tv Inside Out BBC News October 13, 2018 12:30am-1:01am BST
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president trump says he'll raise the disappearance of the saudi journalist jamal khashoggi with king salman, as the saudi authorities face growing pressure over his alleged murder. mr trump told reporters he had not spoken to the saudi ruler yet but would call him soon. washington insists no deal was done with turkey to secure the release of the american evangelical pastor — andrew brunson. he's flying back to the us via germany after a turkish court freed him. president trump said he'd welcome mr brunson at the white house — most likely on saturday. rescue workers are still searching through debris for people who may have been trapped or lost their lives when hurricane michael tore into the south—eastern united states on wednesday. 13 people are now known to have been killed by the storm — in florida, virginia, georgia, and north carolina. now on bbc news — it's time for inside out. tonight, questions for
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britain's biggest pharmacy. a daughter's shocking discovery after her father's death and her fight for answers from boots uk. it began to dawn on me that dad had taken double his medications. also on the programme, death threats for the tv antiques expert working to protect elephants from the ivory trade. got a couple of phone calls. "i don't know why you're worried about the elephants being shot. the way you're going, you'll be next." and the mysterious death of claire martin. we have an important update on the case tonight. the stories that matter closer to home. i'm lukwesa burak and this is inside out for the east midlands. welcome to beeston in nottinghamshire, famously home of boots. their headquarters is just up the road.
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the company is the focus of our top story tonight. when gail pickles started clearing out her father's home after he died, she made a shocking discovery about the medication he had been taking. unhappy with the response from his pharmacist, boots, the country's largest pharmacy chain, gail has, for the first time, decided to speak out about what went wrong. sarah stu rdey reports. gail pickles has come to doncaster looking for answers about her father's death. it's taken 18 months to get here, the opening day of his inquest. i'm exhausted. i've been left banging on closed doors. so i'm really hoping that finally these next few days we'll get some answers. tony lee died on december 15th 2016.
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he was 8a. he was a very sensitive man, he was really caring, really considered, a very, very fair man and he loved his family. he'd been coping well after the death of his wife, betty. they met as teenagers and they died within five months of each other. when tony died, gail took on the sad task of clearing his house. one importantjob was to collect all his unused medication and return it to the boots pharmacy near his home in norton, south yorkshire. tony took lots of tablets for his heart, kidneys and one for anxiety. that last pill, dosulepin, can be toxic if you take too many. there should have been three packs to dispose of because one had been taken to hospital, but when i was looking through them i found six and another empty pack from the same dates. it began to dawn on me that dad had taken double his medication. it was a very scary moment.
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gail's dad got his medisure packs every four weeks. they are designed to make is easier to take the right pill at the right time. each of tony's packs contained more than 100 tablets. alarmed by what she found, especially the empty packs, gail got in touch with boots‘ local patient safety officer. i told him that dad had two lots of his medisure packs dispensed — he was horrified. and it was at that stage i realised how serious this was. he promised me, he promised me, that boots would be transparent and i believed him. gail chased boots for more information. in february 2017 the company wrote to her to say they couldn't comment on her father's case because of the inquest proceedings. the tone of the second letter
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from boots was shocking. this transparency that had been promised was non—existent and i felt at that stage as though i was complaining about a broken washing machine or something. my father had died. to be left not knowing — it's hell. they're working for the nhs. boots has since apologised for the tone of that letter but say they were as transparent as they could be while inquest proceedings were ongoing. in january this year gail watched an investigation by this programme into boots. it covered the deaths of three patients who died after pharmacy errors. but boots says when the programme was broadcast the cause of death had
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not been determined at the inquest. gail spent 18 months preparing for the hearing. she wanted to understand every detail. 0n the third day of the inquest, the assistant coroner said disclosure by boots had been an ongoing issue. the hearing was told the job of dispensing his tablets had been moved from this boots branch in doncaster to one closer to home. the store manager, here at the time, took a call and was told the pharmacy had to stop dispensing tony's medication. she told the inquest there were numerous distractions — both work and personal. she said she must have been pulled in a million directions. that crucial phone message wasn't passed on to the pharmacy team. both branches were now dispensing tony's tablets. he was getting a double dose. a week later, he was found collapsed in his bedroom and died in hospital. boots say a combination of rare and exceptional circumstances led to the mistake, adding their error rate is extremely low — one of the lowest in the industry. the assistant coroner concluded there'd been a communication breakdown and the double dose contributed to tony's death.
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the thing that upset gail most at the inquest was seeing an investigation report from boots which said her father was unharmed. i'm shocked. the worst part for me has being seeing the internal report in which they claimed that dad was well and didn't need hospital treatment and that there was no need to escalate it to a higher level. how can they do that? how can this company be doing these things? i'm just appalled at them. there's been no apology from them. they haven't apologised to the family or to me. thank you. boots said it understands mrs pickles‘ distress but says the chief pharmacist‘s 0ffice was already supporting the investigation. adding they are saddened the family
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feel they weren't listened to and their concerns not addressed in the way they would have expected. their statement says, "we're truly sorry about the death of mr lee and deeply regret not apologising sooner." they say procedures have been updated, patient safety is their number one priority, and have offered to meet gail to discuss her concerns. boots says they fully complied with the coroner's investigation. but it didn't end there. gail obtained copies of boots‘ own standard operating procedures to crosscheck against 15 packs tony had kept from three boots pharmacies over four months. she believes that, on numerous occasions, some steps weren't being followed. many were repeated, for example on the medisure packs there's a space to write the week commencing — had that been filled in alarm bells might have rung for dad. they hadn't labelled properly,
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for example, saying take so many times a day but not how many tablets. had they phoned as they're supposed to, to say a delivery‘s coming, they weren't doing that. but gail isn't a pharmacist so we found an industry expert to look at the packs. dr anthony cox teaches the next generation of pharmacists. the standard operating procedure in certain areas is never adhered to for these pack sample and i would want to see whether that was more a widespread problem. and in tony's case where the packs were delivered, he should have got a phone call. that would have increased the likelihood that there would have been some understanding about which pack should have been taken when. apart from the critical double dose, dr cox couldn't find an error which, on its own, could have
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caused tony harm. if you were this pharmacy company, what would you want to be investigating, looking in to, off the back of these 15 packs? does the standard operating procedure need reviewing, do we need to look at our staffing levels, do we need to look at workload per pharmacy? i'd be interested to actually go away and look maybe at a bigger sample of packs that have been supplied and also perhaps go away and really find out on the ground what pharmacists' views of standard operating procedures are. boots accepts there were some failings to comply with standard operating procedures in this case but says they're not symptomatic of a wider problem. boots say they asked for feedback on the procedures injuly 2016 from pharmacists to identify any additional support needed. responding to inside 0ut‘s programme in january, boots said they were confident they had both the resource to deliver patient care and enough pharmacy staff.
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i don't think that any pharmacist goes to work thinking that they're going to cut corners and harm patients. they're going to work to do theirjob properly. don't they have time to do it? don't they have staff to do it? pharmacists are horrified when they've made an error. if you are getting errors and violations occurring then you do need to look at your standard operating procedures, you do need to look at staffing, you do need to look at the workload pressures on people to see whether they're contributing to that. boots says they've contacted dr cox to discuss patient safety further and that they work with others in the industry to drive best practice, including the analysis of staffing. my family were very, very wrong to place our trust in that company. if i hadn't looked through dad's medication, if i had just bundled them up and taken them back to the pharmacy, none of this
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would have come to light. we have passed gail's concerns on to the general pharmaceutical council and they are investigating. gail herself is now considering a civil claim. our next story takes us into the world of antiques and the fight to protect elephants from the ivory trade. tv expertjames lewis said he has made enemies by helping to draft a new law that would effectively ban the sale of all items in the uk that have been made using elephant ivory. the law comes into force later this month but the derbyshire auctioneer says he is already receiving death threats. this is his view on why he believes the law is needed but may have gone too far. to tv viewers i'm an auctioneer
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and an antiques expert. when you're trying to value one of these chaps, it's all about the face. but my other passion has always been animals. as a child growing up in nottinghamshire, i even used to volunteer at a vet's in bingham. and although i swapped animals for antiques in my work, they're still a big part of my life. every morning when i get up i see this ? a photograph of sudan — the last of the northern white rhinos who died earlier this year. ijust cannot bear to think of elephants being extinct in the wild, like the northern whites. i've travelled to africa to see anti—poaching operations. i've donated profits from my business to fund conservation projects. but my views on a uk ban on ivory have put me at odds with many in the antiques world. at 45... 45. my auction house in derby has helped
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to lead the way on the issue. i made a decision a number of years ago that we at bamfords would stop selling the solid pieces that are going out to the far east and being re—carved in those carving workshops alongside the poached ivory. i believe the antiques trade, my trade — was inadvertently providing a market place for poached ivory. a lot of antiques dealers don't agree, especially when it's their livelihoods. and in a way, some of these objects are being caught up in almost a blanket ban that i feel isn't quite necessary. that's a lot of ivory. that was just lying on the floor? two years ago i appeared in this high profile tv
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documentary to give my views. as an auctioneer, when you are on the rostrum, you'll know exactly where these bids are coming from and when you get a solid block, something carved that has a weight to it, that's where the chinese and the vietnamese are buying it. but i wasn't prepared for the backlash closer to home that my appearance caused. got a couple of phone calls. "i don't know why you're worried about the elephants being shot, the way you're going you'll be next." then emails written in red. nasty things. there'll always be a minority that will fight tooth and nail and be aggressive and do it in the wrong way. banning and making a stand — absolutely right. and i know a lot of antiques dealers don't like it, but it's needed. whether or not the new laws are the right way of doing it or not is another matter. 20,000 african elephants are thought to be killed illegally for their ivory each year.
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in the last century numbers in the wild have dropped from 5 million to less than 500,000. and it isn't a crime which goes unnoticed by british police. nigel, i have to say i've been an auctioneer a long time, but i have not seen a tusk like this for years. how do you come to have it? we were looking at an investigation into the sale or trade of endangered species and they are currently evidence and subject to that investigation. this is already illegal, isn't it, to sell? absolutely, to sell, yes. it's not illegal to possess, you are allowed to possess these items, it's the trade that is illegal and sometimes it's about money and sometimes of course it's about getting rid of the money and having an item of status and power. it's rather like somebody having a large ferrari, revving its engine away, saying "look at what i've got." when the new ivory ban was being
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drawn up here at westminster, i produced a crucial piece of evidence. i showed politicians this little piece of ivory. it was offered to me at an antiques fair in london, and it was described as japanese, about 1880. but i had suspicions that it was going to be slightly later than that. so i had it tested and it wasn't that period at all. it was taken from an elephant killed much later than that. could even be as late as 2005. this proves that modern, poached ivory is for sale at our antiques fairs here in the uk. only some historically important exemptions or older items with less than 10% ivory will remain legal to sell. and even those will need a licence, and that's madness. that's the main stumbling block really for the dealers and i have sympathy with that view.
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10% is a tiny amount of ivory to be allowed. my feelings are that should be raised to 20% and that could be done without putting any elephants at risk. hey, good to see you, good to see you. i'm also a patron of the animal charity born free. it's campaigned to get the new ivory ban. one of the questions i get asked regularly by antiques dealers and one of the firing comments is, a ban on ivory will make no difference to elephant slaughter and it won't save a single elephant. well, i would beg to disagree with those ivory dealers. i thought you might. but the thing is, there isn't actually a single solution to this. so if you think that banning the domestic ivory trade is in itself going to stop all poaching, it isn't. we should do everything that we can do,
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that is our responsibility, and remember this ban is being called for notjust by the british government, notjust by the british people but by the international community. after all, 183 countries, the member parties to cites, the convention on international trade in endangered species said if you've got domestic ivory markets do something about it and we have one of the biggest domestic ivory markets in the world. as a child with a love ofanimals, i remember coming here to the natural history museum. i looked in wonder at creatures which no longer exist but could act as a warning for the future. the three living species of elephant are just the last remnant of a formerly much more diverse group. if we go back through the fossil record there were as many as 200 different species of elephant relatives living at different times. and of the course the last of those that went extinct was the woolly mammoth. what we learn from something like the mammoth is that if you hit
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a species with different pressures all at once — climate change, loss of habitat and hunting — you are really multiplying the pressure on them. what you also see from the mammoth is that once it's gone, it's gone. you can't get it back. being the last representative of such an extraordinary group of animals, we really have to do everything we can to save them. i am not prepared to say to my daughter, who is now nine, once upon a time there was something called an elephant. thanks for watching, it is great to have you with us here in beeston. now, we are often asked what happened next for the people we feature in our stories. well, here is three to catch up with in our inside out update. in february last year we told you about claire martin. she died from stab wounds to her neck whilst living
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in italy back in 2012. the authorities there ruled no crime had been committed. but her parents, from sutton in ashfield in nottinghamshire, fear she was murdered. there was just never any sign of her wanting to take her own life. we want the case reopening — for that we need some very strong backing. we asked retired detective tony blockley to look at the case. he in turn consulted home office pathologist dr stuart hamilton. if i was briefing a senior investigating officer, at this autopsy, i would be suggesting that you need to go and find the murderer. after the programme went out, the martins were invited to meet a public prosecutor in italy. he listened to it all and he promised us that he would look into it. i gave him a copy of the inside out programme that was made and asked him would he be kind enough to watch it?
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then, this summer, came the news the martins had been hoping for. out of the blue, found out from our solicitor in italy that the italian authorities, due to new evidence that has turned up, have decided that they are reopening claire's case. apparently it's hair fibre and skin that were found under my daughter's nails has now been tested to see if they can glean any dna off it. i honestly believe there's a 50% chance they may get a match but let's wait and see. without tony blockley... without tony, without stuart hamilton, we would've been nowhere. we feel as though these were the forcing powers behind us that have helped us so much. it just shows that you know, if you're a fighter you keep fighting and never give in. another important story
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from february last year highlighted barbara 0'hare's campaign to expose her childhood abuser. she'd been sent to the former aston hall hospital in derbyshire. she and dozens of other patients say they were experimented on and abused by the man in charge, dr kenneth milner. when that flashback happens, for that split second, you're back there. this summer, derbyshire police issued a report after a two—year investigation. the investigation has concluded that, had dr milner been alive today, he would have been interviewed as a suspect under caution. i have got to give them full credit. inside out was invited to the first ever gathering of aston hall survivors. it's been a long, long fight. but now we're believed,
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and let's hope that in the future more survivors will be believed. last october, we highlighted growing concerns over dangerous mis—matches at so—called white—collar boxing events. that's where people with little or no previous experience train for eight weeks before entering the ring for a bout in front of a crowd. since ourfilm, other cases have come to light. adam smith from winchester in hampshire took part in a white—collar event in southampton last year. i didn't ever think anything bad was going to happen. after the fight, he complained of a headache and was given painkillers but he went on to suffer two strokes. i had, like, no movement, i couldn't speak, couldn't write or anything, to say what i was feeling. my wife katie and both parents were all told to be prepared for the worst. a quick operation saved his life, but day—to—day life is still a battle.
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every day it's like a different challenge. trying to read the kids their bedtime stories, obviously it's just a children's book that's quite simple. a lot of people don't realise the effects that the stroke actually has on people. it's always going to be a struggle for quite a while. adam only discovered after the fight that his opponent, although a similar age and weight, had several years' kick boxing and mixed martial arts experience. that's exactly the kind of mis—match that community boxing trainer marcellus baz, from nottingham, raised concerns about in our piece last year. now england boxing is looking at setting up its own regulated equivalent of white collar events called "one night only" where novices can enter the ring after 12 weeks' training. i'm aware that there is discussions around this. what i would like to see is itjust coming up to the level of england boxing,
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and making sure that safety and learning is there for white collar organisations to uphold and it's a safer place for everybody. three really important updates and we like to keep an eye on all our investigations. that is it from us this week. thanks for having us, beeston. friday was a windy day across the country, thanks to the influence of storm callum, that's bringing not just the strong winds but also heavy rain around too. this was the picture taken by one of our weather watchers earlier in the day at salcombe. this is storm callum pushing into the north—west of the uk, but we have is trailing weather front, which will be the main trouble maker in the next 24—48 hours. this will bring more heavy rain across parts of south wales. some areas have seen 100
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millimetres already. we could see 160 millimetres over the hills by the end of saturday, causing problems with flooding and travel disruption, too. saturday dawns on very mild note. those temperatures at about 17 or 18 degrees in the south and east, cooler and fresher further north—west. heading through saturday, we have all this rain which is going to be ploughing in across parts of south—west england and wales. it will be more drive towards the south—east, but these numbers in the black circles are dust speeds, around 50— 60 mph. less windy into the north—west of northern ireland and north—west scotland where you are out about rain, but the rain will really be quite persistent through the day from the south—west of england through wales, northern ireland, into scotland as well. a lot of heavy rain to come that could be some further flooding, central, eastern and south—eastern england stay dry, sunny and very windy, look
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at those temperatures, 2a— 25 to the middle of october, very warm indeed. not as warm though when you have wind and rain further west. into saturday and sunday the front starts to move, push a little further eastwards, so by the early hours of sunday morning, many parts of the country will see that cloud and still very mild in the south—west, less so towards the north—west. heading through sunday this front sta rts heading through sunday this front starts to clear western parts of the uk, so some sunshine returns to northern ireland, western scotland, england and wales. a different day in the east where you have that warm sunshine on saturday, much cooler conditions with cloud, still quite easy and outbreaks of rain on sunday. some places could be 10 degrees cooler on sunday than saturday. this is bbc news. i'm ben bland. our top stories: the disappearance of the saudi journalist jamal khashoggi in istanbul.
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a source close to the investigation tells the bbc there is evidence he was murdered. the american pastor — andrew brunson — whose detention in turkey caused a diplomatic rift with washington is released — and is on his way home. we are very honoured to have him back with us. he suffered greatly, but we are very appreciative to a lot of people. the cost of hurricane michael — at least 12 people killed and 1.4 million homes without power across the south—eastern united states. the wedding bells ring out again in windsor. this time, queen elizabeth's granddaughter, princess eugenie marries her long—term partner.
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