:00:12. > :00:16.The biggest hospital improvement in England.
:00:17. > :00:18.The Bristol Royal Infirmary and its sister hospitals go
:00:19. > :00:22.from "needing improvement" to "outstanding".
:00:23. > :00:24.Stress, depression and mental illness -
:00:25. > :00:35.one in four students say they're affected.
:00:36. > :00:38.and Friday will get underway with a wet start. I will have the full
:00:39. > :00:50.details later in the programme. Bristol's main teaching hospital has
:00:51. > :00:54.become the first trust in England to leap from "requires improvement"
:00:55. > :00:56.to being rated as "outstanding" In two years, the trust -
:00:57. > :01:00.which includes the Bristol Royal Infirmary and seven other hospitals
:01:01. > :01:02.- has addressed concerns that the Emergency Department
:01:03. > :01:05.was too crowded and that not enough Our health correspondent
:01:06. > :01:09.Matthew Hill reports. Transferring very sick patients
:01:10. > :01:12.into A and keeping tabs on just A few years ago, potentially
:01:13. > :01:15.life-threatening symptoms Staff have to take measurements
:01:16. > :01:22.within hourly targets to identify In particular, they're looking
:01:23. > :01:29.for conditions such as sepsis, And it's the success of this scheme
:01:30. > :01:35.which has been highlighted So successful that it's been
:01:36. > :01:38.rolled out to all other We have saved lives,
:01:39. > :01:42.we have had no incidents reported with failure to recognise
:01:43. > :01:46.deterioration as one of the causes. And we have really raised the level
:01:47. > :01:49.of care that we provide to all of our patients,
:01:50. > :01:51.particularly during And beefing up staffing in operating
:01:52. > :01:57.theatres has also contributed That includes identifying
:01:58. > :02:05.so-called "golden patients" - who are often the most complicated
:02:06. > :02:08.cases - to be the first We have looked a lot into efficiency
:02:09. > :02:15.and how we can get as much done We have rolled out golden cases
:02:16. > :02:18.over the last few years, so it identifies procedures
:02:19. > :02:21.and patients that we can crack We have made sure that we have
:02:22. > :02:25.all of the kit available, the bed available, so that helps
:02:26. > :02:28.getting the flow We found a trust with stable
:02:29. > :02:31.leadership, who have really put the patient at the heart
:02:32. > :02:33.of all they do. They have invested in their staff
:02:34. > :02:36.to develop and given staff And the outcomes for treatment
:02:37. > :02:40.at these hospitals now As part of today's report,
:02:41. > :02:48.the CQC also looked into the trust's In fact, it is one of just a handful
:02:49. > :02:54.in the country to be in surplus. So how has it managed
:02:55. > :02:56.to achieve that? Well, it has managed to invest
:02:57. > :03:02.in expansion like this ?92 million redevelopment without having
:03:03. > :03:06.to resort to private finance. The thousands raised by charitable
:03:07. > :03:08.appeals have helped build the children's hospital -
:03:09. > :03:11.a vital injection of cash when it And with ever growing patient
:03:12. > :03:18.demand, this is one trust which is now setting an example
:03:19. > :03:20.to other hospitals. Matthew Hill, BBC
:03:21. > :03:30.Points West, Bristol. It's not such a positive story
:03:31. > :03:32.for other hospitals. One other has been
:03:33. > :03:34.given a "good" rating - that's Taunton and Somerset NHS
:03:35. > :03:36.Foundation Trust. If you're a patient in Yeovil,
:03:37. > :03:38.Gloucestershire, Bath, Weston, Southmead or Swindon,
:03:39. > :03:40.your hospital trust One in four students
:03:41. > :03:48.at Bristol University have been diagnosed with stress,
:03:49. > :03:49.depression or other Four young people there
:03:50. > :03:54.have taken their lives Our home affairs correspondent
:03:55. > :04:00.Charlotte Callen reports. You just feel completely worthless
:04:01. > :04:04.and hopeless and I can understand if you haven't been there it can be
:04:05. > :04:11.quite hard to empathise. Grace has no scars to show the pain
:04:12. > :04:13.she's been through... There was no sticking plaster,
:04:14. > :04:16.no operation to make her better. She's had mental heath problems
:04:17. > :04:23.since the age of 13. I had anorexia, so I got quite
:04:24. > :04:33.physically unhealthy. In terms of my low mood,
:04:34. > :04:38.I had periods when I was suicidal, I was really, really low
:04:39. > :04:47.and lonely and hopeless. Grace got a degree and now works
:04:48. > :04:49.with a Bristol charity which helped her to cope
:04:50. > :04:51.during the bad times, One in four students
:04:52. > :04:55.at Bristol University said they had With 22,000 students,
:04:56. > :05:03.that means as many as 5,500 will have mental heath needs at some
:05:04. > :05:07.point during their studies. That's a picture
:05:08. > :05:11.reflected nationally. Our young people are under enormous
:05:12. > :05:14.pressure to succeed. Some of that is academic pressure,
:05:15. > :05:16.and then, of course, there is the pressures on social
:05:17. > :05:19.media to look and Add to that the extra tuition fees
:05:20. > :05:24.they have to pay and the fact that grants are being slashed,
:05:25. > :05:28.and you have the perfect storm. It is important that we reach
:05:29. > :05:31.all students with support, and that means making sure that
:05:32. > :05:34.whether it is through the personal tutoring system or through
:05:35. > :05:36.residential pastoral staff that students, all students, understand
:05:37. > :05:44.where they can access support. Bristol is one of only two
:05:45. > :05:47.universities in the country to have Since the start of the academic
:05:48. > :05:51.year, there have been So they're investing an extra
:05:52. > :05:58.?1 million to support students. But with NHS budgets stretched
:05:59. > :06:00.and so much pressure on mental health services,
:06:01. > :06:02.it's charities like the one which helped Grace that are often
:06:03. > :06:05.left to pick up the pieces. Charlotte Callen for BBC
:06:06. > :06:13.Points West in Bristol. Well, earlier I spoke to
:06:14. > :06:15.Maggie Cameron from the Samaritans and asked her if things have always
:06:16. > :06:22.been this bad for students. I think it's probably always been
:06:23. > :06:24.like this but what we really want to do is to start encouraging
:06:25. > :06:28.people to access help and support about their feelings
:06:29. > :06:31.at a much earlier age. But what are we doing
:06:32. > :06:34.as a society to have children going to Bristol University,
:06:35. > :06:36.young people, very clever, often from comfortable
:06:37. > :06:37.backgrounds and yet, so many are suffering from stress
:06:38. > :06:40.and depression and all sorts I think we do put a lot of pressure
:06:41. > :06:50.on young people these days and it is important that,
:06:51. > :06:52.you know, they are Universities have a lot of support
:06:53. > :06:56.for students and it is really But I hear there has been four
:06:57. > :07:02.deaths in this academic year. When you call the Samaritans,
:07:03. > :07:12.we tend to think of it as being the last resort,
:07:13. > :07:15.but where can you get help? I would not like to think
:07:16. > :07:18.of us as the last resort! A lot of people that call us
:07:19. > :07:21.are calling about all sorts of problems, not necessarily
:07:22. > :07:24.with suicidal thoughts. So, it is good to talk over these
:07:25. > :07:27.feelings before you actually get to that point when you are starting
:07:28. > :07:34.to think that is your only option. OK, but also, when you are
:07:35. > :07:36.younger, before it becomes anything like a crisis -
:07:37. > :07:39.I know you want to get We do a lot of work with schools
:07:40. > :07:44.locally, which is really important. And it is encouraging people to talk
:07:45. > :07:47.to anybody that they trust. You know, we all know that parents -
:07:48. > :07:52.would they ever understand? But there are other family members,
:07:53. > :07:54.teachers, maybe a relative that you can trust and that you feel
:07:55. > :07:57.comfortable talking with, and it is really important to find
:07:58. > :08:00.that person and have them Maggie, thank you for coming
:08:01. > :08:04.in and thank you for That was Maggie Cameron from the
:08:05. > :08:19.Samaritans. People tending an allotment
:08:20. > :08:21.in Bristol say they're becoming increasingly concerned
:08:22. > :08:23.about two trapped deer. They got stuck inside
:08:24. > :08:24.Stapleton Allotments after contractors working
:08:25. > :08:26.on the nearby Metrobus route The deer, who were hiding
:08:27. > :08:30.in the bushes from our cameras today, have been there
:08:31. > :08:32.for almost two months. Allotment keepers are worried
:08:33. > :08:34.they won't leave because of the Metrobus building work
:08:35. > :08:37.going on around them. Too scared to go out the main gates
:08:38. > :08:40.because all they can see is machinery and smell the oil
:08:41. > :08:45.and they are frightened. I want them to be happy and I do not
:08:46. > :08:49.think they are happy stuck in here. No one is going to be happy having
:08:50. > :08:52.all of their plants eaten. They have eaten a few of mine
:08:53. > :09:13.but I did not mind too much! Metrobus bosses say allotment
:09:14. > :09:15.managers are responsible for Wells in Somerset is bidding
:09:16. > :09:20.to become the next UK The city's up against
:09:21. > :09:22.Warrington, Portsmouth The winner gets ?3 million
:09:23. > :09:26.from the Heritage Lottery Fund. Wells was on the big screen
:09:27. > :09:28.in 2007 when the film And that's the news
:09:29. > :09:36.from across the West tonight. But now I will wish you goodnight
:09:37. > :09:40.and leave you with Ian who's in our outside weather studio,
:09:41. > :09:56.otherwise known as "the roof"! Indeed it is, David. Hello,
:09:57. > :09:59.everybody. Going through the forecast for tomorrow. That is going
:10:00. > :10:03.to be a story as to what is left this week. Low pressure close at
:10:04. > :10:07.hand with showers. The rain is never going to be far away. It is closing
:10:08. > :10:13.in on us during the course of the night, such that by first light
:10:14. > :10:16.tomorrow there will be a West phase that will spread northwards. It gets
:10:17. > :10:20.complex than the second half of the day. Such areas towards the East,
:10:21. > :10:25.for example, will get more dry weather. Towards the West you will
:10:26. > :10:29.get a succession of Charlotte heartbreaks, some quite heavy. At
:10:30. > :10:33.the moment, there are no showers over the West Country, temperatures
:10:34. > :10:38.will drop tonight down to five, six Celsius. Just coming out of France
:10:39. > :10:41.and into the English Channel we have to strip off for the brain that will
:10:42. > :10:44.move northwards and that means that through the early hours and will
:10:45. > :10:47.continue its journey such that by first light tomorrow into the
:10:48. > :10:51.commute it is looking wet with moderate to heavy rain in some
:10:52. > :10:55.districts. In the afternoon, areas to the East will have a better
:10:56. > :10:59.chance of seeing phases of drier weather. Out towards the West always
:11:00. > :11:01.a chance of some heavy public suffering.
:11:02. > :11:04.weekend, we have more rain in the forecast. Rain at times this
:11:05. > :11:15.weekend, not all the time. Good evening. Things are turning
:11:16. > :11:19.more unsettled today was not bad. The sun was setting the moon was
:11:20. > :11:20.putting in