tv NEWSHOUR Al Jazeera September 3, 2018 9:00pm-10:01pm +03
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percent of the population are registered with a general practitioner. like george has signed up to kick street health center don't come to all of them but everybody seems to. me the big special i don't know but that's what makes me feel. i'm going to look at both of them all here you're right. it's a dense. linda stain is a senior practice nurse to save money and free up doctors time patients who need minor ongoing treatment are cared for by nurses get to take the show off george if that's ok george has been coming here for seventeen years ever since he's been really. except that. it's quite a few years and i've been there and i've been tree with dr rock. the whole time
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and she's been really really great sibylla about it and made it very very choice how painful is it. what that's one thing is hopeful if you're in pain it's the lack of circulation you get sort of like an eighty x. mark if it breaks down infection can get it and then the cells around the leg getting infected so the leg swells up threats to fluid and we have to put one and biotechs. sachi looking much better isn't it ginevra these are looking quite good and they cleared up and. if you go dr perry to ask. my love is in their hands and trust insistence that. this isn't then move to the doctor a friend as well. george is not alone. in
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a survey ninety percent of the u.k. population say that they trust their doctors. knowing people well makes you a better doctor i think i'm better doctor because we have really good continuity of care here and i have patients who are my patients who i know and they know me and i think that actually helps me practice better medicine. long term doctor patient relationships are particularly effective when it comes to treating patients with mental health needs. my name is how i come from. out of the region. and. out of me now. i have nightmare i a chart of. i dream about things are home to me when i was a kid i wish physically sexually abused are not now hard on living with a star shark but hannah suffered
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a nervous breakdown in her twenties and spent years in and out a psychiatric hospitals. know well enough to live within the community she's completely reliant on the state for her health housing and welfare needs. dr melanie gardner has her first port of call for any health concerns i like her because she's our. she make me laugh she makes me smile i don't just see it as a doctor a she was a friend of our which is nice to not mean you get a good relationship with a doctor makes a whole lot different. primary care looks after ninety percent of all patients experiencing mental health issues in the u.k. they make up a quarter of all consultations but not point men are past ten with dr gardner if you took a glance at hanna first off you think well she's not that well can't wonder what this person is all about. but if you can find something in that person that you
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connect with or you can identify with then everything else can kind of follow from that. other. how you're going. to affect every way you are anything other than not measurable increase in value but it's a ok i can shuffle vanished like history book myself if they are you falsely bad and you know i caught a number skate and you're scared ok on petrol hard. so this week he had cash has it been that you all that the nightmares are worse in themselves they're more scary or is it that you're having them or what i think a week or mark a week can i just ask what you do when you wake up. like a shaky maiden a word you know sort of panicky you know really you know we have been running i was reading a diet book the other day ok you know on my way and i'm not it not for you from
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a right way and in the diet but i had a whole list of things you can do when you're not allowed to the yet obvious. is to control your eating but to distract yourself it's things like do a puzzle leaf through a catalogue call a friend do males. i don't think you're taking this very seriously you know thought you know i read this list of things that distract you and i thought of you and i thought actually maybe this list might be helpful for you to the couch problem shared is it really does help to talk about things and just to feel listened to and feel that knowledge i didn't do that much today for example with hannah and talking about her past abuse i didn't do any big psychological intervention we didn't go into it really in any detail i tried to encourage her to be distracted the most important thing i did was say oh that's awful and listen and i really acknowledge what she was telling me and how awful it was and i think that she that's probably the most important thing i did. thank you ok thank you see this
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is really a very self and don't do anything are coming around. bye bye bye bye it gives me the confidence to come i am confident that for in make you need a competent building when you've gone for a walk all you need to comp is building and she'd get meat out of it and mentally ill people often find it very hard to access health care they may be scared of institutions or going into a hospital if you're quite a vulnerable fragile person can be very threatening by providing doctors and nurses that they can get to know we can encourage people who are quite from rable to be able to access health care in a way that hospitals. struggle today. the network of general practitioners free to visit at the point of need make the yuki's health system one of the most accessible in the world for its citizens. it also saves money they keeping out of hospitals we are sort of one of the front doors of
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medicine really there's anybody two front doors one is general practice and one is a any. one of the. each appointment with a general practitioner because the health service thirty one pounds or forty eight dollars. is attending the x. intern emergency remark is about four times that at one hundred ninety one dollars . killick street has an average fifty three thousand five hundred appointments pay a year each schedule to only ten minutes. we have a lot of training in dealing with problems in ten minutes the challenge comes when either it's a very very difficult problem very complex you don't know what's going on as a doctor so we have the ability to refer patients in to see a specialist or go for a test or whatever it may be patients can't really get into those systems without seeing the g.p. patients can only see a hospital specialist with
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a general practitioner or a feral each for a feral costs between two hundred fifty and three hundred ninety dollars. so there's a lot of pressure on us to make sure we use that in the right way really in a system which is stretched we have to justify that we are using specialist services appropriately louis farrakhan for dr ben smith speech and louise has come to ask him for feral. pay to. have. affairs here it's here we spoke you said that in the solar system which has you know this has in fact how about i call mine for too long no pay down to him to sell movie on the move he referred to that i've been seeing in the vast majority of your ferals like there was a celtic street are based solely on the doctor's clinical judgment. but recently some practices have been rewarded for non referral by the local health authorities
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in an effort to cut costs where the hope of ability service is the right thing i don't know i don't mean a level where services is that it is where is it reviewed it is actually pretty quick it's the internet and monitors e.c.a. so out which is. what i'm delighted to have a little bit of a look into that service and see what the sort of criteria are for getting there but i suspect it's quite severe quite eerie about what often will be for me to refer you to was called the most fiercely they will know about high probability service and they are able to refer you instead for suggest to me that our food into that i have read a few i'm following you off with that now it sounds like maybe i kind of didn't think. well i was a pacemaker friends that i've been seeing you probably do appreciate that. this is a very specialized thing. can i. jump through hoops to fail you
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know maybe yeah that's great appreciate. there is a what is my theory so we should hear it in a clinic in a few weeks we have within four weeks or so posters. were right there are. thirteen million referrals are made in england each year a number that has increased by four million in the last seven years. our patterns are monitored and they're compared to other practices so we do see data where they were more or less than other practices you don't want to practice that over because that suggests that you may be not doing enough in primary care. the work of general practitioners is monitored by their local clinical commissioning group this is to ensure best medical practice in their area. national bodies such as the national institutes for clinical excellence produce guidelines
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to inform g.p.'s decision making particularly when it comes to prescribing medication. they really. try to do. actually so willing to cheat we all struggle with the. and i was the last one hundred last time coming you came back you four legs yes. you did want to come in it was worse but still be chilly here we're careful about prescribing not so much because people check up on us but the because we want to do best practice we want to follow national guidelines yes and in no time. some cream up forty five miles or so moisturizing cream we've got you down for caesar mac regard we don't do a forty five i don't dispense cards we are all the stress we have to give you
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something that usually what you think would be best god is good but if you don't like that one ultra bases are in us and us and you must arise in three you know how i am about there's no evidence that says any particular difference between which moisturizing you create you create news and another they're all very much the same local prescribing advisor t. want us to prescribe the cheapest ones. cream and that's going to save one pound fifty four ok i think one pound fifty for not very important times that by hundred thousand people we can save hundreds of thousands of pounds by prescribing the cost effectively. i'm going to visit one of my regular patients lucy who normally comes the surgery actually but she's been quite ill recently she's got a very nasty skin condition on the ct epidural lysis below. which means she has blistering skin all over her body sort of on. her box but also inside her
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mouth around her eyes as well and she's had a flare up recently which means shipping lots of pain and. she's unable to come to the moment it is a life limiting condition. it's a fine balancing act by saving resources where they can general practitioners are able to our. more to do is in greater need for low fares bands where. banks. hi there hi yeah yeah and if it's not too bad while i was in arctic that we will heat and stuff in the month so i was you know more or less on the back of the can even stand up to get into the chair and at the end of last week i was feeling a bit better in a bit more and so immobile and i wasn't really hurting so much like us weekly and we were asked to go to this event and i was so kind of store that had to find that
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because we'd win the condition of the day it's well i'm always. up to us and be kind of tired and that's kind of that has been that because i start to feel ok anyway ok so in terms of our sort of we could catch up with aggressive medication is there anything you need we'd sort out for you at the moment. but it's ok and mostly interesting here sky and shipped over the last few years think us. bench role is to coordinate the cure lucy gets from various hospital specialists in particular it's his job to prescribe the expensive medication that she needs. while i'm aware that with many people with me be it can be into hundreds of thousands maybe goal and. i mean it can't be helped too and there's not much that we can use that is cheap it seems that what we have now and nothing is really an alternative who should be much worse some of the are now. i hardly see many of us
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would be around to leave it to the quality of cancers that would you rather see nice to see anyway good luck with a happy to know that. you. medication is very very expensive so why of course if you conversations between prescribing advisers about. the people who monitor our drug use want me to you know want to be clear that a medication is used properly because they concerned about the cost it costs thousands of pounds every month i'm not quite sure how much but it. is a lot but chiefly the needs of. meeting the medical needs of the u.k. population is an increasing challenge. since it has been found that the population is growing the population is a lot more people older people sicker people and people more worried about what's wrong with. less people
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a path to pay more tax and it's just not going to work you called far more invasive and expensive treatments on the same money less people are willing to pay more since the birth of the n.h.s. life expectancy has risen by thirteen years the population has grown by fourteen million and medical knowledge has advanced in unimaginable ways the pressure placed on primary care is building whether it can survive in its current form hangs in the balance and those changes are actually with us the stop treating the n.h.s. like a political football and changing the rules eg and every time the government changes or more. september on al-jazeera the fourth eastern economic forum is to be held in the city of london for stock as russian looks to expand its influence in the asia pacific region on television and online the stream continues to tap into the extraordinary
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potential of social media to disseminate news the presidents of russia turkey and iran will meet in teheran for another summit seeking an end to the war in syria we'll have extensive coverage people in power continues to examine the use and abuse of power around the world the united nations general assembly holds a seventy third session what action will it take on atrocities in me in march and yemen we'll bring you all the news of september up on al-jazeera. as europe's public opinion shifted to slavery is abolition therefore yours where say human exploitation took on new homes as a whole slate that became the hidden face of europe's industrial revolution the history of slavery is not the black history and it's not just the history of white colonization but the history of human inequality it is the legacy for all of us the slaveries new frontiers part three of slavery it's on al-jazeera as we embrace new
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technologies rarely do we stop to ask what is the price of this progress what happened was people started getting sick but there was a small group of people that began to think that maybe this was related to the kind of disclosure and the job and investigation reveals how even the smallest devices have deadly environmental and health costs we think ok we'll send our you waste to china but we have to remember that air pollution travels around the globe death by design on al-jazeera. well i get more carl and i have these the top stories on al-jazeera there's been widespread condemnation of a been more court's decision to jail to reuters journalists and troll so who were found guilty of possessing state secrets and sentenced to seven years in prison they were arrested in december whilst investigating killings of ranger in rakhine
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state journalists say they were framed by police. you know this is unfair i want to say they are obviously threatening our democracy and destroying freedom of press in our country we will face the situation calmly and the best way we can we are afraid of nothing as we did nothing wrong try this president xi jinping has pledged sixty billion dollars in financial support to africa and is hosting a major summit in beijing aimed at deepening ties. we follow a five point approach with africa no interference with african countries pursuit of development fitting the national condition is no different with african countries internal affairs no imposition of our will on african countries no attachment of political strings to assistance and no seeking political gains in investment and finance corporation a state of emergency has been declared by the un backed government in libya after
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a week of fighting in the capital tripoli at least forty one people have been killed in a hundred all those injured including many civilians the u.n. is calling on all sides to abide by a previously agreed cease fire deal. iraq's first parliamentary session since a disputed election in may is underway eleven political groups have agreed to create an alliance which could give them a working majority the coalition is made up of those loyal to influential shia cleric. and prime minister hydraulic. brazil's president says hundreds of years of history have been destroyed in a massive fire at the national museum a two hundred year old building in rio de janeiro held some of the region's best preserved human fossils and ancient egyptian artifacts yemen's government has ordered a temporary halt to imports of imports of luxury goods an attempt to prop up the struggling currency people in the southern city of aden have been burning tires and blocking roads in protest against the terry economic situation. stay there with
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all the headlines and back with more news on al-jazeera we return you to the people's health. primary health care is the cornerstone of the u.k.'s national health service funded by the taxpayer it's a model for countries wanting more accessible and affordable health systems and it all hinges on a network of local doctors i really find it interesting meeting people because we always interesting people and you get to ask them personal questions about their lives and find out whether there will be a better job and you want to help and sometimes you can't the general practices have always been small independent businesses contracted and paid for by the government is a complex business. there are about ten different ways to get paid so it's to do
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with number of patients we have some quality some students report writing some bits through the education on the student politics some bits to do with training so it's crazy complicated which is exactly why we need a practice manager and an accountant to look after those side of things but ultimately the responsibility for success and failure is down to us so self-evident that. it's the annual financial meeting and the doctors are hoping for a clean bill of health. if you go to this option if you will. as we have think that it will have. each practice gets paid one hundred seventeen dollars pair patient pair year from the government. with additional funding streams like those for meeting health targets killick street gets an annual income of two point eight million dollars. to . improve the bill. is needed is improve it's
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a good one that. it was a prophecy of reform because a lawsuit was significantly down on the name before but now we're back where we were all. i said that we were this year. we got it we've only got another was actually a tiny bit so this this look of being great is not great it's just like it like it yes we've recovered from about. recent changes to government funding mean that inner city practices with a number of relatively senior g.p.'s like killick street are set to lose money. if we lose they. say if you are. not open to leave those duties. because you're spending on primary care as a proportion of the health budget declined from eleven percent in two thousand and five to eight point five percent in two thousand and fourteen now it's less for
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doing more. of a total annual budget of one hundred fifty one billion dollars only thirteen billion dollars is spent on primary care. in this changes the bureaucracy every sorry ten round there change something there change the point so they've changed the system because the stop treating the n.h.s. like a political football and changing the rules and every time the government changes or more often. in the u.k. general practice doctors train for ten years almost as long as hospital consultants and can be paid an equivalent salary of around one hundred forty thousand dollars a year yet they are on the frontline of identifying dangerous symptoms from harmless ones who have to be. missing cancers are another thing we always worry about risk some some can't is obvious when they're present but many times the first
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symptoms are quite mild. fashion journalist pepe has been a patient of killick st health center ever since is. dr field to send him for clinical tests. i mean you don't want to work for the side in my disease pulitzer or giving you my phone which is wrong. two thousand and seven i start not feeling well and i had a constant headache schools in iraq they went to mine g.p. just dismissed markets and told me you have a headache you have to take a kill. it's not comes out. and she would not refer me to a specialist the uki lags behind the rest of europe and cancer survival rates which some have picked and the fact that people can't go directly to a hospital specialist their general practitioners must affair them first i decided
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to go to a new health killick st i was able to go to the nose and throat specialist where i was told that i had cancer. dr trevor yellen has had to support pay pay through three bites of cancer. very hard i'm ok ok i see so where are you in the process of treating the fish. first of all and. nine zero zero zero they will tell me all it's well different it's a big worry for him coming from a is that he will get a recurrence of cancer he's already had three that's more than enough for any person in their lifetime probably magic how stressful it is for him to be thinking about that. since the birth of the n.h.s. the work of the g.p. has changed and increased there are never of aging more key here that used to be
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given in hospitals we do our own investigations blood tests x. rays scans we have people in this building who can look after your feet. pregnant see your psychological have yeah if you've got alcohol problems that what drug problems we've got work to see will help you with that. capitalism is a big problem in the u.k. and in this linton i've got a handful of patients who. i'm aware have alcohol problems and drink too much alcohol or alcohol this is something they used to cope with a difficult situation right come in have a seat reason have an alcohol counselor is because there's good evidence that some of that can help intervene with patients like michael ok so we haven't met before not as i'd like to say i will turn one of the nurses here and one of your doctors
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who asked you to come in three metres to talk about your alcohol used so how much would you say you're drinking at the moment mark but just a lot of family just a lot. yesterday for instance yesterday i checked and record so averages about six codes a day. well tough to highlight for you actually almost all right so what's an average day it's a false report nine. ok. and how long has it been like that for which you say. back now for about. six months what would you like to do right release what we need to work out i just want to get help to get out of the health of so what do you think is a realistic level of what would you like to get back to zero two or three drinks or . even even though now. i'm thinking. drinking the beach for two in a day basically so you're what we say physically dependent really you know and it's
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quite dangerous for me to tell you to stop drinking immediately today may be the wrong advice there are things you brush ok if you want to stop drinking altogether we can do a record detox the other is what we call a community detox you carry their breathalyzer in the morning to make sure you're a safe level and they give you a tablet to stop the shakes and that sort of thing or we can just try cutting down bit by bit like that for me thanks for coming you often find yourself going to see you next week. cotton down stopping golf and quite difficult because of. that has become part of me non-drinking quiet. i've always done have always done well in my short of but sometimes that's my only companion. my partner passed right. five years ago to start realizing. how long i were. on. to start.
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an apologia. book i know it's someone that needs really addressing very seriously and trying to do that. often of god good man and john to help me along with. i like being veggie. not so all i can open thinking i need accountable. and increasing aging population is adding to the workload of primary care. by twenty fifty one in four people in england will be over the age of sixty five but you know the same news thing for sure. to appall. the best.
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so that's how we got to know each other illness doesn't just have physical consequences it affects all aspects of a person's life i was walking from one place. and i can oust and i thought i'd sleep on a wet leaf. and i had an invisible this would be a stroke. life. one i'm enjoying no smoking which is what if you always think about restraint it was just there if you or. i carried on working while talking to the time that she was a stroke of a fault or stroke sufferers. recently william was admitted to hospital because of a nasty chest infection and has just returned to dr ben smith care. william
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was very sprightly for his age physically he was able to push is wife up and down hills and get her in out of the car and i you know for his age he was pretty good and he's gone relatively quickly to being worse than average i think for his age in terms of his breathing and what he can do physically he certainly someone's on my radar the moment because he's got a cute things going on that side or if you are fully on top of a lot of that is about getting him to as good a state as possible so he can look after his wife which is so important for both of them more than on a how are you. now things going. on who's coming you know to oscar. if we were there are things. as you. haven't just been. you know. believed. go through.
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i would. be open to coffee. she. strove. for and with time short breath i want to watch you. from the world. and i just think you're reading they see what sounds like older patients like william visit their general practitioners twice as often as the rest of the population. i mean i don't think i can form a miracle right now unfortunately. the lots of things going on here if this is all too true infection wave action the treatable so if we can get rid of the infection in your body will take a few weeks to recover and as a reason you can't get back to how you were. if there's a progression of the underlying problem here to say this or the longest collapsed a bit more or whatever the scam will show is that it's less easy belt to be to try
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to predict what's going to happen so i wouldn't want to give you an hour to read the words that i want to mislead you will give you false hope but it credible would have no hope because we know that you know a lot infection or all of us were much easier. the older pairs and gets the more likely they are to develop more than one condition. increasingly managing these complex co-morbidities or in the hands of the doctors and nurses in primary care. their job is to ensure patients stay out of hospital. what we're checking is the thickness of the blood gentleman's taken topic hold off a much deliberately things very differently because it can be affected by things in your diet we have to make sure that the blood stays within the therapeutic range from one point four their record down again.
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so let's see if we can find some sort trend what's going on has there been a time when because of either you've been away or not that you're eating has changed other you've been eating more fashionables or less vegetables or drinking more or drinking less i entirely run the clinic on my own i have complete control of what happens to the patients and keeping them within range the thing about the wolf and it's about making the blood thinner but if it gets too thin the patients have the best of having major plates which could be life threatening and if it's not finished off then back to thicken the risk of from both this. saw so heart attacks mists of taka and just trying to find a way that we can or i did it and then it met with an underlying reason why it's swinging around so much when you get and the taliban we get rouge even it exactly the same treasure here and you have what we call similar type of vegetables every day of your life not every garden on which i remember one of our fighters with
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mashed potatoes and i'm not looking to start she said some looking at actual green vegetables do you think they are poll says or of more have been one week. on their run of being. on their. order or brought in but not every day. it is reddish every dish i record of it all every died are poor i wonder what brought them your risk of clotting so we've got to increase your medication getting patients to take responsibility for their own health is the new challenge facing health professionals in the u.k. it's the patient's responsibility to give us information if we gauge things down but you do have a responsibility for making sure that my practice is a safe as possible otherwise we can be held liable in a court of law after change medications to see within a week so if you want to go. for the watchtower now i need to see in
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a week's time the monarchy that. or should be there of course. if you want to show me show you monday then on i think we're coming back on sunday show we won't be going away that monday sometimes the patients attitude can be challenging i don't know much and wanting. the pressures on general practice are beginning to show. today doctors working in primary care have the lowest morale of those working in the n.h.s. . increasing numbers are retiring and there aren't enough being trained to replace them. there's a big problem in the u.k. of people in the in general practice and drives because of the stress of paperwork and reduce financing so the government recently promised an extra five thousand
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physicians. back about how they're going to do that it seems a mystery to me it's not just individual doctors being lost but whole practices. the way that individual small business like. survives is is quite precarious. there are about thirty seven practice through their clothing from two thousand and thirteen to two thousand and fifteen around fifty practices closed in england alone yet in uncertain times their work remains essential with those thirty where this is the crash of patients are being under a huge amount of pressure with people having less money. and that puts an added pressure on us because it makes people ill. it actually made people medically unwell and mentally unwell dealing with that sort of thing and then we pick up the pieces and also people then come to us for a lot more medical letters to try to attack benefits and so on the g.p.'s have
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picked up the pieces of so many people's lives in their community and turned them around. for the past year michael has got on top of his drinking. apart from gardening he is no training to become a kook. john and without band. there's no chance i'll be standing there non. non basically. is team around in. the shape of my life and not on their amount but logic is a year on here i on. enjoy myself and knishes because. bad maggi day. all these understanding you listen. even read those listen it doesn't interrupt you when you're talking and any patient even though our most patient is more patient. it's nice to know you've got someone now when you thought it up when you need them it really is.
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unfortunately these committee doctors can't save everyone. in february two thousand and fifteen big. lissie passed away. with or without of course a young person who had such an incredibly positive stoical approach to things when they succumbed to the real us it's horrible really loose i just she's probably my favorite ever patient has hidden her favorite patients but i mean she is her approach to life was extraordinary given her condition. that horrible horrible condition which affected all parts of our body but she still maintained such a positive attitude the vast majority of the time and i think she's probably the only place i've ever cried about when she died they found it really really upsetting.
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i thought the yellow compassionate patient centered care is not just desirable it's cost effective. it makes it essential if the health care system is going to meet the challenges of a gruelling ageing population. mr indian is seventy four years old his parkinson's and dimension have left him housebound chevre has been providing his palace of care for the last five years that is once the find out how things have been since last week the condition in the coffin here their reality right now we just continue coughing and couldn't breathe around for information sit in my office and i sat and talked to him so it health prevention but if the conference starts we don't have to look at that now and then when i get back the surgery will make sure they come in next twenty four hours and we'll probably increase it quite afraid of what the name is not going how you. it's nice to see
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you always feel guilty as you would so nicely that i come along and let's not rest position this side. if you do wants to him and if they have a caring family then we assume that that is what they want the family wants to happen and we do what we care and to enable that to happen. thank you. thank you very much ok this is some good that attempt at their local feel about the touching your skin his chest or can they really hear the secretions like or anything over the secretions so i definitely need to increase the creation medication can you think how much money and solace saved in the n.h.s. by looking after that themselves if he was in hospital or nursing. he would be the cost of a lot more money so actually doing the country a massive favor by look you know after that that. led to a much better job. for
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a very n.h.s. a fortune thank you very much off the syrian ok thank you bye bye bye bye. with an emerging aging population this compassionate care becomes vital for the survival of the whole system. that often also. ordering. the u.k.'s primary health care is still held up as a model around the world. the country and its medical needs may have changed. but the power of patient centered primary care remains. few things of the same or idle cultures but i think all countries have some sort of medicine people used to their g.p.'s impression that will still be here and sixty years no doubt the political scene will have to change in the bureaucracy though change no doubt will be more look. something to the heart of general practice will be the
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saying that relationship between doctrine patient that's what you know holistic thoughtful relationship and it's really difficult and patient difficult. work is difficult and there's too much to do and not enough time and some days give you a hard time. and. have nice you know it's one thing. go off. nineteen is experience and show practice it's not long enough to see in a few things come and go it is a bit more perspective but that's probably another maybe twenty years to get with me so by that time i'm like. i know everything. each day around one million people in the u.k. see their g.p. without these gatekeepers the cherished ethos that the national health service can provide care free at the polling to meet would disappear. the future holds many challenges but primary care remains to precious
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a jewel in the u.k.'s craving for it to be lost. brazil's constitution grants its people the right to infantile medicines but it's been a long struggle and the system is constantly challenge sunbaking within it down the patient i know that nine some one medical treatment could lead to good death but on the other hand i also know that because of providing that treatment would have a negative impact on the rest of society. brazil's real drugs war on the people's health on al-jazeera.
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from long flowing on in winds to an enchanting desert breeze. and i've been reading again in southern brazil cloud is fairly obvious in a satellite picture but it's streaks away and it's rather more concentrated near the coast still we've had eighty three millimeters in la and that sort of figure is going to be repeated through stop our orbit for the say there's a temp innocency and dimed to nineteen has been fluctuating quite wildly recently but that might not be the most surprising thing on this chart for stand out of the when you look at the pacific coast and santiago look at the temperatures here but core temperature september's thirty three averages eighteen we are on the hot side
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in this part of chile it probably won't be allowed much of chile will be by this time it's dried up in brazil coarser showers still in the north where currents and in colombia and venezuela are right up through particularly recently they've been sworn in as showers in mexico significant ones with the can just west of the capital hundred forty are going to meet is down the pacific coast as well all this is repeatable and that's also true in cuba. erica and his spine yearly fairly regular and fairly big showers in the u.s. itself we've got a slow moving frontal system running through the midwest here and that has also been producing slow moving giant cherubs and they will continue. their weather sponsored by qatar and ways. to. cut can. start. a plan like this was our
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foundation. i tried to do something different when i met daisy it was the best day of my life. i wish that day could have gone on forever. but my past caught up with me. and made us all pay the price daisy mbox on al-jazeera. zero. zero zero there are more of this is the news hour live from doha coming up in the next sixty minutes international condemnation after of course in may in los angeles
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is to going to have seven is in prison. china just sixty billion dollars in financial assistance to africa. as president confronts an economy in crisis. as with all of the day japanese higher tani returns to the mound and he quit the rack that by babe ruth ninety nine years ago. has been international condemnation of a million mark court's decision to jail to reuters journalists wallow in and chills so who were found guilty of possessing state secrets and sentenced to seven gay is behind bars they were arrested in december last investigation the killing of range of muslims by min mile soldiers in hay reports. instead of walking free while lone
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inch or so who were taken from court and back to prison throughout this ordeal the reuters journalists had remained defiant and positive and that continued even after hearing they'd been sentenced to seven years in jail no no no this is directly challenging the democracy and media freedom of our country we will calmly face the situation with our best efforts in the appeal since we do not do anything we have no fear we are going to do our best to face it was the verdict was widely condemned reuters says it will not give up and is considering what steps to take next today is a sad day for me and maher reuters journalists wallow in and chaucer who and the press everywhere these two admirable reporters have already spent more than eight months in prison on false charges designed to silence their reporting and intimidate the press. the journalists were arrested in december last year as they were investigating an arbitrary execution of ten ring your men by soldiers and militia the prosecution's case into don secret documents the reuters writer's head at the
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time of their arrest but while alone and say they were framed testifying that those papers were given to them by the police who moments later arrested them it seems that in doing their job they had gone too far in the minds of the military that still the most powerful force in myanmar was being unfairly accused we have been convicted of breaching the official secrets act we performed according to media ethics we didn't do anything harmful towards our nation and we didn't commit any crime however they decided to convict us anyway. the verdict will heat more international pressure on me and mars leader aung sun suu kyi once a campaigner for freedom of speech and human rights she remained largely silent throughout the trial the government now has the ability to issue pardons for while loan and. to journalists imprisoned for investigating a crime signaling the end of media freedom in myanmar when hey al-jazeera bangkok
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seven hours. to go away is peace he joins us now live from new york good to have you with us and we saw defiance from one of the journalists there and i have just received this sense of how these two bearing up upon receiving this news. they're bearing up extraordinarily well they're they're very strong people i think nobody ever knows how they're going to react in a situation like that but i think they really believed in what they were doing and they know they were operating with an integrity and the testimony of a police captain me unmarked police captain who admitted that they had plotted to set them up and had in fact planted those documents on them and then arrested them as soon as they planted the documents on them makes it so clear that this is a complete set up and that rule of law was completely put aside and i think because they care about the issues and they care about the journalism they have been very
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strong i know it is an extraordinary verdict is that given what you've just said what message do you think men mom was trying to send with it well we've been concerned that the prosecution itself was an effort to both stop us from reporting on a really extraordinary massacre but also to deter the the press in myanmar generally from looking into what's going on with the right hand in iraq and state we went ahead and we published that report which i think was tremendously traumatic because we had photographs of ten rohingya muslims kneeling in front of a grave and then photographs of them in the grave some of them hacked to death and we had photographs of some of the people who did it and clearly there was a desire to prevent that from being published but we published it anyway with the strong support of our journalists when they were in prison i want to be at the forefront of reporting much of this reading just story how does a verdict a sentence like this affects you know what that man all. we're
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completely committed to covering it just as we were covering it before during the trial we did four or five really major stories looking at what's going on there looking at the refugee camps looking behind aspects of various massacres and we're continuing to work on stories like that we think that's their obligation as a global news organization and it's very important for us not to be intimidated and we won't be intimidated but how vulnerable are local journalists like this when it's very clear that we send a very clear message that they can't be protected by big news organizations but we will continue to try to get them freed and we will use every method that we can come up with including going to the global community to try to get them freed and i do think global attention is incredibly important here people need to be aware that press freedom in me and me and more and by extension press freedom of everywhere is
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being challenged here but i think public attention the public eye on this is incredibly important and of course there's vulnerability but i think it's also important that if we make it clear that we're going to continue to do this reporting and that this type of false charge and false conviction isn't going to stop us ok stephen i will leave it many thanks for taking the time to join us from new york. well is there a journalist hussein has spent more than six hundred days behind bars in egypt without charge hussein is accused of broadcasting false news and receiving foreign funds to defame egypt's state institutions strongly denied the allegations and the network is demanding his release. china will direct sixty billion dollars in aid investment and financing to african countries president xi jinping is hosting a major summit with more than fifty african leaders in beijing it includes fifteen billion dollars in grants and five billion to buy african imports one hundred forty
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seven million dollars will go to emergency food aid while some african countries will be exempt from paying outstanding debts as a jew by the end of the year and xi jinping has encouraged chinese businesses to invest at least ten billion dollars in africa over the next three years and years not only. we follow a five point approach with africa no interference with african countries pursuit of development fitting the national condition you know to throw into the african countries internal affairs the imposition of our will on african countries no attachment of political strings to assistance and no seeking political gains in investment and finance corporation in the south african presence or rather pose a defended china's investments in the continent in the values that it promotes in the manner that it operates and in the impact that it has on african countries.
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refutes the view that a newcomer on your list is taking hold in africa as i want to talk just would have us believe our correspondent a.j. and brown has more now from beijing. this is a gathering where china's leaders still among friends and on monday president xi jinping repaid that gratitude announcing that china would be approving more than sixty billion dollars worth of financing to africa he also said that a quarter of that figure would be free of interest and he also addressed the issue of debt he said those african countries who were unable to pay off what they owed china by the end of two thousand and eighteen would not have to he also said that this will open to those countries which had diplomatic relations with china of course there is just one country left on the african continent that does not that
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is and so clearly president putin ping was making a no good sure to the leaders of that country this is a gathering that has brought together heads of state political leaders from more than fifty countries in africa and this is a gathering that is very much aimed not just to the world but also china's people because china's leaders have been able to say we have brought together all these head to all these prime ministers who come from a continent where increasingly china is the major investor. as indeed his government is considering merging all scrapping a number of its ministries and so way as it looks for ways to cut its budget deficit presently. may also be forced to reverse one of his flagship policies by reinstating export taxes on agricultural products has requested a city billion dollar relief package from the international monetary fund but the move has sparked widespread protests across the country. joins us now live from
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buenos aires it traces economic crisis is fast becoming a political one the president has been addressing the country what's he been saying . well now he's unlikely. definitely trying to relaunch his government after what's been the most difficult days since he took office three years ago let's not forget that in the last year argentina's currency has devaluated at least one hundred percent argentina was forced to go to the international monetary fund left made for an emergency low but in spite of this the situation here has continued to deteriorate and that's why the president has just addressed the nation saying that the past few days has been the most difficult of his life since he was kidnapped many many years ago in his statements to the country that he's taking emergency measures in order to control the situation here
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a priority for the president right now is giving investors confidence confidence that argentina will be able to pay and that it won't default again among the announcements he made is for example. what are known as export taxes this was a measure that was taken during the presidency of former president cristina fernandez de kirchner it was popular measure. sectors by the president said that they were necessary at this point he also said that he's going to cut ministries by half he's announcing also a bonus to help the most vulnerable in the country but the big question right now and that's why the president spoke before the markets open here in argentina is whether the president will be able to convince him best that argentina won't default once again and we're seeing some pictures of protests over the past week how general argentinians reacting to this. well that's a.
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