16/01/2017 Spotlight


16/01/2017

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Tonight, we begin a week of reports going behind

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hospital is minimising delays in treating older patients

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in an effort to reduce pressure elsewhere.

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

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Vincent Wagstaff died after tombstoning in Plymouth -

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

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Delays expected; major roadworks get underway on one

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And firefighting for the future - the hunt for new recruits

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The health service is under huge pressure at the moment

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

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

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

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We start tonight at one of the key pinch points -

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

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

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

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Jemma Woodman joined the A team at the Royal Devon

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

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

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

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

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Joyce is among an increasing number of elderly patients coming

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

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in our department and the majority are made up of patients

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

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

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To stop patients waiting for too long here in Exeter,

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most are seen by senior consultants within minutes of arriving.

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A lot of services are now put into predicting discharge dates

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

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

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by a consultant tonight rather than tomorrow morning,

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so you save yourself 12 hours of hospital stay.

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

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

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

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It's better to be in your own surroundings.

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

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

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

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

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

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in hospital, but it is now being done within the

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

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

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

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that is available for somebody else to move into.

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253 patients came to the emergency department on the day

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we were filming in Exeter, but only 46 were admitted

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

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

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

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

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

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whole thing off consultants seeing patients swiftly and they go into

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

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

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

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going out into the community and fortifying resources, venting their

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

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

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

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have access to treatment you would not elsewhere depending on the

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

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

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not the only one doing it. Thank you.

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

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parts of the health services here in the South West.

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

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If you have a question or comment for them,

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

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

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in October last year, had long struggled with alcohol

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and depression, an inquest has heard.

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Former lab technician Vincent Wagstaff had drunk

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a substantial amount of alcohol when he died after landing

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on rocks near the Royal Corinthian Yacht Club.

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A major rescue operation was launched when Vincent Wagstaff

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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The coroner recorded a verdict of accidental death to which alcohol

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

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after a stabbing in Exeter. The police helicopter was used

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to trace the suspect in woods off Prince

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

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

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?1.6 million to expand. Pomphlett Primary will be able

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

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

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Oreston Primary grow from September. Concerns are being raised

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about the number of salmon Work has been done in waterways

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over the last ten years to increase fish numbers,

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but the Chair of the Dulverton Angling Association says

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

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

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abusing children since In what was described

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

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was actually abusing victims but he couldn't be prosecuted

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for that because he was below Our Somerset correspondent

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Clinton Rogers reports. The prosecutioner called him

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a disturbed child who had an obsessive interest in sex

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

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was convicted on 23 charges, including rape, indecent assault

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

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were aged between six and 11 when the abuse took place

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

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the court has heard that Andrew Margetts subjected his

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victims to sustain the abuse Sometimes he would tie

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

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

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I will kill you." At the Crown Court,

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the prosecutor said The jury told they were entering

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

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a third of sexual abuse crimes against children are committed

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

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we have had similar experience in rare cases of seven

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and eight-year-olds also perpetrating very serious sexual

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

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

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

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

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

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begun in London. Cheryl Mellor, from Bodmin,

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

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

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

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from the High Court. The inquest began this morning with

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

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observed. The first evidence came from the Metropolitan Police who

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went out immediately after the attacks. They pieced together what

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

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

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

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

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

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

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into what happened established that local security forces could have

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

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

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the families are keen to hear evidence from the travel operator

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

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

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holiday there. Four months of disruption

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

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is expected while Highways England carry out multi-million

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pound roadworks. Overnight closures of the A38

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

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

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diversion in place. A notorious pinch point. The Glyn

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

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

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understand those concerns and we work closely with local communities

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

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diversion route when travelling westbound and we are looking at a

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

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

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retaining walls need strengthening to cope with increases in traffic.

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A1 make system is being introduced an overnight closures means lorries

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

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

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

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alternative routes when these problems occur. They may look like

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

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

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

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as well protected. Applications opened today for people

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

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

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

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are now nearing retirement, so the search is on for

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the next generation. Hamish Marshall has been to see some

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

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

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

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

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

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

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

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

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

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

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

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safety visits to vulnerable people than fighting fires. Being an

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operational member of staff is very different to how society perceives

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

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There are 16 jobs going. Competition will be tough.

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

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

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Cup replay, which is now just two days away.

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

:16:25.:16:27.

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

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seats were put into the Mayflower Terrace.

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

:16:36.:16:37.

And a generous gesture by Liverpool meant they could afford

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

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

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

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

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

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to give up their 45% share of the revenue,

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their share of allocation for supporters, which has

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

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

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

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

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90 minutes without conceding a goal against Liverpool at Anfield.

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

:17:36.:17:40.

Two goals in seven minutes saw the lead reversed.

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First Jordan Slew got enough on Jake Jervis's

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

:17:46.:17:51.

The ball found its way to Jake Jervis who smashed it

:17:52.:17:53.

However their lead was short-lived as the Borough made

:17:54.:17:58.

The bouncing ball making life difficult for Luke McCormick.

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

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

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with the ball falling to Graham Carey on

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

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A nice way for Arnie to celebrate extending his loan

:18:19.:18:21.

Strikers live off goals and while new signing

:18:22.:18:26.

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

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it was David Goodwillie who finally broke his duck.

:18:29.:18:31.

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

:18:32.:18:38.

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

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Reuben Reid booking in their first against the Mariners.

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

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

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The Grecians are climbing and up to tenth.

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

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

:19:08.:19:11.

High-flying Wycombe had other ideas though, and forced

:19:12.:19:18.

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

:19:19.:19:29.

The Exeter Chiefs did exactly what they had to do

:19:30.:19:32.

to keep their faint hopes of staying in Europe alive.

:19:33.:19:35.

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

:19:36.:19:39.

One was a penalty try and Mikele Campagnaro

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and Thomas Waldrom both crossed twice, meaning the Chiefs

:19:44.:19:46.

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

:19:47.:19:52.

sports if other results go their way.

:19:53.:20:00.

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

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

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snapped up. Now, a little bit more history

:20:12.:20:14.

was made in Plymouth today as the ground was officially broken

:20:15.:20:16.

for the new multi-million pound History Centre.

:20:17.:20:19.

The project involves demolishing parts of

:20:20.:20:20.

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

:20:21.:20:23.

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

:20:24.:20:35.

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

:20:36.:20:42.

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

:20:43.:20:46.

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

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

:20:55.:20:59.

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

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

:21:06.:21:09.

these artists impressions are anything to go by, Plymouth culture

:21:10.:21:17.

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

:21:18.:21:25.

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

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

:21:30.:21:33.

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

:21:34.:21:38.

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

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

:21:44.:21:50.

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

:21:51.:21:56.

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

:21:57.:22:00.

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

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been handed a massive financial and publicity boost thanks

:22:04.:22:06.

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

:22:07.:22:12.

from a forthcoming gig to the charity Nowzad,

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

:22:16.:22:19.

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

:22:20.:22:25.

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

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

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

:22:47.:22:47.

myself. We're now joined by Hannah

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from the NOWZAD charity. What were your thoughts

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

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

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

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

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

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

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

:23:37.:23:40.

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

:23:41.:23:45.

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

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

:23:56.:24:01.

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

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

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

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

:24:24.:24:35.

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

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

:24:42.:24:45.

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

:24:46.:24:53.

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

:24:54.:24:58.

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

:24:59.:25:02.

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

:25:03.:25:07.

Temperatures below freezing across Europe, and by Wednesday we should

:25:08.:25:14.

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

:25:15.:25:19.

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

:25:20.:25:24.

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

:25:25.:25:30.

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

:25:31.:25:35.

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

:25:36.:25:42.

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

:25:43.:25:48.

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

:25:49.:25:54.

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

:25:55.:25:59.

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

:26:00.:26:04.

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

:26:05.:26:10.

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

:26:11.:26:15.

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

:26:16.:26:26.

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

:26:27.:26:30.

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

:26:31.:26:36.

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

:26:37.:26:44.

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

:26:45.:26:48.

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

:26:49.:26:55.

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

:26:56.:26:59.

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

:27:00.:27:04.

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

:27:05.:27:11.

brighter day on Wednesday but temperatures starting to dip. That

:27:12.:27:15.

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

:27:16.:27:20.

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

:27:21.:27:25.

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

:27:26.:27:32.

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

:27:33.:27:36.

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

:27:37.:27:40.

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

:27:41.:27:50.

Let's do this. Glastonbury!

:27:51.:27:56.

Make some noise! How you doing, Big Weekend?

:27:57.:28:00.

Get ready. Go solo, Hyde Park.

:28:01.:28:03.

Don't believe you. Secure your place at

:28:04.:28:13.

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

:28:14.:28:25.

for kids with our honorary judge her Royal Highness the

:28:26.:28:31.

Duchess of Cornwall.

:28:32.:28:38.

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