Have you been to a hospital recently what your experience of the n.h.s. And what's care like for you with your family if you need to be looked after outside of hospital we're coming to you tonight from Gloucestershire and we spent the day alongside b.b.c. News on the campaign trail here what happened when I met a group of cancer survivors from the very beginning. And it's not just we have reporters across England. As fight for more help to. As we get older and I'm going. To several battle to keep it open we finally reached the conclusion. But tonight it's about you and your calls Who do you trust on the n.h.s. The number 187575 across England on b.b.c. Local radio. With 8. Welcome to Gloucestershire we spent the day in the county alongside b.b.c. News colleagues from 5 Live the news channel on the b.b.c. News website and we're doing something very special tonight joining the b.b.c. Local radio across England and we want to hear from of many as possible cross the country on this very simple question Who do you trust with the n.h.s. Which in England alone soaked up 129000000000 pounds worth of taxpayers' cash and what your experience of the health service. And the care system either before or after the hospital it is a complex issue more of a living longer that's good living with chronic long term conditions of that's bad all sorts of unexpected pressures on the health service areas of social care like helps Mills on wheels and we jump. Part of the n.h.s. Directly but can impact the pollies they are properly funded and Mally to select share our stories and our experiences tonight who do you trust with the health service our 801317575 is the number to call that's our 801 c 17575 before we go to the lines let's take a talk Cheltenham courtesy of b.b.c. Radio Gloucester his Breakfast presenter Mark Cummings. Chairman of the famous spar turned what grew around the mineral waters to become a big tourist result on the Georgian and Victorian times Alice in Wonderland often Lewis Carroll was one of those who used to spend their holidays here famous people born here including composer Gustaf Haas and the founder of The Rolling Stones Brian Jones currently living in Chatham is Patrick hero from the World Cup suggest person g c h Q is based just down the road Intelligence Agency and we're famous for horses festival we can March to the town into a race goes. Past all of the Chapman festival of God inspired by the sound of that I think I'm going to come in live for you joined by Friday lay a political reporter for b.b.c. Radio Gloucestershire evening so what is the political situation here in Gloucestershire so in Gloucestershire we have 6 districts at the moment we have a Labor m.p. In Stroud that is our only known Tory m.p. But the particular interesting see him in Gloucestershire this general election is it's Chel them it's been a 2 horse race between the Conservatives and the Lib Dems 3 years Jhelum hasn't straight from the Lib Dems all the Tory since the 1950 s. And except for the Conservatives took the seats in 2015 and 23 years of lib dam rule in 2016 children voted to remain in the referendum by 56 percent and in the 27000 election Alex chalk was reelected but his majority plummeted to 2. $1500.00 since then the Lib Dems have increased their majority at the local council elections and they came top in the European parliamentary elections so this time around and I is considered very vulnerable in majority of just I think 2 and a half 1000 just over that isn't it you've been on the campaign trail and given the importance then of Chelm in the possibility that the Lib Dems might take that seat from the conservatives have many of the big hitters turned up yes we've had the Labor leader Jeremy Corbyn he's made an appearance in Gloucester because the Labor candidate gave the winning conservative m.p. a Really good run for his money in 2017 We've had James cleverly the chairman of the Conservative Party also the leader of the Lib Dems Joe Swinson visited Cheltenham on Tuesday so just 2 days ago because Chelm is the very top of their hit list they only need 2.3 percent swing to win the seat and the conservatives are working really hard to hold that seat if they're to get the majority they crave on December the 12th and elsewhere side of Cheltenham but around Gloucestershire and what are the possible twists and turns there so also in Stroud we've got a Labor m.p. David Drew but the remaining Alliance kicked in here say the Greens are standing the Lib Dems to down so there was a lot of conversation about see the remaining vote and it splitting the remain votes and consequently potentially letting the Tories come in and take the seat in Stroud say remains to be seen very exciting times in Gloucestershire and then we are focusing on the health service and social care tonight our 801 c 17575 is our number John is in Leeds Good evening to you John I wire everything I did on the wall thank you and good God and I understand you are a doctor is that right yes reason. Ok so tell me what it's like them being on the front line of the n.h.s. In recent. As well it was increasingly busy and stressed for people missing and the post was not so. Bad. Just didn't have enough beds to start with it was difficult admitting patients and then under huge pressure to get as quickly as possible so we're. Sorry to interrupt John but I'm curious about them why were posts not filled with talk my consultants post doctors post nurses I mean mainly Well nurses no nothing so I think there aren't enough nurses being traded now recognize about 40008 but also difficulties with attracting junior doctors. To work in busy centers. Leader is no exception but it is increasingly difficult to fill the roaches when junior doctors. Want things really puzzles me John funding for the n.h.s. Even in these use of austerity has been protected Apne an overall spending on the n.h.s. Has increased so why we experiencing these problems that you've described. The n.h.s. Owes is to 4 percent left on its budget which would allow it to keep up with increasing demand new treatments are kind of saying and I'm sure in 2010 that was cut just one percent the demand gone up population gone up the work done by hospitals has gone up but the amount of money they're getting in as only gone up very marginally. Less than in the past so that's why there's a huge financial deficit 2 thirds of trust in the red so spending has gone up but just not enough in your experience to cope with increased demand demand has gone ahead as it were price inflation yes the top elation goes up new treatments come along and there's always an increasing the. Now and then usually. By your hopes and uplifted budget will stop 10 years ago say well panic we show you the n.h.s. We've got all money they haven't got as much as it needs Well I'm asking everybody you come from tonight who do you trust with the n.h.s. Want to hear from more frontline professionals are you from patients as well so ask you John do you trust me and I check internally so I definitely don't trust. A conservative party because all their promises turn out. To be unbelievable I mean we think of the 350000000 pounds a week to the n.h.s. And the Bracks believes that 40 new hospitals are actually 6 hospitals having some refurbishment lead getting to new wards where. $5000.00 more G.P.'s are Jeremy Hunt actually g.p. Numbers a drop by 1.2 percent and coaches promises another $6000.00 which will pay. Them and also private size Asian which is claimed by the concert is not to be an issue as good evidence that the amount of money spent on the. Amount the finds it's way to private providers has gone up from 7 percent 18 percent to a very slim and the n.h.s. Is now riddled with American companies who are advising on commissioning changes in structure of their health so I think privatisation is very definitely on the agenda John thank you very much indeed Susan is in Chapman Hi Susan welcome along how are you yeah I'm good thank you very much you're not in a program back are my gosh. How did the decision can I ask to be nosy Yes of course you can't wait for the top of what I want to say about the n.s.a. Just relaying Yeah so what happened was I was I shot paying 100 dime I fell and tripped over the curb I promise no I'll call involved. On the local shop for I would get myself realize that there was something a little bit more sinister going on so the next day I took myself off to post a hospital which was where I was me and I may said even if that were broken ribs they wouldn't really be able to do anything to buy my observation of a pint So if I went so some 6 days later I was out of sight plus the police station where I work as a legal advice that I am I have the most excruciating pain I am and I took myself to try to close the Royal Hospital and I have to say I had the most awful experience I probably hopped in many many years is why well how I am I was made to feel like I was a nuisance I'm not someone I actually came out because I was crying I couldn't breathe I was in so much pain I mean I'm not really tell you that your symptoms were not taken seriously they certainly weren't taken seriously I go to the reception desk I'm barely able to breathe I'm not and I'm not one given for traumatic or histrionics you know I'm very pragmatic about life and I couldn't breathe so I said to look you know I really need to sit time I sucked and I was in a tremendous amount of pain I mean let me say I'm full 10 minutes. And so I had to get back up again and say look you know I really need some assistance here I mean an awful lot of pain most of all those of all the people the school year. Turned out it turned out that you had broken your back just now it turns out that 5 hours later after a c.t. Scan light a break in the spine Oh my gosh so clearly and obviously the trust on here to defend themselves you know let your story stand and if they want to comment I can but obviously there's of a failure if you tally in the can that you received is that a human issue or is the something behind that there is a political issue which would sway your votes in the forthcoming election. I think looking at the politics and I certainly would mirror and more the last and chop I'm sorry I could be a Johnny. You need I think I would remember what he said about the Conservatives my observations would be to any party that asserts that they are going to do the best for the n.h.s. On this but the n.h.s. That they should really be bound by law to do this or that the d.n.a. That's a very interesting point Susan thank you keep coming your stories about being a patient or a frontline professional in the n.h.s. Which party do you trust 801 c 17575 is the number to call you can join us on social media as well using the hash tag b.b.c. England where you can text us an I want trouble 3 star you message with the word England let's speak to Emma in. China Yeah well come along Claire go on then Emma you're a Labor supporter so I point this asking you who you trust on the why do you trust more than any other party on the and I guess Emma Well I mean I've never really thought of politics until the last 2 years when I was following the bouts of like really bad and so have a life in a book. That's like well depression and then I like to think that romance has really been. I thought it never had it formalized a lot I found that I was in the system really frightening the system a skeleton system down here and call for the mental mental health system yes I'll go one way I'm a license for the part I was part of the custom I thought and it was a really frightening situation to play and I was I was in an underfunded and I was told all the pundits funded the stretch given the wrong meditation the fact that I'm still here is a miracle and what I want to say is every 20 years ago my mom had a head injury and I remember we had that she took a couple of times to sweat but they live. She when we went to the mental health hostels that they were mid-range mental health hospital twice a month break their legs should you know they don't go to hospital they have been stripped by the Tories those midrange mental health hospital pumps gone and you know Alice is on the take Russia where we could be now with a sentence in the community for mindfulness because there is always hope and there is always a not so you know there was when I was very sorry to interrupt your flow you know you're very articulate about it but are you telling me that as a direct result of your mental health issues that you have been politicised you've seen it firsthand as a patient and you thought this isn't good enough yet because when I retract when it was a miracle I think when I try my end of the world before my God What Well do we living in because I didn't feel I got one to say we can it wasn't just you know that some of them are amazing they're constantly told they're overstretching underfunded and if my point thank you very much indeed home move on our 801315575 the number to ring around the tax trouble 3 Start your message with England you always Adrian called they came on b.b.c. Local radio across England coming up we're going to be heading to the North Yorkshire coast but will live to say evening in Gloucestershire and house the n.h.s. And social care our focus on spent part of the day on the election campaign trial I started the day meeting a group of people. At a cancer support center called Charlie's in Gloucester I'm Joe said the learned Charlie switches a cancer support therapy center for anyone affected by cancer what was your experience of cancer treatments on the n.h.s. And what kind of cancer did you have I had breast cancer and once it was discovered my treatment was fantastic my cancer specialist nurse was just amazing Her name's Amanda I mean she still works there now and my treatment was 15 years ago and she was such a rock I probably would have got through without her and what your experience of cancer and I was diagnosed in April this year 1st fateful night falls day not the best joke really and that was from there to my surgery was 4 weeks and it was just a whirlwind the on stage was really surprising I thought it would be this a we can't tell you anything we can hide it we're going there but it wasn't from the very beginning it was all that doesn't get we're going to refer you straight away and almost since I got home I had letters and it all went really very very quickly from there. So yeah and I went through chemotherapy. And was given the all clear to me that's right me so what's your experience like I was diagnosed after a routine mammogram I was a bit of a show referred in to surgery had a super surgeon total mastectomy so my journey through the cancer treatment was brilliant but outside of my journey through that I was working for the n.h.s. And it was attached to a surgery in the forest in there where soup and I had wonderful support from clearly. What you've been through your treatments. The n.h.s. Stops and actually as a cancer survivor you need more than that what did you need for it and that wasn't provided by the n.h.s. That you provide you almost need somebody afterwards that can just hold your hands a little bit once I was in recovery and I was sent on my way I was expected to go back to work and I wanted to go back to work but I didn't know how to go back to work and had to be the same person I was before because I was no longer that same person because go in through this process it just change you it changes you it changes your family so that not only missin support for you afterwards there's no support for your family or what did you do at the time so I was an assistant manager for a medical company and all due respect to my company I worked for they were fantastic and they did a phased return where I could just nip in if I felt tired I could go home but something house was missin I needed more than my family needed more when I initially thought about it so it's set in this place so it was with my mum in mind I was 31 when I was diagnosed with cancer and on the baby of the family and it hit my memory be hard I wanted to meet somebody who had survived my cancer that was my age that's why I set this up so people go in through a similar treatment plans similar positions similar counsellors can all come together and they can relate to each other and how ph other originally we expect an awful lot of the n.h.s. Don't we when we're poorly we expected diagnosis to make a sale maybe it's asking a bit much to expect it to then provide the aftercare the emotional support you know call the call do everything yeah I think yeah I think when you suddenly get the right that's your treatment finished it's it's almost a bit sudden and then having someone like Teles to come to you where you know you can come in you can just come in for a cup of tea everybody thinks that cancer support groups everybody sitting around and talk about cancer and it's not that at all it's you come in for a cup of tea mate feel welcome if you are you know you have some mystic treatment which is which is amazing which is you know certainly does help with relaxing. Joe do you think the kind of emotional support is offered something the n.h.s. Should offer or is the n.h.s. Just better dispensing tablets Kaymer therapy in your case whenever I think they do you offer some of the emotional support but I think it's better to remain in the hospital we didn't wanted to be white walls we didn't want to be surrounded with people in uniform we want it to feel like home we want people to feel comfortable so I don't think this would be suited for the hospital to provide it because I don't think they will be able to do something like this it's a really lovely center in Gloucester called Charlie for people recovering from cancer joining up local radio across England coming to live from Gloucestershire with an election phone in focusing on the n.h.s. And social care your experiences good and bad as a patient or as a frontline health professional asking the question Who do you trust on the n.h.s. Marks one on one on Twitter says the Lib Dems are like their simple approach of a one percent tax increase yes they've said they write income tax by one percent and ring fence it and make sure that money was spent only on the n.h.s. And on social care Ed would Kelly in the foxtrot 4 on Twitter respond to our question Who do you trust on the n.h.s. By saying the Conservative Party let's go to the line Simon is in Scunthorpe our assignment they know they don't welcome our friend you've got a personal experience to bring to bear things yeah I was so nice and now sustained years ago you know just optimality. In surgery and seeing what the n.h.s. Did someone from start to finish. Saying off is absolutely fantastic what they've achieved how seriously ill was he saw me. It was. No operation of ink area I want it will be at stake so story it was about. I realize it does our resolve to be a and this is a common refrain is that of course most people use the n.h.s. In this country there are some people he's probably health insurance but the n.h.s. Is the default provider for most of us so something good happens we have the n.h.s. Is a great institution yet this is I mean it wasn't able to be carried out locally because it was a specialist surgery that was required which is why we were found out there is no longer going to be carried out on the n.h.s. Due to how how intricate it is. We've also been told some good news this week that when we go see the consultant just before Christmas this year that we are going to get discharged because the sins of operation has been a huge success and he could now live a normal teenage life brilliant stuff so the question I'm asking everyone tonight Simon who do you trust with the n.h.s. I'm going to go with the Liberal Democrats to be sad because they the one percent increase that's been mentioned throughout the show I think I'll go a long way for the n.h.s. . You know we all say no we've all been well doctors nurses have been you know times they were even working overtime there's no going out so they that's that's where my. Simon very interesting yes the Lib Dems proposal pretty clear cut one percent on your income tax they reckon that would raise something like $7000000000.00 pounds a year but they're promising if they are the main party that that would be ring fenced for health and social care I drink with you tonight taking your calls on our 801317575. And we've got reporters bringing us the picture in health care across England tonight let's go to the North Yorkshire coast now and b.b.c. Radio York political reporter Gemma Dillon he was in Scarborough this evening. That evening. Home here in Scarborough with my pageant he runs for homes and chairs the independent he's long been campaigning for more funding and a long term plan for us social care system now he said promises going way back to 997 from many different parties 5 prime ministers and 13 social care ministers and still says it's the biggest domestic crisis facing the country might quiet Well I think there's a lot of people going that care fact at the moment current figures show 1500000 people not getting the care they need so that's more and more it and as you said in the intro we've had so many promises in the past I've lost trust in all politicians they've actually deliver this time around and paint me a picture of what does that actually mean when you see families when you see people who need that care what does it mean for them well I think it's heartbreaking really because it's people's mothers brothers fathers sisters and they're suffering not just because of the trauma of having to admit some of the social care but it's about finding the right staff to look after them either in their own homes or in care Ms finally beds available because it's getting much tougher to find the care people need where they actually live and that's more. Morad why is just why is finding a bed so tough when I think it unfortunately gets down to the elephant in the room its funding social care has been cut since since 2010 billions of pounds been taken out the system because of austerity and that's why we're suffering so thankfully people are living longer as more people who need care but the funding is going in the opposite direction so people need care is going up funds going in the wrong direction that's what's critical and the system is creaking but linked in with that because the early piece of talking about the n.h.s. Is that if you don't get social care right all that happens it puts extra pressure on pressure on the n.h.s. So we need to fund social care adequately to help the n.h.s. You talk about funding now there will be councils across the land like North Yorkshire has he spend almost 50 percent of their entire budget on adult social care and they're grateful for the cheap 7 precept they can raise 3 council tax in the various parts of cash they've been given by the government but they will say that Sony are sticking plaster and what they really need is more funding and a long term plan what do you think that long term plan should look like well personally from my perspective is we've got to do to really bite the bullet and do something about funding in the future and I think has to be our national insurance and taxation similar to what the Lib Dems have talked about but we need to act on it soon because I think we should share the cost across the whole population no one wants to pay more tax but I think if you go to get a better quality of care later on when you need it like to invest a bit more so it's the same as the n.h.s. Free at the point of need I think that's the way forward why do you think the main parties have been so reluctant to tackle this well they seem frightened of it I don't know why because from a political point of view I think is votes in that they get it right so while they're all shying away from it I don't know of all the parties I'm very dismayed with the conservative policy at the minute because they promised a 1000000000 a year which is at the end of this next parliament it won't even get us back to where we were in 22 and that can. Right and we've got to challenge that and just very quickly that whole thing tonight is who do you trust with the n.h.s. Do you trust any of them with adult social care any of the parties I'd like to say yes but I've seen all parties all policies all people say something and they never deliver it this time when they get to power they've got to be how to account. They are not much help in Scarborough for any of the parties held a solution to battle social cat Gentleman thank you very much indeed very interested by the earlier caller said that whatever promises the politicians make they should be forced by law to fulfill them if they are elected that's a radical idea as well isn't it so alongside the n.h.s. We are talking about social care it's not very much part of our focus how do we fund care for maybe older people who need to live in a home or who need assistance to live in their own home maybe through home helps males on wheels etc to give us a call 801317575 that calls tonight from Cornwall from chant No I'm from Leeds from Scunthorpe and now Rodney in not saying I'm good evening to you Rodney How are you today Lou Yes. Bearing up very good go on your contribution I think it's where we start from. Determines whether we come up with the right aren't says and I think the most the most pressing problem is that we've had to stare at it the so long that the whole country forgot what good government actually looks like we really have had some very bad government simply because nobody's had a mandate to do what they've been doing it was interesting to hearing from John sorry Rod delegates I was interesting hearing from John you know who acknowledge that spending on the n.h.s. Has increased I mean it has been ring fenced to a degree from the cuts of all Starrett say but John said the demand for health services has gone up much in a much greater the grey than the spending to understand what the quote is about private apartments and the core is noted to have equality across. The whole cameras you have actually have to have equal rights for decision. And you only get when you have a privilege here who can buy their way into the front of the queue Rodney and one or 2 then in one word or 2. How do you trust how do you trust with the n.h.s. Rob Knight who do you trust with the n.h.s. To be honest with you I don't trust any politician in the current situation because we've had our start for so long that we've forgotten what good looks like me and not again thank you very much in Date Night politics and Jill Carroll action podcast bringing together the best of our local political reporting across the baby's sake is this week visiting Telford Sunderland Birmingham Wells' East born Oxford one and Scarborough Ben vices becoming quite the Trip Advisor you've been added to the list of reasons to visit Cheltenham this week in politics and. Some of the local health the playing a part in the election they can say it they're going to train with other good going to bring back this series and. I'm hearing from some newly eligible voters and while they might not be totally engaged with politics. Because they're talking of language the pastor I was going to represent so I don't just about. Represent any kind of special festive treat for a couple of our political reporters politics until we've made voice available now b.b.c. Sound. Card text one triple 3 starting your message with the word England text a tranche to your standard message rate see our privacy notice at b.b.c. . Local Radio previously b.b.c. Local radio. Yeah I drink go back tonight on a.b.c. Local radio. Cross England asking you who do you trust with the n.h.s. And why let's have your stories either as a patient or as a front line professional 080-121-7575 is the number to call in Texas as well I won't travel 3 start you message with the word England or on social hash tag b.b.c. England now in Lincoln at the county hospital ambulances have been killing around the car park as the bomb and struggles to keep up with demand b.b.c. Radio Lincolnshire has been speaking to patients at the site have been Whiting more than 12 hours for a bed I arrived at 1123 I've been admitted I'm still on our waiting for about so that's more than 12 hours you can wait for it but yeah I've asked if have have any idea when it will be and I've just been told ages they think it's pneumonia or maybe a clot more long hours literally a river that been sat up all night with 2 gentlemen who are older than me who are both been here longer than me I mean this is pretty dire isn't it yeah yeah the the national actually said themselves like they've never seen anything like it how it was last March the United Lincolnshire hospital trust has confirmed Lincoln is now at the highest level of alert just demonstrates the pressure the n.h.s. Is finding itself under him or the future of the health service is such a big issue this election let's bring in ag s. Tonight Dr Rebecca Fisher is a g.p. And a senior policy fellow at the charity the Health Foundation Rebecca Good evening to you good evening as you know that you're a g.p. Rather than work in a in a but do you face similar pressures in your surgery. We definitely do and I think it's important to be clear that these oppressions that have felt all across the n.h.s. And as your previous interview was saying in social care as well and they're so closely linked in general practice in particular we had this very public pledge in 2015 to have 5000 additional G.P.'s by 2020 but despite that pledge actually we've got fewer full time fully qualified G.P.'s working now than we had in 2015 and workload has increased but tell me about the pressures on you then as a frontline health professional How does it impact on your work as a g.p. What do you notice. I think like any health care professional you want to be able to deliver your very best care to the patient in front of you and it's really hard knowing that the number of patients that you have to see for us the volume of paperwork that you have to deal with the results that you have to go through means that perhaps you're just not able to give everybody the time that you would like to give them and you know patients come in and see me and say they've been waiting for weeks to get an appointment that's not good for them and it's not good for me either but we had a little earlier there about social care as well as wonder you know if you've got older people who perhaps aren't getting the care I need in the community are you seeing people like that they were coming to you perhaps traditionally would have been looked after being given support from a home help meals on wheels that kind of thing. But I think we certainly are and I think there are a couple of different parts of this one is that the kind of lack of social care means that we're not able to keep people as well often as we would like to so sometimes people are being admitted to hospital or coming to see us in situations that really would have been preventable if they'd had adequate care in their own home we're also finding and I think your previous caller was talking about the impact of austerity as G.P.'s we really are one of the only services still with a front door that remains firmly open I really want to see our door remain open but it does mean that we're dealing with things now that we wouldn't have had to 5 or 10 years ago just because those other public services have been cut back so much Ok Rebecca come to you again in a moment to bring in John Applebee's chief economist of the nothing will trust an independent health things and car John. We've heard that funding in the n.h.s. Has increased even in these years of all stare at saying it's not just about money is it. Yes well not just about money no money's really important and it's not just the money it's what the money can buy So the money can buy people and that's the big thing about health care and Social Care It's a people business. So yeah the money is important and it has been going up over the last 10 years but as I think one of your 1st caller was poorly drawn from Malaysia Yeah it's been rising at about one and a half percent over inflation each year. That's an increase in real terms which very frail rare isn't sold like spending have gone up a lot of that. Really has been at the expense of many other areas but the long term average for the n.h.s. Since 1948 has been about 4 percent a year. Up and down every year so that's the background and now we've got the manifest the 3 main parties are all departing from that that point labor promising something around $4.00. 3 percent a year Liberal Democrats 4 percent conservatives around 3.4 percent so they're not quite neck and neck but close and certainly that would make a difference compared to the last 10 years but we do have an aging society don't we which I mention right at the top of the program is a good thing but more of us with more chronic conditions as well long term conditions so rights of increasing spending in the n.h.s. Would we need to see to keep pace with demand well close to those sorts of figures actually not the figures that the parties are now promising Yeah. But I think the these are these of it's around sort of $44.00 and a half percent I mean it's a bit of a finger in the air to the extent but that would that would you know calculations in the field trust and others would suggest that sorts of figures that would keep pace with that sort of thing yeah not just the demand but also we keep inventing new stuff to do to people and we want to keep up with that as well which is great innovations in health care yes of your medicines new treatments and so on but which will cost money let me ask you I think or as well John I mean I read back I meant for you is it all about funding could the n.h.s. Work smarter because it does same from the outside you know the n.h.s. Notwithstanding a very important job that he does is a bit of a money pit isn't it. I think there is a perception that it is I don't actually think that is necessarily true certainly if we look at other health care systems around the world and how the n.h.s. Compares to them we're remarkably efficient we do very very well at getting an awful lot out of the Pounds that we do spend on the n.h.s. So look inevitably there are ways that every every process within the n.h.s. Could be made to be more efficient I'm certainly not saying there aren't improvements but actually we're really not bad at all and I think something that you really have to think about at the moment is how do we enable people in the n.h.s. Our staff to make those efficiencies how do we give them the headspace to do that when they're working in the kind of conditions that you were describing earlier in the program I'll carry back a thank you thanks also to John Appleby Julie Robinson is an exercise instructor he runs movie or lose it firm putting on exercise classes for people in light a lot of r.j. Like. There are a tree and so tell me what your classes day why we want classes and how how do people come together in the local community say to socialize. We're not just focusing on improving our strength to that balance that really really important but it's also to get. Them have a bit of talking making people and maintaining their independence less out of story so they can keep doing the things they want to do for longer and it's that prescribed on the n.h.s. Well it's not who was in the country. Was because. Recently in the u.k. At. The moment where they were saying that the 600000 long term health condition could be prevented over the next decade and that would be n.h.s. 12000000000. If we could get all the older people active so this is partly preventative preventative in a health sense but also combat Salis a life and loneliness. It isn't just about the physical we know that people are lonely of likely to be Christ and we want to get out and socializing So if absinthe so we can turn the clock in terms of keeping them at Pete independent so that social prescription which is a model that well is going to start happening is efficiently get a lump sum go stead of seeing the doctor just to get medication to see a little quicker who could prescribe other activities whether that's a little easy class or it could be an Easterner to or will lose everything that's going to get a lot of people out socializing and actually more active again I'll catch it early Thank you g. Robinson for movie or lose in the West Midlands Frank is in Culver lane Leicestershire Good evening Frank Freeman Hi my friend go on you've got a bit of a story to share thing. Over the past few years we've I've seen the best and the worst of the n.h.s. . The worst arson was misdiagnosed in hospital and suddenly dies. Sorry to hear that from another was attributed to May just as you were using any is an accident and he was misdiagnosed mistype using this charge where he got a calculator because staff just didn't have the time to attend to him properly. And was a short short your staff this is going back some time yet and it wasn't just our area that backs them. But recently are the major health care myself and the treatment of our is 2nd to none a local hospital restaurant and really is. On the siege the care I got was from testing Frank I'm glad to hear that thank you very much indeed franking Colleville agenesis enough single and good evening John and I are always remain here for you yeah go on then what's your story then I'm a phrase late I've got underlying health problems. That districts in the past I had various things after facts of the of those on my to my energy page practice is absolutely fantastic supportive. Very supportive I can say most match Yes I mean what is your observation of the health service then I mean you've given 2 strokes if it is all well then in the n.h.s. No I don't think so because I'm also about I were health care assistant now when I started it it was. It wasn't as 40 East to pay as a snout that's what I meant and now I'm a I don't know what the choice but when I last worked for them the share I was expected to do I. Want one and least 2 or 3 patients I could time these patients such having at risk of fall so had to Mencia all some said you felt you didn't have the time necessary to that they needed to read to be traded one to one Janet thank you caller really do appreciate it Kate in coming our 801 c 17575 that's our 801 c 175758 drink all day care on b.b.c. Local radio across England boy election 2019 have your say coming up we're in Shropshire as the fight takes place to keep a in the services open are spent part of the day on the campaign trail in Gloucestershire though where the future of a in a in Cheltenham is on the agenda Hi I'm critically and I am a camp. Painful reach the campaign to restore 24 hours in show them tell me how long the campaign is being going on Chris and points I reported to you in the other campaigns we're into our 7th year now 7 years ago the times were structured from a full 24 hour need to a 12 hour in a from 8 and more until it's in the evening and it's really important that we restored to full 24 hours in the last 6 months we fought a big battle with the truss to prevent them from moving it over to Gloucester So at the moment thing challenge them you have 12 hour availability I mean in Gloucester there is a 24 hour why does it matter that because cost is not far away up driven that today half an hour 40 minutes in the car what's the problem depends on whether you have a car of course there's definitely a problem with transport access for the elderly people in the poorer parts of the town we have festivals from March through to look we have millions of people attending it is ridiculous to think that they wouldn't have access to an Amy and you've had your own brush with death which gives you a particular insight into these issues it does and it involves centers of excellence in the use of a need I had a cardiac arrest a very dramatic one my heart stopped for 68 minutes I very nearly died I am incredibly lucky to be here it so happened the Chelton maney was closed at the time that I had my cardiac arrest and in the end I was taken by ambulance to the Bristol Heart Institute which is the center of excellence for heart patients in the south west would have been taken to Joe many I live 200 yards away I like to think how to be I could it be what about the next person who has a cardiac arrest he or she should have access to the kinds of quality of care that they could expect and time is critical if you've had a cardiac arrest I was incredibly fortunate most people don't manage to get that time you've got a 15 or 20 minute window that should be spent in. And a and e. Not in an ambulance waiting or a ping to get them has been downgraded already for the 24 hour there were 12 hour I mean there was a suggestion that the market closed all together you have successfully fought off challenges are you satisfied that at least we will continue to have our it I.X.'s we were really really pleased when Dr trannie the medical director came out and said what he said on b.b.c. Television he couldn't have been clearer the current service led by consultants is going to maintain and stay as it is at that level we're very pleased we do know however it is part of a national direction of travel for the n.h.s. That they are looking in all parts of the country to close it we believe that it is a stay of execution rather than a permanent state of affairs so you think you'll be having to fight this battle again to keep the 12 hour gentlemen we are almost as certain as we can be. You go deep skepticism there from Chris and Kate they've been the campaign for a 24 hour in Chelton he's b.b.c. Radio Gloucestershire is political reporter So Fran how big an election issue is not just the I in a but the n.h.s. Generally in this part of the world it's massive because Gloucestershire has 2 big centers Gloucester and Chel name each has an a in a but surrounding the centers is some really rural areas so any potential changes to the zany departments or n.h.s. Centers will have a huge knock on impact to these were areas for example sarin Sesto in the Cotswolds So concerns that the any department in Chel moment could be closed or downgraded in any way really worries people that a medical emergency they going to have to go that bit further is. Worth saying that the n.h.s. In Gloucestershire has consistently sent the a knee in Cheltenham will not close but it is something that the parties are campaigning about particularly and Cheltenham and you know it's a local issue which could have an effect on a West meets West Westminster seat and you've been part of a big b.b.c. News team in Chelton today quick resume what's been happening yeah so much so we've had loads of b.b.c. Journalists descending upon Chel name so because it is that key marginal seats some people might have been celeb watching inside Cheltenham said morning I was reporting for 5 Live b.b.c. World Service lots of people saying challenge on t.v. Writing on Facebook that it's making them feel home 6 this is where they're from so if you're familiar with Channel 9 when you're watching the 10 o'clock news tonight on telly you might see someone you recognise it is a beautiful time let's be honest about it Kevin is in Darby Good evening to you Kevin welcome along. Yeah hi mike on what your story can. Be large. I don't want 2 problems and went to opticians on a Friday I quite like. It touch Retin-A. 9 o'clock at night. Which probably don't got corporate days where potentially the whole thing detached so I was at the hospital on the Saturday followed the following Saturday morning and I was 'd diagnosed as. A set of forming on the they. Called in the staff on standby emergency operation. Which I plan. To be a very special caffein I mean that's that's over and above isn't it that's brilliant and it was one of those things where. There were dire fantastic large Adamic So you got Grajeda service from the n.h.s. That which party do you trust. Well I'm a conservative anyway so as long as Boris is totally telling the truth was said this morning and if there's any chance. I wouldn't. Want. To be conservatives. Or Jeremy Corbyn on an accent thank you very much indeed Kevin as you've been here he spent the day on the election trial here in Gloucestershire still trying to get in your call on our 801 c 17575. And I reporters all across England looking at the bigger action issues let's go now to Shropshire where there's a question over how far you travel to get the best possible medical care b.b.c. Radio show options political reporter is John Gallagher does how far you live from your name is a indie matter to you here in rural Shropshire it's an argument that's been rumbling on for years patients have to 247 accident and emergency units 70 miles apart and around 25 minutes away from each other by car there at the Royal Shrewsbury and the Princess Royal Hospital in Telford but plans are afoot for major change I've met a man from Telford who would be. A princess royal hospital were not and I. Trucked share who would be dad. Bring them we need them an area of over 2000 square miles of course we need to a nice That's still Ga health campaign from Ludlow in the south of the county she's against the 312000000 pound reorganization which would see the main emergency units based insurance rate Telford would be downgraded to an urgent care center and they get something called an a in the local At the moment nobody in any authority can explain what that means conservative politicians say it means nothing changes patients still get access to around the clock fully staffed emergency services do they know it would be. The only local for part of the day and the remaining part of the day and overnight would be centrally an educator center we've always been really clear that there would be a tooth for a cat center Princess Royal Hospital the local pub would be supplementing that not replacing that stay that is the boss of the county's 2 clinical commissioning groups they're the ones who pay for care and commission services provided by the hospital trusts Mark Cheatham is a consultant at the Shrewsbury and Telford hospital trust he's previously said patients won't notice much of a change in their care for most people if you have a minor injury if you cut yourself and need stitches or if you need an x. Ray you'll go to your local normal hospital if you're acutely ill or you've been injured and you need specialist treatment and you need intensive care or emergency surgery you'll go to a hospital specializes in that and that type of care whether it's consultants on site for significant proportions of the time this is a real win for the local population it means that most people will go to the normal hospital for those people who are really sick get better care jill George disagrees course law. Will home. And although a.m.d. Is a key part of this part of the 312000000 pounds will also be used on moving lots of services between the 2 hospitals including the relocation of consultant led women and children services and planned care it's an issue that needs more than a sticking plaster to fix it John Gallacher in Shropshire John is in the like this to get even John. To marry me sorry hi my friend the one quick point then John before we go what you decide my friend well it's just Am I a. Heart attack go that may cause I'm 65 you get is well sort of the post common to screen Normally I don't bother but because this is one talking about r r. . I went to the sky and they discovered that on your resume which needs to be 3 and you know 5 is an America where the majority of health care is private and if you don't have money you just spoke with the endo and then a choice is so brilliant. That with so much rubbish government by whatever government you're on your own are going Hey you're eulogy to the n.h.s. In one would want to go toe to Maxim who do you trust with the n.h.s. . Trust one word or 2 John that people the people or the people who run are you brought up already broke my rule John is in child and I did a welcome along by lovely hair that eulogy from John now you know an aneurysm spotted by a routine test that's good that's greit preventative health work didn't answer my question on who he trusts go on day what you story well I would as a NASA scientist is. Unfortunate had some accident which was precious and of the call because they didn't have the health and safety that they my but also I feel. Hopping watch the n.h.s. . That they have taken away the elderly cat that so much needed to kick in child also in child. Goes the ads by was thought. To me we want insults that will set us there was no I'm sure it's is available my husband who is a ex part of Magic City is to me but between children and close to my diagnosis somehow caught from a injured back. To be in the diabetic problem yet I do have this. And also the as a saying I feel strongly about it because I feel I was on the scrap heap and not that a let's talk within the last little some of the some of the nurses they don't understand our to that. Day that that's a very specific issue isn't one word all true Who do you trust with the n.h.s. Take the Liberal Democrat day thank you we asked that question on Twitter now to Candy the spill out says the grains and in their absence light but John Kennedy said not politicians are knocking kind because says they do I trust least the bags and the Tories will see you again on Friday week December the 6th between item 11 join us then. B.b.c. Local radio. To main. Road here for an hour tonight but there has not stopped me from Crimea as many things as we can and I visited the virtual reality experience here I visited the. I'd also like got the lowdown of the Little Rock pageant coming to borrow the Christmas speaking to anyway. That Thanks Thanks Thanks Thanks Thanks Thanks Thanks Thanks. Thanks.