0:18:57 > 0:19:01- Since we last spoke, - we haven't moved.

0:19:02 > 0:19:04- I can't see many doctors around.

0:19:04 > 0:19:08- I don't know if they're busy - with the ambulances outside.

0:19:17 > 0:19:21- By 3.00am, they'd been waiting there - for six hours.

0:19:21 > 0:19:26- The mother was told the best place - for her son was home.

0:19:28 > 0:19:30- He hasn't had an X-ray yet.

0:19:30 > 0:19:35- If he needs an X-ray, - we might be here for hours.

0:19:35 > 0:19:39- The sensible thing to do is - to go home and come back tomorrow.

0:19:39 > 0:19:44- In Scotland in December, - 93% of people were treated...

0:19:44 > 0:19:47- ..within four hours - in A&E departments.

0:19:47 > 0:19:51- Wales performed worse - than Scotland and England.

0:19:51 > 0:19:55- I asked the Welsh Government - what steps were being taken.

0:19:55 > 0:19:57- Why is Wales lagging behind?

0:19:57 > 0:20:00- We've seen different reasons - for this.

0:20:00 > 0:20:05- Our population is poorer, sicker - and older compared to England.

0:20:05 > 0:20:09- We have a different model, - they have more walk-in centres.

0:20:10 > 0:20:14- For me, it's recognising that - we're in a comparable situation.

0:20:14 > 0:20:17- Our challenge is - how do we get ahead of that?

0:20:18 > 0:20:21- How do we do something about - the numbers of sick older people...

0:20:21 > 0:20:24- ..that come into - our A&E departments?

0:20:24 > 0:20:27- How do we keep more - of those people at home?

0:20:27 > 0:20:30- How do we provide - a good experience of care?

0:20:30 > 0:20:35- We've spoken to a junior doctor who - moved from a hospital in England?

0:20:36 > 0:20:39- She says the service - is under-resourced.

0:20:39 > 0:20:43- She claimed - it was like working in Africa.

0:20:43 > 0:20:46- Does it worry you - to hear her speaking like that?

0:20:46 > 0:20:51- To try to compare this - to a Third World health system...

0:20:51 > 0:20:55- ..really doesn't do any justice - to the high quality healthcare...

0:20:55 > 0:20:57- ..we receive in this country.

0:20:58 > 0:21:02- I've visited Uganda and I've seen - the reality of what takes place...

0:21:02 > 0:21:07- ..in those countries with an - under-developed healthcare system.

0:21:07 > 0:21:09- It's nothing like the NHS.

0:21:09 > 0:21:15- Over the winter, the pressure on A&E - departments have hit the headlines.

0:21:15 > 0:21:18- According to one doctor - working in A&E...

0:21:18 > 0:21:22- ..the headlines don't always - tell the full story.

0:21:22 > 0:21:28- We hear about trollies in corridors, - ambulances queuing outside.

0:21:28 > 0:21:31- Is this a common occurrence?

0:21:31 > 0:21:35- Yes, but it's completely natural - for it to happen.

0:21:35 > 0:21:41- If there are 200 beds in the - hospital and they're all taken...

0:21:41 > 0:21:46- ..and 20 ambulances turn up - at a hospital with only 10 beds...

0:21:46 > 0:21:48- ..where are you going to put them?

0:21:48 > 0:21:52- You keep them in the ambulance - or you put them in the corridor.

0:21:53 > 0:21:57- It's not the best course of action - but they need to go somewhere.

0:21:58 > 0:22:01- According to one Welsh doctor...

0:22:01 > 0:22:05- ..the public should think - before heading to A&E...

0:22:06 > 0:22:09- ..to avoid scenes like this.

0:22:10 > 0:22:13- I really think that the reason - any A&E struggles...

0:22:14 > 0:22:16- ..and you can see it - in front of you...

0:22:16 > 0:22:19- ..no staff, no resources.

0:22:19 > 0:22:23- People turn up to A&E - when they don't need to be there.

0:22:23 > 0:22:28- I don't think people have been - educated properly about A&Es.

0:22:28 > 0:22:32- In London, - Rhys Beynon's shift is over.

0:22:32 > 0:22:38- His roots are in Wales but the state - of the NHS in Wales right now...

0:22:38 > 0:22:41- ..doesn't entice him - to return home to work.

0:22:44 > 0:22:47- It makes me sad. - I have family back in Wales.

0:22:47 > 0:22:53- If I knew that my father had to sit - in an ambulance for eight hours...

0:22:53 > 0:22:57- ..before he could - get into an A&E department...

0:22:58 > 0:23:00- ..that would break my heart.

0:23:02 > 0:23:06- Next week, Welsh language - education in Llangennech.

0:23:06 > 0:23:11- The community rebelling over - the language of the local school.

0:23:11 > 0:23:15- I don't feel safe - in this community anymore.

0:23:15 > 0:23:18- If I could move house, I would.

0:23:18 > 0:23:22- Is Carmarthenshire's language policy - dividing communities?

0:23:23 > 0:23:27- Y Byd Ar Bedwar, - next Tuesday night on S4C.

0:23:42 > 0:23:44- S4C Subtitles by Adnod Cyf.

0:23:44 > 0:23:44- .