Ambulance Season 15 Episode 4

Reality Insight Hub

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Transcript

00:00New incident, category one.

00:04Put you on an RTC, two cars head on.

00:08This lady has been on the floor since 5am.

00:11It's a two-year-old who's been stabbed over.

00:15Every day across Yorkshire, more than 3,000 people call 999.

00:20He's just not breathing.

00:22He's pregnant.

00:23He's trying to borrow petrol load gases.

00:27The ambulance service must decide who gets help.

00:31We're going to look after you mate.

00:33We've got you.

00:34Can I get you covered up?

00:36Lovely and jubbly.

00:37And who must wait.

00:3834 jobs waiting for an ambulance now in Leeds alone.

00:42As the pressure on the NHS refuses to relent.

00:45We're creating the waiting room for a waiting room.

00:48The paramedics on the ground navigate England's largest county.

00:52Welcome to our office.

00:55Alright kid, well done.

00:56From the busiest cities.

00:58Chaos tonight.

00:59We'll need to get out of Leeds now.

01:01To the remotest villages.

01:03We're in the forest.

01:04In the middle of nowhere.

01:05Where each call is a crisis.

01:08Got a five-year-old found wandering in the street.

01:10Naked.

01:11Malnourished.

01:12God, it breaks your heart.

01:13It's awful.

01:14And every decision critical.

01:16Hello!

01:17Where are we going?

01:18You alright?

01:19Please get the kids out of there.

01:20Where are they going to land in the middle of Bradford?

01:22We go beyond the flashing blue lights.

01:26Whoa!

01:27Whoa, whoa, whoa!

01:28To reveal the human stories behind every siren.

01:31Absolutely.

01:32Thank you for coming.

01:33You don't have to thank us.

01:35You do.

01:36You've got manners, you do.

01:39Are we all ready to set sail?

01:41Get her going!

01:42Get her going!

01:43Ha ha ha ha!

01:44Ha ha ha ha ha!

01:45Ha ha ha ha!

01:46Ha ha ha ha ha!

01:55Ambulance, patient, what are you doing?

01:58Somebody's caught my gas pipe yesterday.

02:01The big massive gas leak.

02:02And, uh, the old lady next door, she's not answering.

02:06I don't know if she's dead inside the house.

02:08So you think she may be dead inside?

02:10Yeah.

02:11Oh, I've got a query dead inside. Gas leak. Oh, God.

02:30Query? Whoa.

02:361696. 1696, good morning. I'm just sending you down this job.

02:42And it is a query female dead inside, query gas leak.

02:46They have informed the gas board and there is someone on team with a patient.

02:50The team lead is also coming as well over.

02:52Er, yeah, thank you, love. That's all received.

02:55Let's go.

02:571696, Pete and Georgina are immediately dispatched to the scene

03:02on the outskirts of Bradford.

03:04They are two miles away from the patient.

03:07A team leader is also en route.

03:11It's all very unusual inside.

03:14You need to leave the contaminated area immediately

03:16and do not go into the scene.

03:18If there is gas and there's been a leak,

03:21you need to make sure that you're safe as well, OK?

03:24Oh, my God.

03:26The whole street could be up.

03:291696, I'm just going to pass you this other bit of information.

03:32Open the doors and windows to ventilate the property.

03:35Don't operate any electrical properties.

03:37Avoid anything that could be a source of ignition

03:39and turn the gas off at the meter.

03:41That's come from the Northern Gas Network

03:43and fire, I think, are coming as well over.

03:46That's lovely. Thank you. Well received.

03:49We'll grab the bag of monitor, just in case.

03:51It's like your worst nightmare.

03:55Like, what with my grandma or granddad or anyone.

03:59I hope that is not what it's saying it is.

04:02Yeah.

04:03OK.

04:04OK.

04:05OK.

04:06OK.

04:07OK.

04:08OK.

04:09OK.

04:10OK.

04:11OK.

04:12So the gas was cut off yesterday?

04:13Yes.

04:14For the whole building?

04:15What, sorry?

04:16The gas was cut off yesterday for whose property?

04:18Top one.

04:19Top one.

04:20Top one.

04:21Top one.

04:22Top one.

04:23Top one.

04:24Top one.

04:25Top one.

04:26Top one.

04:27Top one.

04:28Top one.

04:29So the query room, because this is not being seen, is this one OK?

04:31Not yet.

04:32Not yet.

04:33Which is, try and knock her first.

04:34Yeah.

04:35And then that's on the panel.

04:36Is she cold before then?

04:37Is she cold before then?

04:38Yeah.

04:39Yeah.

04:40Yeah.

04:41Yeah.

04:42So the gas was cut off yesterday for the whole building?

04:44What, sorry?

04:45The gas was cut off yesterday for whose property?

04:46Top one.

04:47Top one.

04:48Top one.

04:49Top one.

04:50Top one.

04:51Top one.

04:52Top one.

04:53Top one.

04:54Top one.

04:55Top one.

04:56Top one.

04:57Top one.

04:58Top one.

04:59Top one.

05:00Is she cold before this lady?

05:01Yeah, I've been here.

05:02Either that one.

05:03Either that one or this one for COPD.

05:06Here we are.

05:11Oh, hello.

05:12She's open.

05:13She's open to the window.

05:15Is she coming down?

05:16She had a big smile on her face, haven't she?

05:18Hello, is it Christine?

05:20Yeah.

05:21Hello, Christine.

05:22Sorry, it's Yorkshire Ambulance.

05:23So we've just been informed by some next door neighbours that we've got a

05:27gas leak and the neighbour was actually concerned for your welfare.

05:31So I do apologise for waking you up so early, but we just wanted to make sure that you were

05:35OK.

05:36Oh, hi.

05:37I will be in a minute.

05:39I'm really sorry that we've got you up so early, but, you know, obviously anything to

05:43do with a gas leak, we just needed to make sure that you were OK.

05:46I'm fine.

05:47Good?

05:48OK.

05:49Thank you for waking me up.

05:50Can you see?

05:51Well, with no teeth in and out, you know.

05:53I don't know.

05:54False alarm.

05:55Oh, false alarm.

05:561696.

05:57We have made contact with the occupant.

05:58Many thanks.

05:59You've got a lovely garden, Christine.

06:00Thank you, dear.

06:01It's beautiful.

06:02Is it your pride and joy?

06:03It is.

06:04Yeah.

06:05It's very nice.

06:06I just need a bit of a sweep up, you know, with the leaves.

06:07Yeah.

06:08That's awesome.

06:09That's the next job.

06:10OK, well, we'll leave you to it, Christine.

06:11All right.

06:12Going back to bed now, then.

06:13Yeah.

06:14Oh, bless you.

06:15Well, you can start sweeping up all the leaves.

06:16Bye-bye.

06:17Bye-bye.

06:18Bye-bye.

06:19Disaster averted, I think.

06:20She's lovely, isn't she?

06:21I've been to her before.

06:22Oh, really?

06:23I've never been to her.

06:24I've been to her for the next door neighbour to get a key, because she's got a key.

06:27Oh, yeah.

06:28That's the next job.

06:29OK.

06:30Well, we'll leave you to it, Christine.

06:31All right?

06:32We're going back to the vent now, then.

06:33Yeah.

06:34Oh, bless you.

06:35Well, you can start sweeping up all the leaves.

06:36Bye-bye.

06:37Bye-bye.

06:38Disaster averted, I think.

06:39She's lovely, isn't she?

06:40I've been to her before.

06:41Oh, really?

06:42I've never been to her.

06:43I've been to her for the next door neighbour to get a key, because she's got a key.

06:48It's good to have concern for your neighbours.

06:51I think that's sometimes the thing about Bradford is that people do tend to look out for each

06:55other.

06:56Yeah.

06:57All's well that ends well.

07:00I'm so glad, to be honest, because I actually were genuinely worried.

07:03I know.

07:04Yeah.

07:0514.83, go ahead.

07:08Ambulance service is the patient breathing.

07:12Is he changing colour?

07:14He's gone very white.

07:16OK.

07:17So, like I said, the help's been arranged for him, OK?

07:19We will respond to him as soon as we can.

07:21Who is shopping at half past eight on a Good Friday?

07:24Unless it's for Easter egg shopping.

07:26Maybe, actually.

07:27That's to be fair.

07:28That's a good point.

07:29I'll allow that.

07:30It's the start of the Easter bank holiday weekend.

07:33Keep going at that rate.

07:35One, two, three, four.

07:3718, 12.

07:38Sorry to bother you.

07:39I've got a cardiac arrest at Skalmore.

07:42Are you in a position to clear for this?

07:44Working alongside Carla in dispatch is Chloe.

07:471696.

07:48So, we've got a house fire at Keefley.

07:52Between them, they will look after an area spanning 738 square miles, coordinating 93 ambulances

08:00in Bradford and its surrounding areas, as well as the western part of the Yorkshire Dales.

08:06Ambulance service.

08:07Tell me exactly what's happened.

08:09Hit him over the head with a tray.

08:11He's laid on floor.

08:12He's laid on floor.

08:13He's got blood all over there.

08:14Yeah.

08:15In the last hour, control have received 164 new calls for help.

08:21Try and keep it nice and calm, OK?

08:23I'm going to tell you how to stop this bleeding.

08:26Currently, there are 87 patients waiting for an ambulance across Yorkshire.

08:31I've got 21 active jobs and four Cat 2s, three Cat 3s and no crews available to send.

08:40We wouldn't advise to move him unless he's in danger.

08:45An influx of high priority calls has meant 28 Category 3 calls have been kept waiting for an ambulance

08:53over the target response time of two hours.

08:56Do you think exactly what's happened?

08:58I think he's tucked on my tablets, obviously.

09:01He's on a lot of medication, but he's got confused.

09:04He don't feel right.

09:05Just reassuring that help is being arranged.

09:07I'd advise you I've seen some delays in the area.

09:09I have a 100-year-old gentleman.

09:14He's struggling to get his breath.

09:17OK.

09:18We'll advise you that there are some delays.

09:20All right.

09:21I'm monitoring good and proper.

09:24I'm just a passed away.

09:26I'm outside the library.

09:28And there's a lady studying.

09:29She's got nothing on her feet.

09:30But you can clearly see that there's something not right.

09:33OK.

09:34We have got that helper in.

09:36So you just need to advise that delays can be up to two hours.

09:43My oldest is Cat 3.

09:4569-year-old taking too many tablets, confused.

09:48They've been waiting three hours.

09:51It's a nightmare.

09:52That is a long time, isn't it?

09:581696.

10:001696.

10:01I'm just passing you down this Cat 3.

10:03It's for Anthony.

10:04He's taken too many tablets.

10:05He's confused.

10:06I think he's obviously done it by accident.

10:10He's called his son.

10:11He's struggling.

10:12He's shaking.

10:13He doesn't feel right.

10:14So...

10:15Yeah, I'll head over and see Tony.

10:17Thanks every so much.

10:19Pete and Georgina are five minutes away from the Category 3 patient,

10:24who has already waited for three hours and 20 minutes.

10:28I wonder what tablet is this to?

10:30I suppose to consider the fact that we're taking things in combination as well, aren't you?

10:34Yeah.

10:35100% probably found the same.

10:36Yeah.

10:41Oh, gosh, we're here already.

10:44I've met him and his son before, actually.

10:46You've what, sorry?

10:47I've met him and his son before, but it's a long time ago.

10:49Have you?

10:50What?

10:51Not on the ambulance then?

10:52No, when I work for traffic council.

10:55Hello there.

11:00Is it Tony?

11:03I'm just going to do some checks on you while Pete has a chat with you, all right?

11:11So, it's happened by mistake.

11:13Do you know what's happened exactly?

11:17Right.

11:18Right, OK.

11:19So, is it a double dose that you've had?

11:33Is that right?

11:35Or is it more?

11:36No.

11:37No, I think it is a double dose, but I'm just, I aren't sure what's in the round box.

11:41Do you know what I mean?

11:42Yeah.

11:43Are you Tony's son?

11:44Yeah, I'm his son, yeah.

11:45Right, OK.

11:46Yeah, so they should have all been gone, really.

11:48So, he's obviously not taken them as he should from the 1st of April.

11:55I'll be good.

11:56Yeah, he must be a lab at about the time he was discharged.

11:58Yeah.

11:59What was he in with?

12:00It was a fall.

12:01OK.

12:02Do you have any carers?

12:03No.

12:04So, you administer medication yourself?

12:06What?

12:07What?

12:08What?

12:09What?

12:10What?

12:11What?

12:12I've...

12:13You don't want them?

12:14He refuses.

12:15Well, he'll come round and try and make sure he's had his tablets, but I'll tell you the truth,

12:17you know, when it's like that and there's that much, it's confusing.

12:20Yeah.

12:21Yeah.

12:22I mean, it sounds like you're struggling to take the tablets, aren't you?

12:25Because, you know, he's got too many tablets of everything, really.

12:32And is this your dad's normal presentation?

12:34No.

12:36He's not as shaky as that normally.

12:38I can talk a bit better.

12:39When was the last time you saw him?

12:41Yeah, last night.

12:42And was he not shaking as much as this?

12:44No, he wasn't like this last night, though.

12:45And he was talking normally as well?

12:47Yeah.

12:48OK.

12:50Are you hurting anywhere at all, Tony?

12:52No.

12:53Have you got any stomach or abdominal pain?

12:56No.

12:57Just...

12:59Just got a headache.

13:00How's he been prior to today?

13:02He's been all right.

13:03Yeah, not much.

13:05He's been out a few times throughout the week.

13:07Has he?

13:08He can get out of town on buses and stuff.

13:11Goes on bus?

13:12So...

13:13What, even very recently?

13:14Yeah, this week he's been out a couple of times.

13:15This week?

13:16OK.

13:17He's been eating and drinking all right?

13:19We do his night-time meal for him, do you know what I mean?

13:21Or tea-time.

13:22Right.

13:23OK.

13:24Blink.

13:25Blink.

13:26Blink.

13:27Blink.

13:28Blink.

13:29Blink.

13:30Blink.

13:31Blink.

13:32Blink.

13:33Blink.

13:34Blink.

13:35Blink.

13:36Are you happy to join us up at the RI this afternoon to get checked out?

13:40Yeah.

13:41Yeah.

13:42I don't...

13:43You don't feel good, do you, exactly?

13:45So let's get up there and get things sorted.

13:50Tony will be taken to Bradford Royal Infirmary, four miles away.

13:54You were a councillor as well, weren't you, for a tidy while?

13:57Yeah.

13:58I remember.

13:59I worked for a councillor as well.

14:01Well, you were one of top Labour councillors, I seem to remember.

14:04Weren't you?

14:05How long did you serve for?

14:06On Bradford council.

14:07And I know you're a proud man as well.

14:08Well, I get that.

14:09Tony, can we do a social care referral for you?

14:12What's that?

14:13It means that what we'll do is write to the local authority and write to the local authority

14:33say that you could really do with a bit of help with your medication.

14:38And maybe a bit of help with other things in the home as well.

14:44I'll know what to say.

14:45But I want to support you in living as independently as you can at home.

14:54I am independent.

14:57I know you're independent.

14:58Well, alright, I'll rephrase that.

15:01Live safely, independently.

15:04And I know you know how to look after yourself.

15:08But we've had to come out today because there's been some mix up with your medications.

15:16I'm sorry about that.

15:20No, don't be sorry about it.

15:22These things happen.

15:23But if I can make a social care referral on your behalf, then we can start to get help

15:30in place with your medications.

15:33Good care.

15:45Hey, Tony.

15:46And that lady.

15:47Yeah, Georgina.

15:48She's driving.

15:49That's much appreciated, Tony.

15:51Well, you've served the community of Bradford for a big part of your career.

15:56It's time for us to serve you for a little while.

16:01Right, a bit bumpy down this hill.

16:11So, when I used to work for the council, one of the jobs I had was calling on people

16:17who hadn't completed their registration for the electoral register.

16:22And one of the people I had to see was at that address that we've just been at.

16:28And father and son have both got the same name.

16:31Yeah.

16:32So, it could have been either or.

16:35Anyway, senior answered the door and I explained the situation.

16:42And given that he was a serving councillor, he knew that it wasn't him,

16:46because obviously he'd want to vote for himself.

16:48So, he knew it was actually his son.

16:51Yeah.

16:52So, he was absolutely furious.

16:53Was he?

16:54He says, I'm going to wring his neck.

16:57I was telling this to him in there and he was chortling about it.

17:00That's funny, that.

17:01I bet he loves that stare.

17:03He did love it.

17:09You're good left?

17:11You're good left.

17:12And you're still good left.

17:13Yorkshire people are incredibly proud.

17:20I think that pride in where you live is the glue that sticks everybody together.

17:28That's why we have a really strong sense of community.

17:35My family moved to Bradford when I was a kid.

17:39I remember we came to a point where the houses ended and the fields began.

17:46Looking out at this view, I thought, wow, this is just such an amazing place.

17:52I had no real desire to move anywhere else.

17:57I worked for Bradford City Council for nine years and I absolutely loved it.

18:04But I wanted to do more for the city.

18:07At the ripe old age of 51, I decided to take the plunge and join Yorkshire Ambulance Service.

18:13I found another way to serve the community.

18:23How old is the patient?

18:24I don't know.

18:26It's a complete stranger, love.

18:28We were crossing the road and then it just went backwards.

18:31Nine hours in and call volume has more than doubled since the start of the shift.

18:36Ambulance Service, hi, how can I help?

18:39Control have now answered over 1,200 emergency calls.

18:43He's basically gone up on her bike to do a jump and as he's come back down,

18:48he's just like, kind of, he's landed on his front wheel and come off the bike.

18:52How old are you?

18:53I'm 12. He's 15.

18:55How far did she fall?

18:57She checked over in the graveyard and tells us laugh.

19:00Carla, are you as busy as I am? I'm really busy.

19:03Honestly, all of a sudden then, it's just gone wild.

19:06God, I've got a chest pain coming in now.

19:08Have you?

19:13New incident, category two.

19:18Ingleton crew, Barney and Chloe are one of ten crews on duty in the Yorkshire Dales today.

19:2584-year-old, cat two.

19:291707.

19:30Hiya, 1707. I've got a job for you, please.

19:34It's over at Graffington, so it's a little run for you.

19:37But we've got Muriel, she's 84 years old.

19:40She has been suffering since this morning.

19:43Neck hurts, stomach hurts.

19:45They have mentioned that there was a pain spreading to the arm, neck or jaw.

19:52So potentially chest pains on this one.

19:55That's fine. We'll go and see Muriel and see if we can help her.

19:58Thanks a lot for the update.

19:59Barney and Chloe are the nearest available crew to the category two patient, 16 miles away.

20:06Also dispatched is a community first responder, a trained volunteer based in the local area,

20:12who can provide immediate care before the ambulance arrives.

20:16I like old people.

20:18Yeah, you are great with old people.

20:20I have good stories.

20:21Why is that? Do you think you've got, like, an old head?

20:23I think it's because I used to spend a lot of time with old people.

20:26You misspent you.

20:27Even as a child, yeah.

20:28Even as a child, I spent a lot of time with old people.

20:31You used to go round to people's houses and have, like...

20:34Yeah. Chocolate.

20:35Yeah.

20:36Chopped prices.

20:37Easter eggs.

20:43Do you think it's that?

20:44Yeah, I think it's probably this one.

20:46This woman is your destination.

20:48Hi.

20:49We're coming.

20:50Hiya.

20:51Alright.

20:52Yeah, you okay? You expecting us?

20:53Yeah.

20:54Oh, great.

20:55I just want to come out and meet you.

20:56The first responders inside.

20:57Oh, okay.

20:58Yeah.

20:59Yeah, it's just this house.

21:00What's your name, lovely?

21:01My name's Raya.

21:02I'm the next-door neighbor.

21:03Oh, okay.

21:04Great.

21:05Alright, Donald.

21:06They're here.

21:07They're here, yeah.

21:08Hello.

21:09Lovely, thank you.

21:11Hello, mate.

21:12I'm Barney, Josh.

21:13Hello, Muriel.

21:14Are you okay?

21:15So, this is Muriel.

21:16Yeah?

21:17The reason for the visit today is, Muriel rang 111, because we're a bit concerned about

21:20some pain in our stomach area.

21:22No chest pain, but this stomach pain is going to the back.

21:25Okay.

21:26It's coming on a bit like peristaltic kind of pain.

21:28Oh, okay.

21:29We've not been to the bathroom today.

21:31Yeah.

21:32We're only quite regular.

21:33Is it all right if Barney does some obs on you?

21:35Hey, Josh, thanks so much, mate.

21:36You've got a great history and all that.

21:38Yeah, yeah.

21:39Let me just do your blood pressure and things.

21:41It's just there.

21:42Is it a pain, Muriel?

21:43Yeah.

21:44Josh very cleverly described it as kind of like a movement of the, like a pushing kind

21:48of sensation, really.

21:49Yes, it is.

21:50It is.

21:51And then, but you, and it feels like something that was going through you, but nothing's

21:53come out of...

21:54Oh, no, no.

21:55That's very good.

21:56Can I just give your belly a bit of a...

21:58Yeah.

21:59You can.

22:00Right.

22:01Tell me if it hurts anywhere.

22:04I can feel it.

22:05You can feel it?

22:06Is there any pains?

22:08No.

22:09Round there?

22:10No, it's just that middle bit there.

22:12Just there.

22:13Heart conditions?

22:14No.

22:15No?

22:16Fit and healthy?

22:17How old are you?

22:1884.

22:1984, wow.

22:20Oh, wow.

22:21Aren't you?

22:22Doing well, aren't you?

22:23Just in April.

22:24I nearly caught me up.

22:25Why old are you?

22:2687.

22:2788?

22:28Oh, the older man.

22:29Well, 88, this year.

22:31We have four sons, four grandsons.

22:34Really?

22:35Two great-grandsons, one great-granddaughter, and five granddaughters.

22:39I've got a little girl at last.

22:41Oh, wow.

22:42Oh, my goodness.

22:43No way.

22:44Have you always lived round here?

22:45Yeah.

22:46Do you remember meeting Donald, then?

22:48Oh, God, we were local, you see.

22:49Oh, really?

22:50We've been going out for a long time.

22:53Oh, have you, like, grown up here and everything?

22:55Oh, yeah.

22:56You know what's weird?

22:57My mum used to live here.

22:59Did she say?

23:00Yeah, with my grandma and granddad.

23:03The last name was Steele.

23:04Not Michael Steele.

23:05Yeah.

23:06Oh, my...

23:07Judy.

23:08Yeah.

23:09He was a master at school.

23:10Yeah, that's him.

23:11Oh.

23:12That's my granddad.

23:13Is he?

23:14Yeah.

23:15Good friends of mine.

23:16Oh, were they?

23:17Oh, what a small world.

23:19Yeah.

23:20So, listen, Muriel, the unusual things are just abdominal, tummy pain.

23:23Yeah.

23:24But actually, everything else checks out brilliantly.

23:27So, there's no need for, like, hospital.

23:29No, no.

23:30I'm conscious it's Easter.

23:31So, the GP surgery is not open.

23:33No.

23:34So, you've now got Tuesday.

23:35Tuesday is one of their busiest days of the year,

23:37because they've had now four days where it's not been open.

23:40So, if you feel like you're getting worse at all,

23:42then, by all means, phone them on Tuesday.

23:44But you can take some paracetamol...

23:45Yes.

23:46..two, four times a day if you wanted.

23:48Yes.

23:49And if you felt like your abdominal pain was getting worse,

23:51then you can phone 111 again.

23:52OK.

23:53Or you can speak to your GP on Tuesday.

23:54OK.

23:55Have you got any questions for us, Muriel?

23:57No, I don't think so.

23:58Brilliant.

23:59I feel happy.

24:00With what?

24:01You look happy.

24:02You look great.

24:03Honestly.

24:04Good.

24:05I'd keep, you know...

24:06She looks for me, that's why.

24:07Yeah.

24:08I'd stick with him, would be my advice.

24:12Yes.

24:13I would do.

24:14It seems to have worked out well for you.

24:16Right, it was nice to meet you, Bob.

24:22How nice were they?

24:23Just jolly, happy.

24:25You know, that is the picture of a happy couple there, isn't it?

24:30Mm.

24:31With such a big family, you could...

24:32They seem to bounce off each other, didn't they?

24:33Yeah, they did.

24:34You're good, my way.

24:38One of the things about the Yorkshire Dales is that there have been families that have lived here for centuries, and it means that there's often a very close-knit community.

24:55People looking out for their neighbours.

24:58It's lovely to be a part of that.

25:01My wife and I moved to the Dales with the dream of raising our children in the countryside.

25:10The slightly old-fashioned nature of these rural areas just offers me and my family so much.

25:18You have this support network around you that can help you in difficult times.

25:25I didn't realise how much I needed my community.

25:31Without them, I don't think I would have managed, really.

25:35It's the start of Easter Saturday for the Yorkshire Ambulance Service.

25:52Morning.

25:53Morning.

25:54Morning.

25:55Have a good one.

25:56See you then.

25:57Have a lovely night.

25:58Bye.

25:59Well, morning.

26:00Morning, whatever time it is.

26:01Signing on for another 12-hour shift in the Yorkshire Dales are Engleton crew, Barney and Chloe.

26:07Hello.

26:08Morning.

26:09How are you doing?

26:10You okay?

26:11How are you?

26:12Yeah, fine.

26:131707.

26:14Very good morning.

26:15Good morning, guys.

26:16Did you both sleep?

26:18Well.

26:19Yeah, thanks very much.

26:20We did have some Easter puns lined up for you this morning.

26:23What do you think it was a time or place to yoke around?

26:26That was very, very good.

26:29I'll wait for another one.

26:31Every hour on the hour, we'll have an Easter pun.

26:33Oh, you crack me up.

26:35That's for the next hour.

26:36Do you want us between, kind of like, Settle and Ingleton?

26:42Yeah, that sounds great.

26:43Just edges between the two, just in case there's quite a few people out today, I should imagine.

26:49Yeah, thank you.

26:50That's great.

26:51We'll let you know how we go.

26:57Ambulance, is the patient breathing?

26:59Yeah, she's breathing but she's not responsive.

27:02Right, so is she awake?

27:05Erm, no.

27:07Just tell me exactly what's happened.

27:09There's a young lady.

27:11When I passed her initially in my car, she was sat up and looked like she was in a lot of distress.

27:17So I came back to check on her.

27:19She was shaking and now she's stopped shaking.

27:21There's a couple of other people here helping me now and we can't get her to wake up.

27:26No problem.

27:27So can I just confirm, is she awake?

27:30She's not awake, no.

27:36Sat in bus stop.

27:381707.

27:39Hiya, 1707.

27:40I've just got a job for you coming in.

27:42Erm, I'm unsure of patient age at the moment but it states that the patient is shaking violently and unresponsive.

27:49So I don't know whether that means they're having a fit or if it's something else entirely.

27:54Lovely, thank you, we'll get there.

27:55Barney and Chloe are ten minutes away from the category one emergency, the most life-threatening.

28:05It's always a difficult one to prejudge, isn't it, these situations?

28:08Because you can sometimes find that it's nothing like how you imagined.

28:13Yeah.

28:14And they just happen to be out in public and then bystanders are phoned.

28:19Look, is she an epileptic?

28:20I don't know.

28:21She's starting to twitch again like she's having some sort of fit.

28:29I think, please...

28:30So she start...

28:31So she's...

28:32Right, so listen to me.

28:33Has she started twitching again?

28:35Yes, she has.

28:36We're going to treat it like she's having a seizure, okay?

28:39You just need to leave her where she is, just make sure to move dangerous objects away from her.

28:45Update feature of call has changed to convulsions forward slash fitting.

28:51Just let me know when the twitching stops, we are travelling as an emergency.

28:54I will stay on the line until the crew arrives.

28:58Right, the ambulance is here now.

28:59Right, that's done.

29:00I'll leave you with a clue then.

29:01You take care.

29:03Bye.

29:04What do you think?

29:05A bit of a fit.

29:06Oh, bless you.

29:07Yeah.

29:08Yeah.

29:09She's got a nice steady radial pulse, which is good.

29:10So who found this lady?

29:11Oh, do you know her?

29:12Are you...?

29:13OK.

29:14Do you know this lady's name?

29:15No, I don't know.

29:16She's not British one.

29:17She's not British one.

29:18She's got a nice steady radial pulse, which is good.

29:21So who found this lady?

29:22Oh, do you know her?

29:23Are you...?

29:24OK.

29:25Do you know this lady's name?

29:26She's not British one.

29:28OK.

29:29No.

29:30Yeah.

29:31Nobody knows her name.

29:33Nobody knows it.

29:34Was she with anyone?

29:35What's your name?

29:36No.

29:37Caitlin?

29:38Nice name, Caitlin.

29:40Caitlin, as you well know, you're on a roadside.

29:43You're on a pavement.

29:44So we're going to need to get you up in a second.

29:46But what we'll do, you'll just do a couple of checks.

29:48Where are you from, Caitlin?

29:50Ipswich?

29:52Ipswich.

29:53Ipswich.

29:54I'll bring you over here.

29:55So, I was in York for mental health.

29:57Yeah.

29:58And they told me to get myself home.

30:00And with the way my wife is out at the moment, it isn't a good idea and I don't feel safe at home.

30:06OK.

30:07Shall we get you on the ambulance where it's warm?

30:10Yeah?

30:11Yeah, so do you know where you are?

30:12You're in a place called Hellyfield.

30:13It's always a lot.

30:14In the Yorkshire Dales.

30:16Thanks so much, guys.

30:17There we are.

30:18You jump on.

30:19Shall we get the heat off?

30:20Yeah.

30:21Have you always had some mental health problems?

30:22Yeah.

30:23So, you were 16, right.

30:24So, you were 16.

30:25Right.

30:26Yeah.

30:27So, you've got emotionally unstable personality, this sort of thing.

30:28Yeah.

30:29And autism.

30:30You've got quite a lot going on then, haven't you?

30:31So, it sounds like you were sitting by the roadside and you've kind of collapsed.

30:33Did you think you had a sleep on the roadside or something?

30:34Yeah.

30:35Yeah.

30:36And autism.

30:37You've got quite a lot going on then, haven't you?

30:52So, it sounds like you were sitting by the roadside and you've kind of collapsed.

30:58Did you think you had a seizure or anything at any point?

31:02No.

31:03Do you suffer with seizures?

31:05No.

31:06Do you mind if we just give you a bit of a check over?

31:08Do you mind if I have a little feel of your head?

31:10Yes.

31:11So, no pain or anything here?

31:13No.

31:14What do they call this thing?

31:15Is this like a poncho?

31:16An oodie.

31:17An oodie.

31:18An oodie.

31:19Oh, I'm a bit out of touch.

31:20A poncho.

31:21A poncho.

31:22And then your self-harm is just to your arms here.

31:28No, I can do it.

31:29It's a touch that I can use it.

31:30Okay.

31:31You've been dealing with this for a long time.

31:35So, how come you found yourself in York?

31:40Voices.

31:41So, did the voices ask you to go to York?

31:44Yeah.

31:45So, you caught a train.

31:46And then what did you do in York, actually?

31:48Self-harm.

31:49Then the A&E at York.

31:51Did you see the mental health team in the department at York?

31:54Mm-hmm.

31:55Yeah.

31:56And then what did...

31:57They said basically go home, did they?

32:00Mm-hmm.

32:01Oh.

32:02So, then if I've understood this correctly,

32:03you've then got on the train at York to Helifield.

32:07Is that right?

32:08Okay.

32:09And then you've got off the train here, and that's how you're here.

32:12That all makes so much...

32:14That makes...

32:15Yeah, I understand it better.

32:17Voices, then.

32:19So, how often do you hear these voices?

32:22All the time.

32:23All the time.

32:24But, I mean, how often is it that you would kind of, like,

32:27journey to, like, York because of the voices?

32:31I travel mostly every day.

32:34Really?

32:35Do you feel...

32:37Do you feel suicidal?

32:39Yeah.

32:41Caitlin, you know yourself better than anybody, better than we would,

32:48or any mental health professional.

32:50What helps you?

32:51I think that is pretty much...

32:53What do you need?

32:54Like, a really breaking point.

32:56Yeah, it's quite evident you're a breaking point, isn't it?

33:05All right, lovely.

33:09Well, I think what the plan would be is to take you down to Airedale,

33:13where they can assess you medically, and then, crucially,

33:17can speak to the mental health team,

33:20because I think that's really important,

33:22and then maybe come up with a plan,

33:24because it's hard to just discharge you out of the hospital

33:28whilst you're still getting these voices

33:30and you're acting on the voices.

33:32Are you ready, Bernie?

33:33Yeah, thanks, mate.

33:34Have you found the voices have told you to go to many places?

33:50Colchester.

33:51Colchester.

33:52Scotland.

33:53You've been to Scotland?

33:54Wow.

33:55Norwich.

33:56Cambridge.

33:57Yeah.

33:58Lower-staffed.

33:59Lower-staffed, yeah.

34:00Home.

34:01Yeah.

34:02I think it's about here.

34:03Wow.

34:04Treating patients with mental health problems can be really challenging.

34:17I do feel that many people feel lost in some way.

34:23The world can be so overwhelming.

34:27So it's about helping those patients through that journey,

34:31rather than feeling like you can fix them there and then.

34:36Just being there and listening is everything.

34:40Are you all right?

34:42I'm all right.

34:43Why, yeah, you will be.

34:45But you'll be pleased to know we're here.

34:47We're here.

34:49We're here.

34:50We're here.

34:51We're here.

34:52We're here.

34:53We're here.

34:54We're here.

34:55We're here.

34:56We're here.

34:57Come around.

34:58We're here.

35:15Sun.

35:16Yeah.

35:17Yeah.

35:21When there's a crisis, you need people looking out for each other.

35:28Over the last few years, my community supported me through such difficult times.

35:37My wife and I loved the idea of a, you know, big family.

35:41So when my wife was pregnant with our third, we were giddy with excitement.

35:51Rafferty was delivered and I remember the paediatrician just turning to me and saying,

35:57did you know?

35:58And I said, know what?

36:02And he described these limb deformities and a hole in the roof of his mouth.

36:08We couldn't touch Rafferty because he was in so much pain.

36:16To imagine that your child is suffering that much is exceptionally hard.

36:24You can't help feeling a sense of injustice and unfairness.

36:29It's always something I've battled with.

36:31And so you have to, you know, take some humility to hold your hands up and say,

36:38I'm struggling.

36:3812 miles south of the Yorkshire Dales in Cullingworth, a new 999 call is in progress.

37:01Are you with him now?

37:05How old is he?

37:07And what exactly has happened?

37:09How has he collapsed?

37:10I've no idea.

37:11He's got very little mobility.

37:13He's on a lot of medication because he's got sectioned a bit of goal and I think that's all it's side effects.

37:20Organising healthier now.

37:21Just stay on the line for me, OK?

37:256096.

37:276096, I'll pass you down this cat one at Cullingworth.

37:2961-year-old Martin, he's collapsed behind the door.

37:33He's been there since last night, bless him.

37:36Caller's saying patient's been poor mobility and patient with sectioned a while ago

37:40and caller believes it could be the side effects of his medication.

37:45OK, many thanks for that.

37:46He is with his sister and brother-in-law.

37:48I hope everything's OK when you get there.

37:50Yes, thanks so much.

37:52Pete and Georgina are five miles away from the Category 1 emergency.

37:56He's been there all night.

37:58I wonder how he's collapsed or why he's collapsed.

38:03It's fine.

38:04Squeeze it, Nick.

38:08He was back a door here.

38:11Yeah, he was head against...

38:12Head in this corner.

38:14Where is he now?

38:15So, last night upstairs.

38:16I managed to get him up.

38:18Oh, right, OK.

38:19One needs, eh?

38:20So, Martin, can you just tell us a little bit more about why we're here today?

38:25I wanted to get a parcel.

38:27OK.

38:27Last night.

38:29It had been about 10-ish, I think it was.

38:33So I went down and I stumbled upstairs.

38:37Right, OK.

38:38Just do your temperature in your ear.

38:40Oh, man, it worked wrong parcel.

38:42Oh, flipping heck after all that.

38:43So then you've been down at the bottom of the stairs

38:48until your brother called for you?

38:51Until he turned up.

38:53I'm trying to get it up.

38:54I just couldn't get up.

38:56So it's just as well your brother called around, wasn't it?

38:58What time was that?

38:59Just, like, just before he called for us?

39:01Yeah.

39:02What's it now, 10 o'clock?

39:03So maybe I'm out half nine.

39:04I've got some stuff to...

39:05Me and my wife have been and bought some stuff to clean.

39:09That's one of the reasons why we're here today, but...

39:12Oh, bless you.

39:12OK, really nice and still as best as you can

39:15while I just perform a CCG, OK?

39:18That's good to do.

39:19Oh, fantastic.

39:22What year were that?

39:24I was 63.

39:25So you've always been close, haven't you?

39:28Yeah.

39:28So your brother came and he was able to help you to your feet

39:33and help you to walk up the stairs.

39:35And it was a struggle.

39:37But you managed it.

39:39He managed it.

39:40Are you hurting at all anywhere?

39:42On my hip.

39:44On your hip.

39:45OK.

39:46Was mobilising causing you more pain or not?

39:51Er...

39:51You weren't screaming out in pain as you were climbing the stairs?

39:56No, I wasn't.

39:56So your heart rate's going a bit fast at the moment.

40:03So we would recommend that you take you up to A&E.

40:08Right.

40:08Just to get you checked out up there.

40:10You've been down on the floor for a while.

40:12Er...

40:13And just see what they say.

40:16I'm just thinking we've...

40:17If you're happy to stand up and make sure you're not dizzy or anything like that.

40:22And if you are, you sit straight back down.

40:23Yeah, we can give you a hand to stand up.

40:24That's absolutely fine.

40:26Having been on the floor for over nine hours, there is an increased risk of complications.

40:31So Martin's condition will need to be assessed at hospital.

40:35So, grab a pair.

40:38If I go forwards, Pete will go behind you.

40:40How does that feel?

40:45Do you want to sit down?

40:51I'm just wondering about how appropriate it is for you to live on the top flat.

40:56On an upstairs flat.

40:59It's not, is it?

41:00It's not, is it?

41:01Given your mobility that you've displayed.

41:04Yeah, but it's recently worse.

41:06Yeah, so obviously it's probably been quite a quick change.

41:09If you've been able to do it previously, is there anyone that you can raise these?

41:14We've tried all sorts.

41:16We have all sorts of different...

41:17You can speak to them.

41:18...a minefield, really.

41:19Yeah.

41:20Well, what we can do is, we can do a social care referral for you.

41:23Yeah, all right.

41:24And we can get these things set in motion.

41:26Yeah.

41:27So not just cover things like, well, cover things like your housing options.

41:32Yeah.

41:32It's not an overnight fix, but it's the starting blocks.

41:35It's getting it started.

41:36Yeah.

41:37Just take it really slowly.

41:39That's it.

41:42Well done.

41:50I bet you're glad you crawled around today, aren't you?

41:52Yeah, I am.

41:53So are you going to work?

41:55No, normally we have a van when we go to jail.

41:58You know, it's also then.

42:00Oh, yeah.

42:01We just go for a weekend.

42:02It's been raining and I finished late.

42:04We work a bit late.

42:05Yeah, I thought I'll have a weekend at home instead and we'll go short on our night now.

42:10Well, it's a good job, isn't it, really?

42:11Because nobody would have found him for a few days then, would they?

42:14No, it would have been Sunday or Monday.

42:17Some things are meant to be, aren't they?

42:19Yeah, exactly.

42:20Love you, bro.

42:21All right, bro.

42:22Take care, you know?

42:23We'll look after him, all right?

42:25Speak to you later, yeah?

42:26Yeah.

42:29Where are we going?

42:30Idealities.

42:31Edel.

42:31So, mental health issues, what are we talking about?

42:37What sort of mental health issues?

42:39Exxiety.

42:41I've worked for six months.

42:45And now I'm in Linfield, man.

42:47Right.

42:51How long has your mobility become more of an issue?

42:54This past year.

42:56Right.

42:57Were you quite active before then?

42:59Yeah, or a manager, or on my feet, or whatever.

43:02Right.

43:0312, 13 hours a day.

43:06But then I'd support it.

43:09How are you coping with self-care, personal care?

43:14I shower and shower every month.

43:16Shower once a month?

43:17Yeah.

43:18Do you have somebody to help you?

43:19No, I've done my time in, but I can't do it now.

43:22Right, OK.

43:23So I normally have a wash down in the sink.

43:29Seeing how people live and the struggles people face is an eye-opener.

43:34We will go to people who really do need more help.

43:41They've fallen off the radar, which is very, very unfair.

43:46I think the ambulance service can provide a bridge to social care.

43:50But there are services that are stretched and quite overwhelmed.

43:55Councils are really struggling, and that impacts on what they can deliver for communities.

44:01It's frustrating because I want to provide the best care I can to those people now.

44:05It's a real issue around demand and funding, and bridging that gap.

44:18As good lad as you're, Stephen, isn't he?

44:25Don't love it for anybody.

44:28What a nice man.

44:29All right, we're here.

44:59Ambulance, is the patient breathing?

45:05Yes, I am.

45:07Is the ambulance for you?

45:08It is, love, it is.

45:10I'm suffering with chest pains, and it's going right back into my shoulder blades,

45:14and I've been sick twice.

45:17And I don't seem to be able to shift it.

45:20Five hours into the day shift...

45:23What's your name?

45:24Almost half of calls are for patients aged 65 and over.

45:30So you're going to put the window through?

45:34All right, well, don't do that, because that's obviously breaking somebody else's property.

45:38And it's difficult with it being Easter.

45:41But the ambulance service can't force you out of the care home.

45:46Tell me exactly what's happened.

45:48Well, I've got this pain in my side, like a stabbing pain.

45:52Are you alone at the moment, or is there someone with you before I leave on my own?

45:58OK, how old are you, please?

46:00I'm 78.

46:02I'm so bright.

46:04OK, don't worry, I'm going to stay on the phone with you as long as I can, OK?

46:08We've got you an emergency ambulance arranged.

46:10You've done the right thing to ring us.

46:13I don't, like, thought of him on the road.

46:14No, I know.

46:15It's just making me realise how important it is to, like, just reach out to people.

46:21Absolutely.

46:26New incident, category two.

46:28Multiple self-harm injuries.

46:31Bites to arms and hands.

46:32Barney and Chloe have been dispatched to a child who has been placed in emergency foster care.

46:42This could be quite a difficult situation, to be fair.

46:46It's going to be complex, isn't it?

46:47Yeah.

46:50Well, we'll just go and see, see what we can add.

46:55Oh, sheep.

46:56Oh, dear, sheep in the road.

46:59I'll go again.

47:00Sorry, guys.

47:05I think this is the end.

47:09Hello.

47:10What's your name, lovely?

47:11I'm Dem.

47:12So, I am foster...

47:14OK, you're foster carers, yes?

47:16She has only come to us this morning and it's an emergency placement.

47:20OK.

47:21What's happened is she's just had a full-on meltdown.

47:23Oh.

47:24Which isn't unexpected.

47:25She's started pulling her own hair out.

47:27Yeah.

47:27She's bitten herself.

47:29She's just lost it.

47:30Honestly, it's so tragic.

47:33Oh.

47:35When you see her, it really is tragic.

47:37Yeah.

47:38What her circumstances, what she's been through.

47:43Hi.

47:44Hiya.

47:44So, it's just her hands here.

47:48Can we have a little look at your hands?

47:52That's fine.

47:53What's that on your foot there, then?

47:56Is that a sticker?

47:56Is there a sticker?

47:59She's been star-stickering.

48:00Is this a sticker?

48:01Is this a sticker?

48:01Like here.

48:02Which one do you like?

48:03Do you want this one?

48:05Where do you want it?

48:06Do you want it here?

48:08Which one?

48:08This one?

48:11Which one would you like?

48:12That one?

48:14She's got quite a good head of hair, hasn't she, actually?

48:17Oh.

48:17Shall we just give your hands a bit of a wipe?

48:22Oh, lovely.

48:27Lovely.

48:28Oh, a bit of watsit there.

48:29Look.

48:32A bit of watsit here.

48:36She's got a nice, steady radial.

48:38Can I have...

48:38What would you like?

48:40Would you like another sticker?

48:42One more watsits.

48:43Do you want that?

48:44Bob.

48:47Can I just wipe your hand, lovely?

48:50Can I just wipe this hand here?

48:53She probably wants...

48:53Oh, a hug.

48:55Oh, that's nice.

48:56She probably wants you to pick her up.

48:57Do you want me to pick you up?

48:59No?

49:00Was my face scary?

49:03The hands don't look too...

49:04She has clearly got an abrasion here and things,

49:06and there's a risk of infection.

49:08But I think that's going to be really difficult to do anything with.

49:11Yeah.

49:11Um, and so what we can do is we can just take some details

49:14and just do a little bit of writing and things.

49:17I think, from my point of view,

49:19I'm happy enough with the assessment we've done, really.

49:21I don't think there's any benefit from trying to get, kind of,

49:24temperature observations, that kind of thing.

49:26I think it's just going to distress her further when it's not necessary.

49:33Have you always...

49:33How do you get into foster care?

49:35Did you have, like, some deeper motivation, though?

49:37No, or were you just...

49:38Well, I always knew I would.

49:40Really? What, ever since you were young?

49:42Yeah.

49:43Ben always thought,

49:44well, I have my own when there's so many out there that just need some love.

49:49What a happy, you know, life you're giving them.

49:51I hope so, yeah.

49:53But I think that stems from my own childhood, and, you know, I've been very fortunate.

49:57Having a happy childhood.

49:58I had a really happy childhood, and then I've got three young children.

50:02I've got one, two, and a three-year-old.

50:03Oh, wow.

50:03But my one-year-old's been born, like, um, well, as a quadriplegic.

50:07He's on a peg...

50:08Right.

50:08He's ventilated at night.

50:10OK.

50:11But you're kind of, like, thrown into this world of, you know, child disability, and it feels like...

50:16I know, like, I'm going to be really positive about disability and stuff, but it feels a bit of a tragedy, really,

50:22you know, my current situation.

50:23Yeah.

50:24I can imagine it is, because you don't, you don't expect it, do you?

50:27And it's not what you hope for.

50:28No.

50:30But no doubt you'll make the best of it, and he will have the best life that he can have.

50:36Well, like...

50:36Oh, he can.

50:37Like yours, right?

50:38Yeah, like yours.

50:39Yeah.

50:39Oh, that's nice of you to say.

50:42I think we're still...

50:43Doodle, doodle, doodle.

50:44Doodle, doodle, doodle.

50:45This is a tough life.

50:47I was still trying to get my head round it, really, Dem.

50:49I don't know what, uh...

50:51You know, so actually, you know,

50:53you slightly approach work a little bit differently,

50:56kind of, like, maybe empathise from those kind of, like...

51:00When you see the parents like you,

51:01who are dealing with multiple complex children,

51:04you know, maybe you can kind of relate to that a bit more.

51:08I don't know.

51:11Anyway, sorry, this is absolutely not about me.

51:14You just need to make sure that you seek support when you need it.

51:17Yeah.

51:18And don't, you know, drown in the, it's all down to be,

51:21because it's not, and it can't be.

51:23Yeah.

51:23You do need...

51:24Because you do feel, like, an intense pressure, you know?

51:26Yeah, of course you don't.

51:27You absolutely want the best for your child.

51:30But at the end of the day, he has a disability.

51:32Exactly.

51:33You don't foresee that happening, do you?

51:35No, never.

51:36And you don't, you know, you don't want it to happen.

51:39No, you don't.

51:40That's the...

51:42You know, you're happy that you've got a son and he's alive.

51:45Yeah.

51:46Yeah.

51:46It's...

51:47You shouldn't be like that, should it?

51:49And I feel like I end up feeling guilty about, kind of, like...

51:52Yeah.

51:54About feeling so, you know, devastated about it.

51:57Yeah, I get that.

51:58Which is hard.

52:00He can be a net positive too.

52:01He can kind of, like, contribute a hell of a lot to our children, to our family.

52:05He improved me.

52:06Yeah.

52:08You've got to let yourself...

52:08Ben, thank you.

52:09That's, you know, really nice of you.

52:11A little bit unexpected, to be honest.

52:14Um, anyway, sorry.

52:16Right.

52:16All right.

52:17I'll go and chat to Chloe and just see how she's getting on.

52:19I don't think we're going to add too much.

52:23Um, do you have any kind of, like, germaline or, like, um, Savlon, that kind of thing?

52:29I mean, if it's possible to get a bit of that on abrasions, then it reduces the chance of her infection.

52:34How are you getting on, Chloe?

52:36Anything to add?

52:37We've been giggling.

52:38Have you?

52:39Yeah.

52:39Really?

52:40We've been making lots of noise.

52:42That's amazing.

52:43Right, they're going.

52:45Bye.

52:46Are you waving?

52:47Bye.

52:48If you need us later on, then give us a ring.

52:51Yeah.

52:52See you later.

52:53Thanks, lovely.

52:54Hey, pleasure.

52:55Hey, listen, thanks, honestly.

52:57You're welcome.

52:58Come on, doggy.

52:59You're passing and you're quiet.

53:00Well, really.

53:01Sit in the garden and have a break.

53:02See you, mate.

53:03Thanks so much.

53:04Lovely.

53:04Cheers, Dan.

53:10It's been such a, like, tough 18 months to go through.

53:15And then...

53:16I don't know, I haven't cried for months.

53:19It's because...

53:21I'm really sorry.

53:27I got upset.

53:28Why?

53:28I really felt like I'd kind of, like, moved on.

53:31It's a massive change in your life, so it's going to be emotional.

53:35Yeah.

53:35And it's OK to be emotional.

53:37Yeah.

53:37Thanks, dude.

53:39Thanks, dude.

53:39I've got to be emotional.

53:40I'm sorry.

53:40I don't know.

53:41I don't know.

53:42I don't know.

53:43I don't know.

53:44That dem was unbelievable.

53:59And I'd actually only spoken to her for like 10 minutes

54:01and she felt like, I felt like she got to the nub of it.

54:07I just felt like it was quite a powerful thing

54:12because I felt like she got it.

54:16That's quite a good example about how community works, isn't it?

54:19Yeah, small communities.

54:21Yeah.

54:21All together.

54:22Work together.

54:24And I've been a beneficiary of that through my son.

54:36Rafferty's now 20 months old.

54:39He's coming on leaps and bounds.

54:42For so long I've felt a little bit, woe me.

54:48You know, isn't my situation difficult?

54:50And then you look at him who has had a truly difficult start to life

54:54and you see how happy he is and the progress he's making.

55:00I've not seen anything so inspiring.

55:04I just love him so much.

55:06Yeah, you came along on a glorious day

55:13Now I want you to save me again

55:18We've had some really good jobs today.

55:20We have, haven't we?

55:22It's been a really good day.

55:24I feel like we've done some really good stuff.

55:25The Yorkshire Ambulance Service is a very much valued part of the community.

55:30It's something that I'm very proud and privileged to be part of.

55:33I feel like I've finally found what I really wanted to do in my life.

55:38Right, home sweet home for the ambulance and then home sweet home for girls.

55:41The fire that they said would burn

55:45Without a doubt the last few years have been challenging

55:53But undoubtedly living in the Yorkshire Dales has been a really supportive place to be

56:00And that gives you a sense of belonging

56:04And an identity that really empowers you to help others

56:10When you came along on a glorious day

56:17By the time that you left I was crawling again

56:24Yeah, you came along on a glorious day

56:31Now I want you to save me again

56:36Now I want you to save me again

56:44Yeah, I want you to save me again

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