16/01/2017 Spotlight


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Tonight, we begin a week of reports going behind


hospital is minimising delays in treating older patients


in an effort to reduce pressure elsewhere.


Also on the programme: A misjudged jump which ended in tragedy -


Vincent Wagstaff died after tombstoning in Plymouth -


an inquest hears how he'd consumed a substantial amount of alcohol.


Delays expected; major roadworks get underway on one


And firefighting for the future - the hunt for new recruits


The health service is under huge pressure at the moment


and all this week on Spotlight, in a series of special reports, we're


going behind the headlines to find out why those pressures exist,


what effect they have and explore what the future holds for the NHS.


We start tonight at one of the key pinch points -


BBC analysis of health service figures reveal that 56,000 people


over the age of 80 waited more than 12 hours in A in England last


But here in the South West, we seem to bucking that trend.


Jemma Woodman joined the A team at the Royal Devon


and Exeter Hospital to see how they're managing it.


It's early evening at the Royal Devon and Exeter Hospital.


92-year-old Joyce Taylor has been brought into the emergency


I went downstairs and when I came right down to the bottom,


Joyce is among an increasing number of elderly patients coming


We regularly have patients, over 90 and almost daily over 100


in our department and the majority are made up of patients


The paramedics are going to give us a hand and as they do,


I'm just going to pop a monitor on you, so we can check your blood


To stop patients waiting for too long here in Exeter,


most are seen by senior consultants within minutes of arriving.


A lot of services are now put into predicting discharge dates


of patients and aiming to get towards that, so we get them up


to the medical unit before nine o'clock and they will be seen


by a consultant tonight rather than tomorrow morning,


so you save yourself 12 hours of hospital stay.


Joyce was close to being admitted but it is decided she would be


I don't think we are going to be of any benefit bringing her in.


It's what Mum wants and it's better for anybody, I think,


It's better to be in your own surroundings.


Judy is a retired doctor who used to work at the hospital.


My heart, from time to time, goes into a wrong rhythm.


What they are going to do is put two electrodes onto my chest,


pass a curren through my heart and hopefully that will shock my


It is the sort of procedure which used to need a short stay


in hospital, but it is now being done within the


By getting things done here, we are saving on a hospital


admission, so it's good for the patient, it's also good


for the trust as a whole, because that's one bed


that is available for somebody else to move into.


253 patients came to the emergency department on the day


we were filming in Exeter, but only 46 were admitted


Gemma joins me now. Quite often, we get e-mails saying it is all doom


and gloom with the NHS. This is positive. It was kind of what we


expected. The busiest day on wards. There was good patient flow, people


were being seen swiftly. The key to their success and that's not to say


they have extremely busy periods, but the key to their success is this


whole thing off consultants seeing patients swiftly and they go into


tree arch, they can make swift decisions about whether that patient


should be referred on or whether they need to go to a less emergency


unit. That is what we witnessed and sort it working. Consultants are


going out into the community and fortifying resources, venting their


expertise of air. This is one story, many more departments and you have


more tonight. One of the stories we are looking at is this so-called


postcode lottery of care and that is when one person in one region might


have access to treatment you would not elsewhere depending on the


budgets of those local trusts. One patient who was in acute pain but


had to buy his own drugs over the Internet and self-medicating, he is


not the only one doing it. Thank you.


And throughout this week, we'll look at the pressures on other


parts of the health services here in the South West.


And on Thursday, some of the region's key NHS decision


If you have a question or comment for them,


you can send them in now via email, Facebook and Twitter.


A man, who died after jumping from a ledge on Plymouth Hoe


in October last year, had long struggled with alcohol


and depression, an inquest has heard.


Former lab technician Vincent Wagstaff had drunk


a substantial amount of alcohol when he died after landing


on rocks near the Royal Corinthian Yacht Club.


A major rescue operation was launched when Vincent Wagstaff


jumped into the sea on October 13 last year. What started as an


attempt at Tombstone ended with the loss of his life. Vincent had been


on Plymouth Hoe with two other men and intended to jump into the sea.


But Vincent had changed his mind saying he wanted to do the really


high jump, this was the ledge. He asked his cousin to film the jump on


a mobile phone. He said he shouted to Vincent to stop but he went to


leap off the ledge but it wasn't a leap, he just told. Today some of


his family were showing the footage. It was a mistake, I could see it was


an accident, I could see in the way that he tried to run and jump that


it was a genuine accident. The court heard that Vincent had drunk a


substantial amount of alcohol, five times the legal driving limit. He


lives behind three devastated children, a partner, a brother and a


family and friends. We are left with a huge gap in our lives. It can


never be filled. He will always be loved and I will always miss him.


The coroner recorded a verdict of accidental death to which alcohol


contributed. A 46-year-old man's been arrested


after a stabbing in Exeter. The police helicopter was used


to trace the suspect in woods off Prince


of Wales Road yesterday night. Officers say it was an isolated


incident and the victim suffered A Plymouth school's to get


?1.6 million to expand. Pomphlett Primary will be able


to take on an extra 30 reception pupils thanks to the investment


from the city council. Money's also been set aside to help


Oreston Primary grow from September. Concerns are being raised


about the number of salmon Work has been done in waterways


over the last ten years to increase fish numbers,


but the Chair of the Dulverton Angling Association says


a year of low rainfall, A man from Somerset man has been


sentenced to 25 years in prison, after being convicted of sexually


abusing children since In what was described


in court as a shocking case, the prosecution said Andrew Margetts


was actually abusing victims but he couldn't be prosecuted


for that because he was below Our Somerset correspondent


Clinton Rogers reports. The prosecutioner called him


a disturbed child who had an obsessive interest in sex


from the age of eight. And today, Andrew Margetts, now 31,


was convicted on 23 charges, including rape, indecent assault


and false imprisonment. His victims, two girls and a boy,


were aged between six and 11 when the abuse took place


in the '90s. Throughout this week-long trial,


the court has heard that Andrew Margetts subjected his


victims to sustain the abuse Sometimes he would tie


up his victims or gag them. He threatened one of them


with a knife, saying, "If you tell anyone,


I will kill you." At the Crown Court,


the prosecutor said The jury told they were entering


a twilight world they might The NSPCC told the BBC, in fact,


a third of sexual abuse crimes against children are committed


by people under the age of 18, But not unheard of and at the NSPCC


we have had similar experience in rare cases of seven


and eight-year-olds also perpetrating very serious sexual


offences, but it is pretty rare. The judge said the lives


of the young victims in this He told Andrew Margetts, "You knew


what you were doing was wrong, seriously wrong," and sentencing him


to 25 years in prison, he told him, Inquests into the deaths of 30


Britons killed in a terrorist attack on a beach in Tunisia have


begun in London. Cheryl Mellor, from Bodmin,


was hit in the forearm and leg as her husband Stephen was shot dead


trying to shield her. The full inquest is expected to last


between six to eight weeks. Our reporter Emily Unia joins us


from the High Court. The inquest began this morning with


a reading out of all 38 names of the victims and a minutes silence was


observed. The first evidence came from the Metropolitan Police who


went out immediately after the attacks. They pieced together what


happened to create a 3-D reconstruction of the gunmen's route


across the beach into the hotel and at each point where the gunmen had


attacked somebody, a photograph of the victim appeared so we saw where


Stephen shielded his wife and ended up losing his life. We saw CCTV


footage of the gunmen getting out of a van so we know he arrived by land


not by sea. We heard how a Tunisian judge who conducted an investigation


into what happened established that local security forces could have


arrived earlier and stop the attacks but they wasted time getting to the


hotel. Next week evidence will be hard about each of the victims but


the families are keen to hear evidence from the travel operator


Thomson holidays because they want to know how much their loved ones


were told about the terror threat in Tunisia before they decided to go on


holiday there. Four months of disruption


to commuters and residents on one of Cornwall's busiest roads


is expected while Highways England carry out multi-million


pound roadworks. Overnight closures of the A38


in the Glynn Valley are already in operation, but the bulk


of the work will be carried out during the day with a one-way


diversion in place. A notorious pinch point. The Glyn


Valley for the next four months is the latest stretch of road works


that brings yet more disruption to many road users and locals. We


understand those concerns and we work closely with local communities


to ensure the disruptions are kept to a minimum. We have looked at the


diversion route when travelling westbound and we are looking at a


5-10 minute extra journey time. We have looked at how to minimise that


but working with local communities, that is the best we can get it. The


retaining walls need strengthening to cope with increases in traffic.


A1 make system is being introduced an overnight closures means lorries


will have to take a detail through the A 30. The overnight closures are


a huge problem. Yes, it does cause problems on local roads. Again this


is due to a lack of investment over many years in Cornwall, in


alternative routes when these problems occur. They may look like


nothing but this is a reptile fence and hundreds of slow ones, news and


frogs have been taken from this area and move closer to the river to


protect them from the roadworks. Local people will wish they had been


as well protected. Applications opened today for people


who want to become the first new full-time fire fighters in Devon


and Somerset in almost a decade. The service hasn't been taking


on new people due to budget cuts, but many of its existing staff


are now nearing retirement, so the search is on for


the next generation. Hamish Marshall has been to see some


of the potential recruits being put No two jobs are the same. You solve


problems and you help people. Just some of the reasons people want to


become firefighters. People like Megan. A musician hunting a new


career. It seems like it is right up my street. I like a lot of the


physical aspect, working with people and being in water and I'm making a


change to people's lives. Megan was among potential recruits on a taster


day as Devon and Somerset looks for its first full-time firefighters in


eight years. Builder Scott Thomson saw what life was like wearing


breathing apparatus. Different to anything I have done before. It was


really good, enjoyed it. The service needs experienced staff but many are


needing retirement. But officers are just as likely to be carrying out


safety visits to vulnerable people than fighting fires. Being an


operational member of staff is very different to how society perceives


it to be. It is not all charging in, gung ho into burning buildings.


There are 16 jobs going. Competition will be tough.


It's time for the sport now and the big game is getting closer.


There are only a handful of tickets left for Argyle and Liverpool's FA


Cup replay, which is now just two days away.


Fans queued again at Home Park from the early hours to lay claim


Around 2,000 more have been made available after temporary extra


seats were put into the Mayflower Terrace.


With demand outstripping supply, the club looked at ways to get more


And a generous gesture by Liverpool meant they could afford


The number, we thought it was 1,833, but I'm told that there may be some


positive news on that, that we may have squeezed a few


extra out, but I should thank Liverpool Football Club as well,


because we could not have afforded it if we gave them 45%


of the revenue and had to bear 100% of the cost, so they have agreed


to give up their 45% share of the revenue,


their share of allocation for supporters, which has


enabled us to go ahead, so it's a really sporting


While Liverpool were warming up for the replay with a small game


at Old Trafford, Argyle were back at Home Park facing Stevenage.


But a six-goal thriller didn't disappoint in a weekend of good


90 minutes without conceding a goal against Liverpool at Anfield.


90 seconds back at Home Park against Stevenage and Argyle were one down.


Two goals in seven minutes saw the lead reversed.


First Jordan Slew got enough on Jake Jervis's


And it was a Slew-Jervis combination that helped put the Pilgrims ahead.


The ball found its way to Jake Jervis who smashed it


However their lead was short-lived as the Borough made


The bouncing ball making life difficult for Luke McCormick.


Into the second half and a goal that Paul Arnold Garita can count himself


Oscar Threlkeld teed him up, but it was a swing and a miss


with the ball falling to Graham Carey on


The Irishman's vicious shot deflected on its way in.


A nice way for Arnie to celebrate extending his loan


Strikers live off goals and while new signing


Nathan Blissett went close to scoring his first for the club,


it was David Goodwillie who finally broke his duck.


Exeter City's last defeat came on the 19th of November


and since then, they have only conceded twice in eight games.


Reuben Reid booking in their first against the Mariners.


The hosts were feeling the pressure and a lapse in concentration led


The goal of the game came near the end when Ollie Watkins


The Grecians are climbing and up to tenth.


Yeovil's charge up the table has stuttered in recent weeks.


But things were looking up when they were rewarded a penalty.


High-flying Wycombe had other ideas though, and forced


This game finished 1-1 and Yeovil now without a win in six.


The Exeter Chiefs did exactly what they had to do


to keep their faint hopes of staying in Europe alive.


They beat Ulster 31-19 scoring five tries along the way


One was a penalty try and Mikele Campagnaro


and Thomas Waldrom both crossed twice, meaning the Chiefs


Exeter have a slim outside hope of taking one of the runners up


sports if other results go their way.


Going back to the Argyle ticket situation, they will go on general


sale tomorrow but only to people with a local postcode. They will be


snapped up. Now, a little bit more history


was made in Plymouth today as the ground was officially broken


for the new multi-million pound History Centre.


The project involves demolishing parts of


the Central Library and the Museum - much of which was built


more than 100 years ago. Plymouth a city that is steeped in


history and this afternoon, it took a step towards preserving that for


generations to come. The team behind the ?34 million history Centre were


on hand as the Deputy Lord Mayor put the first spade in the ground. We


have been waiting so many years for this. After 20 years of protest


meetings and trying so hard to get the money and at last we are here,


at last it is starting, it is going to be a wonderful centre. And if


these artists impressions are anything to go by, Plymouth culture


and heritage are in safe hands. Part of the museum and library are going


to be demolished. As you walk in you sense history with all the stained


glass and preserving that and opening up a little bit further and


then bringing history and art to it, it's going to be a very cultured


space. Meanwhile, looking at the back of the church... We have


graffiti on the wall with various dates on it. Quite a good mix of


dates, nice drawing of the HMS victory. The history centre is due


to open in spring 2020 as part of the city's 400 commemorations.


A small Devon charity, which helps cats and dogs in Afghanistan, has


been handed a massive financial and publicity boost thanks


The star of the TV series The Office is donating half the profits


from a forthcoming gig to the charity Nowzad,


It's providing a support for hundreds of street dogs and cats


Ricky Gervais has taken to social media to explain why he likes


They are the people that are doing stuff, I am just tweeting about it


and giving some cash. They are the people that do it and they are


amazing. Amazing. They are doing things I would be terrified to do


myself. We're now joined by Hannah


from the NOWZAD charity. What were your thoughts


when you found out about It means an awful lot. Not just the


donation but the awareness it has brought to our cause in Afghanistan


has been overwhelming. Tell us about the work you do and the difference


the donation will make. You have over 150 dogs we are caring for,


over 40 cats and six donkeys and that is where the donation will go.


Townie is one dogs you have helped. Looking very happy. She is. She is


one of the original dogs that we rescued about ten years ago in


Helmand Province. Tell us a bit more about the day to day work you do on


the ground. What sort of help to you provide in Afghanistan? There are so


many animal in the streets that soldiers and up caring for the dogs


or cats. When their tour is over, they cannot leave them behind so we


help the soldier bring them back home so they can live with the


animal. Good luck with your ongoing work and thank you for joining us.


Now the weather. Yes, the weather is to sell this week. A lot of cloud


about. A fairly mild weekend and that is set to stay the same. A lot


of cloud out there. This week will be largely dry. A cloudy start so


today and tomorrow will see fairly grey skies, but more brightness. A


lot of cloud across the UK. If few breaks in the South West but fairly


grey skies and that will continue tonight. High pressure trying to


push in from the continent and over the next few days, fairly cold air.


Temperatures below freezing across Europe, and by Wednesday we should


see a little bit more in the way of sunshine and that does mean


Wednesday, Thursday, we could see Frost overnight. Thursday we have


this front introducing cloud and then a bright day on Friday. The


cloud has broken out in places so some of us have seen sunshine, but


it has been fit enough for rain and drizzle. We have had some mist and


fog also, fairly murky conditions but it should be frost free,


temperatures of three or 4 degrees. A similar start tomorrow, fairly


grey skies, mist, fog, but a change further east and parts of Dorset,


Eastern Somerset may see some brightness to was the tail end of


the day. For the rest of us still keeping those cloudy skies. By


Wednesday we start to get the drier air feeding in. For the Isles of


Scilly, a lot of cloud, light showers but light winds. Quite mild.


In terms of our surfing, slightly bigger waves towards the north


coast. Flat and clean towards the south. We have the winds east to


south-easterly, the risk of brain and resort through the morning


tomorrow so the visible -- visibility good. We have a lot of


low cloud tonight and that should keep things frost free. The further


east you are, the cloud breaks up but foremost, another great day. A


bit of light rain and drizzle. Wednesday we get that Calder, air


from the continent and once it gets towards us, you can see a much


brighter day on Wednesday but temperatures starting to dip. That


means Wednesday night, Thursday we could see a touch of Frost. More


cloud through Thursday and Friday. Largely dry as we had through this


week and it does look like as it will stay settled towards the


weekend. Thank you for your e-mails and comments about the NHS. Keep


them coming and we will put them to senior figures on Thursday, but from


all of us tonight, good night. Let me see them hands up.


Let's do this. Glastonbury!


Make some noise! How you doing, Big Weekend?


Get ready. Go solo, Hyde Park.


Don't believe you. Secure your place at


the 500 Words Final, BBC Radio 2's writing competition


for kids with our honorary judge her Royal Highness the


Duchess of Cornwall.


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