British way of health (1973)

girl just what you wanted it [Music] The Marvelous thing is that I don't have to worry about whether the patient can afford it anybody will get any test any treatment that is necessary much of the stuff we do uh in plastic surgery needs lots and lots of operations multiple multiple reconstructions and the sort of thing child got one now very badly burned 45% body burn she's already had three four uh grafting operations and she's going to need before she grows up something like 18 or 19 operations well we wouldn't be able to do this in private practice she wouldn't be able to afford it because she comes from a poor family and when the Health Service started the great Delight to the doctor was that it didn't you didn't have to say well can we do this or can't we do this can the patient afford it Mr Smith skidded off the road early on the morning of January the 1st his only worry was that he would miss his 10:00 appointment in Winchester he doesn't have to worry about the medical cost of his mistake he doesn't have to pay a penny for the services of the team that will take care of him until he's on his feet again in Britain ambulances hospital care nurses doctors Specialists all are free the National Health Service provides a full range of medical support and is available to rich and poor alike of course a service like this isn't cheap it's the fifth largest item in Britain's National budget the total amounts to about £50 a year for each man woman and child hello what happened to you then oh what each British wage owner pays about 16 p a week for the Health Service the rest of the cost about 80% comes from taxes most of the available money is spent on hospitals and the expensive Specialists and equipment that support them but the service provides everything from dentists nurses and medicines hearing aids and artificial limbs to that main stay of the system the family doctor Dr Stone is the junior partner in a traditional twood doctor Family Practice tending his 2 and a half thousand patients from a small Georgian house on the edge of Hyde Park he won't suffer financially from working here his salary like that of any doctor in Britain is simply calculated on the basis of the number of patients on his list nor will his patient suffer for Dr Stone is as well qualified as any family doctor anywhere but he didn't have to work here in fact he threw up a job as a successful television executive to become a doctor and he chose to work here from a real sense of vocation social things are always creeping in you just can't avoid it U particularly as a family doctor and you know the social environment when somebody says they live around the corner in lster gardens or something I know what lster Gardens looks like I know the troubles they live in most of my patients live on the basement or the top floor one or the other just happens some way and of course you know it's damp and you know it's difficult to bring up children in these circumstances all right now you cuddle him nicely so he doesn't cry even if he does cry it doesn't matter very to much first of all I just want to tuck a thermometer underneath his arm that's the way and you hold his arm nicely towards you that's the way now then what's happening about uh your room here we have been given notice till uh 15th of January look I'm certainly prepared to write a letter to the housing department to say that uh I feel that you do need a flat um I certainly feel that your enti the family doctor has an enormously important part to play in the working of the welfare state he truly is a family doctor responsible for the well-being of the patients in his care and at the same time a highly skilled physician in his own right nowadays it's a world of experts and you've got to be an expert in something it's no good being an intelligent lay man like I was in television and I realize that the thing I like to be expert in more than anything else is this business business if you like this sort of rather Evangelical idea of helping people but it is I mean I get a satisfaction out of being able to reassure people there's nothing wrong with them or being able to get them over some difficult time in their lives this is very satisfying and I'm lucky as I say to be able to do it fulltime and get paid for it it's great it's a great life half of Britain's doctors are in general practice and though they all make home visits they see most patients in their surgeries patients May attend the daily sessions by appointment or just come in wait good could you please send an ambulance to 39 Harford Road West 2 and Mr Murphy M py to go to St Mary's Hospital West 2 casualty department where they're expecting him for admission fine bye-bye any resources I need the specialist opinion in a hospital a patient can be referred through to the out patient Department I can call out a consultant to do a domiciliary visit I can arrange for nurses to visit people in their homes I can arrange for people to go as day cases into a hospital to be to get treatment physiotherapy this sort of thing and I don't have to think all the time now maybe I ought to just save my patient this cost hello hello hello you're not going to smile at me are you a little bit worried about it aren't you that's right all right let's just have a look at a mouth can you mouth wide can you do that you get a very reasonable middle class income and uh if you uh organize things right you can get good time off you work hard when you're on and you get very more than reasonable pay you get very well paid General Practitioners in this country are are some of the highest paid doctors very gratifying Winchester lies about 70 M Southwest of London it's a country town of some 43,000 people and a total of 19 doctors care for their needs in the center of town is Fri Gate medical center a far cry from the small London practice of Dr Stone the concept of the health center is a new development of the welfare state the comfortable premises are provided by the local government and here 11 of the town's doctors have come together to look after some 25,000 patients one of them is Dr Gibson one-time chairman of the British Medical Association skate Medical Center can I help you can I yes just a moment pleas go ahead pleas one has got entire scope to fulfill one's vocation in life the thing that for which one was trained and one's done this by building up teamwork either in one's own group practice premises or in the health center such as I work in where you don't just give medical treatment but you you've got nurses Health visitors midwives social workers home helps uh even if you like ambulances and pharmacists or working with you looking after the same group of patients and in a health center you have space for an allowance for teaching so that You' got available to you within the community um facilities for the total care of the patient in the community outside the hospital it is not total care of the doctor or the nurse is Total Care of the patient you're the sort of person that seems to make Stones we put it that way it's a good way of putting it but um there doesn't seem to be any change in this one and for one um that you had in 57 now in order to reassure you further you can if you like see a kidney specialist which I can refer you to or would you like to come and see me again in 2 or 3 weeks and tell me how things are I'm quite happy with the results the X-ray has shown the same I'm quite happy to carry on with you as before now he's not going to be here on the Wednesday so can we make it the Tuesday or the Thursday Tuesday Tuesday Morning Tuesday Morning 11:15 can you open your mouth for me like you did with the Christmas pudding no this you can never get actually there's a tongue depressor in the cupboard there you get it you for me this would probably better now here's a telephone we had before didn't me you don't mind me putting a telephone and listening to what you're saying inside [Music] I think we'll do that last sister because if she's going to cry we might as well have her crying at the end the beginning if she does cry we you come and pick her up quickly because usually stops it just just me oh that's a good good that's a very good J good well done that's good Dr Gibson's motto is Total Care he knows that a large Health Center could become very impersonal Dr Gibson it's for what's the prescription for the flu the flu vaccin you mean right goodbye have Mr ch's prescription if they decide to use the National Health Service even those patients who can afford it pay only a token sum for any of the drugs or medical AIDs that the doctor prescribes every ECT of every patient's medical needs is recorded their files are treated in confidence and kept in the records room where the doctors can send for them if a patient moves or decides to change his doctor his medical records are moved too The Family Doctor gets to know his patients very well just doesn't seem possible that I brought your husband into the world is it no all these years ago imagine how old it makes me feel nonsmoker Dar good all been well since you were last seen fine good no worries at all legs have been all right and your weight's all right I see yeah it's not too bad having a rest after lunch every day good this isn't part of the usual examination but have a b and see if you can get it we not only got a baby but it's alive as well and we' proved it J good yes lovely okay well thank you very much thank you see you in a format okay one isn't just an office boy because one's a general practitioner as was possibly predicted by some in the beginning this community care has been building up particularly over the last 10 years and one can only hope that it'll it'll go on building up and use in every area of the country not just in some I'm the I think the concept is catching on right up to the sink and put your brakes on don't forget that up it Mrs marshman is a widow she has no private means and recently her legs had to be amputated the welfare state has cared for her every morning a health visitor comes to help her up she's been provided with all the equipment she needs to get about her little home with adapted fittings in the bathroom kitchen and bedroom and every other day an ambulance calls to take Mrs marshman to a day Hospital the cost of these services will not be deducted from the old age pension Mrs marshman automatically receives from the state the health service has been spending increasing amounts on the care of the growing population of old people at emry day hospital they meet their friends and are taught to adapt their handicaps to their basic needs to come to terms with some of the physical problems of old [Music] age turn the knif [Music] over above all the feeling is that old people should be kept out of permanent institutions as much as possible and being able to live with a measure of Independence in their own familiar surroundings [Music] if it's set up ideally the only patients you need admit to hospital are those who require highly sophisticated investigations which can't be done in the community and this you would decide after consultation in the home with the hospital doctor [Music] [Applause] [Music] no government ever interfered with our freedom to choose where we should practice or with our clinical freedom to treat as we feel we should treat now if you add to that what the Health Service gives you which is the ability to have a consultant or Hospital doctor coming out into the patient's home to consult with you free of charge to the patient you have open access to the laboratory and x-ray facilities of the hospital so that you can get any laboratory investigation and x-ray you want down again threee of the time we're not really divided by a brick wall into public health general Practice in hospital in fact we are one profession all working together but for the basic benefit and total benefit of the patient well hello how are you it's ages since I saw you I'm sorry I've been too long with had this rested flu business going on oh dear how' you enjoy your Christmas very well thank you very well and the pain now tell me about the plan cuz that's really the most important lousy is it Agony but now I gave you some different tablets I know they don't seem to be done much good no better no when is it worse when you're walking all time when I'm walking so if I could get a radiologist to come and um x-ray your back of your hips this would pleas and we can see where we go from there I think this would be the thing would he come here would he yeah good you just lie down there that's fine just going around to get a film now pop this underneath your hips and right lift up right that come back onto it just going to bring the X-ray machine across you like that position tube I'm just going to put my lid apron on as I work with x-rays all the time no in a minute I'll tell you take a little breath in and a breath out and then stop breathing and stay quite still now Mrs Robinson take a little breath in and a breath out and hold your breath quite still now breathe on that's Jo good the cathedral town of Salsbury lies across the plain west of Winchester here lives Mr James Lang consultant plastic surgeon to the wesix region like their doctor colleagues in general practice Consultants Specialists can choose to work privately if they wish and some people criticize the health service for allowing private practice at all in the belief that it may undermine the efficient working of the welfare state Mr Lang enjoys playing a vigorous part in the National scheme he also heads an ultramodern Hospital unit caring for burned patients and a six-man research team examining the phenomena of burns I reckon I'm very very lucky indeed I couldn't get a better system I have the support of the Health Service and I have all the background health study leave and uh expenses for overseas trips paid and uh I then have the advantage of being in private practice and having a certain amount of free time to myself and being able to do the things I want to do like riding and I've got a few Acres that I can farm and enjoy this I I get tremendous pleasure out of my job I get job satisfaction it's an inw over here just now but I get it because I got a tremendous range of work to do as far as the other extra things we've got is we've got a research Department which we couldn't run in private got six scientists working on the particular problems of the burn sickness the regional hospital board to employ me have given me a beautiful new Burn Center which was designed by myself and the nursing staff in collaboration with the Architects and the engineers of the hospital board it's a first class unit with all the most modern facilities quite excellent we couldn't have had that without government Aid in this country you may be able to get it in the United States with big foundations like the Shriners have built special units there but we had them in this country before the Shriners built theirs only because of government assistance thank I Spark from the fire C my n light sparked from the fire why did it do that what happened was mommy making up the fire no she was getting some coal out from from the shed she gone to Get Some Coal had you from the shed yeah and it spot and your nighty caught fire it what was it made of do you know nylon it was a nylon nighty was it but anyway it went up in Flames then what did you do I screamed I bet you screamed and then they took you to hospital and you came to her and she had uh I think it was 45% 45% body burn mostly trunk and on down onto her legs and when we got it all skin graph this was last March so that was what n n 10 months ago and she um was covered with skin gasss eventually went home but the gasss all contracted and she came back to us with her chin right down on her chest and her lip pulled right down and so we we made an incision across here and we put skin grass in to get her MTH open a bit and then this hand the fingers were down and we grafted those got them out and on what day was it how many days ago Tuesday Tuesday so that's what six days ago we put some skin grafts on this finger they were right down like that won't they show us how they were they right like that and we straighten them out and we put skin grafts on the front of them all four of them and so we took the skin from here that's what that funny old bandage is isn't it yeah but you're all right now aren't you quite better thank you would you excuse us would you excuse us if we see young guy how are you what are you doing [Music] there what do you think we can do here how long has that been there Gary four weeks four weeks and how old are you four you four that's been there a bit more than four weeks I think well that's a nice pigmented hair in all isn't it that's a question of getting rid of the bulk of it on his cheek cuz this piece will probably hide we can do it later yes and we can cover it with a flat taking can you let me have a look at you here for a minute from a flat from his neck and moving it up and over to cover the whole area so that' be quite nice we'll do that for you tomorrow this is a criticism the Health Service that there's a very very long waiting list to get into Hospital there's no waiting list to be seen the patients are seen very very quickly as out patients and then they're assessed as to whether it's a cancer or some other urgent or priority condition and then they're admitted fairly soon if however it's considered non-urgent then they go on the waiting list and they wait their turn and they've uh maybe 3 years to wait this is bad it's just the question of I suppose too few doctors but the Health Service is open-ended I mean you could just go on spending money Forever on the Health Service everybody wants some oh of course there are the typical faults if you like of of large organizations and in fact the it's interesting the national that the welfare state in this country is one of the biggest Employers in the country and It suffers from the same faults as uh any really large organization of bureaucracy particularly but compared with all the benefits of the Health Service in a way you could well you can't write these off but they're so small that um one almost wishes one could clear them out of the way then you would almost have the Perfection that we're all trying to get at all well yes Gary you're nice and sleepy now but Dr tit's going to give you just a little pin prick in the arm and then you're going to go off to sleep properly Let Me Hold Your Hand okay that's a good Bo thank you it's that very nicely they get used to if the parents are sensible and don't make a fuss about it there's really not very much difficulty but obviously he's going to have troubles later on and so this little boy comes from a very ordinary so-called workingclass family they couldn't possibly afford to have any of the surgery done privately couldn't possibly afford it socialized medicine's been going for a long time in this country and since the introduction of the Health Service in 1948 the standard throughout the whole country country has been raised and so this is the thing that's so good about it that whatever part of United Kingdom you're in you're fairly certain of getting a very high standard of medical or surgical care that's one of the great advantages it's not a question of just sheer chance of being born in a particular area with a particularly good setup the whole standard throughout the country is good and getting better all the time thank you we'll lift the flap first before we take all that out so we see exactly how far it's going to go you I could I have a hook please this is very much the sort of thing you're really doing you're doing a facelift isn't it yeah in a way move up higher with that one take that you want three hands for this yeah hold sister we've got to undermine here a bit and uh the external Jugger will be coming into sight shortly we must watch that one um well we'll get him back in somewhere between 1 and 3 months to lift the flap again and take it up to there and then him we might get it right up to the forehead we might and if so then he'll need one more operation to possibly tidy up this scar line if we don't succeed with that then we'll take a piece of skin from behind his ear and put it up there as a free patch craft and so three four operations before he's finished let's just clean them up everything well we started this before school age to try and get the bulk of it done then to fit in this is done to really suit this particular child the whole things tailored around him and the operations will be fitted in either during school holidays or at times in his Scholastic career when it's not very important I may make it sound as if it's marvelous and in fact it is as far as I'm concerned it's a very Humane service can I have a look at you oh I can see it I can see your operation what did you have done H what was [Music] that on it yeah tell me about your operation sir what did we do this this what is this what did we do to itous and what did we cut out nothing nothing we just cut it with scissors did we look at my tumy B coffe yeah that's not a very nice tummy we have to do something about that yes anyway it's all right is it g well do you want these back thank you bye then bye [Music] no one has to use the facilities of the National Health Service anyone is at Liberty to pay if he wishes and to buy private care but in fact only about 2% of the population do perhaps the three doctors in this film have explained why this is so it is not taking care of the doctor or the nurse is Total Care of the patient The Marvelous thing is I don't have to worry about whether the patient can afford it anybody will get any test any treatment that is necessary I may make it sound as if it's marvelous and in fact it is as far as I'm concerned it's a very Humane [Music] [Music] [Applause] service e [Music] history has made for Brazil as the president and his wife wait to greet Queen Elizabeth and the Duke of Edinburgh on their arrival at Brazilia a warm handshake symbolizes the atmosphere that is to continue throughout their visit to South America a magnificent Capital City built out of Virgin scrub Brazilia is considered one of the wonders of the Modern Age in the bow-shaped Congress building her majesty addressed the National Congress sitting in joint session and praised Brazil for the example it has set the world in racial Harmony the itamar palace and at the first official banquet the president's toast was for closer links between Brazil and Britain in reply the queen said that she firmly believed that that the two Nations had much to offer each other then on to sa Polo welcoming crowds line the way to the city's tallest [Music] [Applause] [Music] building from this Vantage point Her Majesty was able to appreciate the size and modern skyline of one of the fastest growing cities in the world at Rio de Janeiro a figure of Christ dominates the Magnificent view of the city in Rio's guanabara Bay the Royal yacht Britannia is ready for Queen Elizabeth and Prince philli to play host here the queen is able to return some of the wonderful hospitality she's received these are some of the first film shots ever taken inside the Royal yach as the guests are entertained on board britania the Queen and Prince Philip pose with President Costa a Silva and his wife for the Press of the world on this Royal occasion the queen wears the grand collar of cruso while the president wears the sash of KN Grand Cross of the order of the bath honors which they had [Music] exchanged association football packs the stadiums of South America the queen and the Duke of Edinburgh see a match between Rio and sa Polo the star P an idol of the Brazilian fans as he was at Wembley [Music] arriving at the British Embassy where she gave a reception the queen was greeted by the British ambassadors Sir John Russell and Lady Russell the queen had a special friendly Pat for their two welcoming greyhounds a surprise had been planned during the evening the Royal visitors are entertained by one of Rio's famous sber groups in carnival mood [Music] then a Westward flight over the Andes to Chile thousands line the street of Santiago in a spontaneous welcome to the first reigning British monarch to visit the country president edw fre whom the queen had entertained 3 years previously on a state visit to Britain rides in an open car with her majest on the way to the plat consit where the queen and the Duke of Edinburgh are made illustrious citizens of Chile another brilliant spring day and an official address for the [Music] queen she is received by the directors and counselors of the National Institute of Professional Training to inaugurate the Anglo Chilean training center of the Institute the center specializes in motor vehicle maintenance machine tooling Foundry work and metalogy Britain has provided technical assistance in the shape of equipment costing £120,000 and her majesty is able to see some of this equipment being used and to talk to some of the young trainees escorted by a mounted guard their Royal highnesses Drive in an open carriage for the people of Santiago who've taken them to their [Music] hearts at the memorial to Chile's national hero surrounded by a dazzling ceremonial guard the queen accompanied by the Duke of Edinburgh in full naval uniform pays tribute to Bernard o Higgins at Santiago's deesa Club the royal couple watch a breathtaking display of horsemanship by the quadro Verde the crack Equestrian Team of the Chilean carabineros [Music] as a climax to the display the flags of the two countries are carried across the arena by pyramids of [Music] riders superb horsemanship to match the occasion Val pariza every vantage point is taken to get a personal view of the royal visitor in a city long renowned for its links with Britain the queen walks to the British Arch this Arch was presented by the British community in 1910 to commemorate the centinary of Chile's Independence here she receives the freedom of the city of [Music] [Applause] valaro it is here that the enthusiasm of the crowd knows no bounds breaking onto the roote in their determination to get closer to the royal couple Queen Elizabeth remains calm appreciating that this is a spontaneous demonstration of friendship and Hospitality the last full day in South America and the queen arrives at Santiago's Epico Club to attend a race meeting a reminder for her perhaps of ascet and the British Classics for this club was formed over 100 years ago under Jockey Club [Music] rules today's classic the Queen Elizabeth II cup with a trophy donated and to be presented by the queen [Music] [Applause] [Music] herself for the winning owner a proud moment the end of a happy visit for her majesty Queen Elizabeth and his Royal Highness the Duke of Edinburgh who've made many friends and strengthened British links with Latin [Music] America a final view of the shimmering Andes is an appropriate farewell to the royal couple [Music] the new decimal currency will be with us on decimal day dday the 15th of February 1971 the pound will be divided into 100 new pennies and we'll do our shopping in pounds and new Pence here are the new coins six of them a copper New Hay a copper new penny a copper two new Penny piece a silver five new Penny piece a silver 10 new Penny piece and a silver 50 new Penny piece designed to be announced later it'll be a simple system and much easier to do our sums the pound will stay the same the coins which add up to it are changing for