[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:04.04,0:00:05.47,Default,,0000,0000,0000,,Over the past number of weeks,
Dialogue: 0,0:00:05.47,0:00:08.33,Default,,0000,0000,0000,,all of us have had to adapt\Nand change everything that we do:
Dialogue: 0,0:00:08.33,0:00:09.99,Default,,0000,0000,0000,,limiting our contact with people,
Dialogue: 0,0:00:09.99,0:00:12.31,Default,,0000,0000,0000,,being scrupulous about washing our hands,
Dialogue: 0,0:00:12.31,0:00:14.88,Default,,0000,0000,0000,,standing patiently in line\Nto enter a supermarket,
Dialogue: 0,0:00:14.88,0:00:16.36,Default,,0000,0000,0000,,and staying at home.
Dialogue: 0,0:00:16.88,0:00:19.49,Default,,0000,0000,0000,,The word 'home' has become\Nloaded with meaning.
Dialogue: 0,0:00:19.49,0:00:22.78,Default,,0000,0000,0000,,For many of us, home is a place\Nof safety and sanctuary.
Dialogue: 0,0:00:22.78,0:00:25.33,Default,,0000,0000,0000,,But this is not the case for everyone.
Dialogue: 0,0:00:25.68,0:00:28.84,Default,,0000,0000,0000,,What has become very apparent\Nover the past few weeks
Dialogue: 0,0:00:28.84,0:00:32.45,Default,,0000,0000,0000,,is that care homes for older people\Nhave not been places of safety
Dialogue: 0,0:00:32.45,0:00:34.82,Default,,0000,0000,0000,,either for staff or for residents.
Dialogue: 0,0:00:34.82,0:00:38.80,Default,,0000,0000,0000,,The care home setting has been\Nthe forgotten front line in the UK.
Dialogue: 0,0:00:38.80,0:00:42.10,Default,,0000,0000,0000,,Numbers of cases and deaths\Nin UK care homes were not reported
Dialogue: 0,0:00:42.10,0:00:43.81,Default,,0000,0000,0000,,in the early stages of the pandemic.
Dialogue: 0,0:00:43.81,0:00:45.25,Default,,0000,0000,0000,,And it is only now
Dialogue: 0,0:00:45.25,0:00:48.01,Default,,0000,0000,0000,,that we're beginning to understand\Nthe scale and the impact
Dialogue: 0,0:00:48.01,0:00:50.97,Default,,0000,0000,0000,,that the coronavirus has had\Nin this environment.
Dialogue: 0,0:00:50.97,0:00:52.25,Default,,0000,0000,0000,,Many, who like me,
Dialogue: 0,0:00:52.25,0:00:56.18,Default,,0000,0000,0000,,who've conducted research in care homes\Nand are familiar with the sector
Dialogue: 0,0:00:56.18,0:00:59.06,Default,,0000,0000,0000,,are, sadly, not surprised\Nby what has happened.
Dialogue: 0,0:00:59.06,0:01:00.82,Default,,0000,0000,0000,,So why has it happened?
Dialogue: 0,0:01:00.82,0:01:03.71,Default,,0000,0000,0000,,And what lessons can be learned\Nfrom this tragedy?
Dialogue: 0,0:01:04.48,0:01:05.48,Default,,0000,0000,0000,,Care homes,
Dialogue: 0,0:01:05.48,0:01:08.90,Default,,0000,0000,0000,,which is a term sometimes used\Nto describe nursing or residential homes,
Dialogue: 0,0:01:08.90,0:01:10.01,Default,,0000,0000,0000,,provide care,
Dialogue: 0,0:01:10.01,0:01:14.83,Default,,0000,0000,0000,,usually to older people who are unable\Nto continue to live in their own homes.
Dialogue: 0,0:01:14.83,0:01:17.46,Default,,0000,0000,0000,,The average age of residents\Nis around 80 years.
Dialogue: 0,0:01:17.46,0:01:20.98,Default,,0000,0000,0000,,The population is largely women -\Nabout 70 percent.
Dialogue: 0,0:01:20.98,0:01:25.03,Default,,0000,0000,0000,,And most will have two or three\Nmedical conditions, including dementia.
Dialogue: 0,0:01:25.03,0:01:27.84,Default,,0000,0000,0000,,This means that they will be taking\Na number of medications,
Dialogue: 0,0:01:27.84,0:01:29.99,Default,,0000,0000,0000,,and in some cases, more than 10.
Dialogue: 0,0:01:30.69,0:01:33.70,Default,,0000,0000,0000,,Care home residents\Ntend to be more prone to infection.
Dialogue: 0,0:01:33.70,0:01:37.22,Default,,0000,0000,0000,,And research that we did\Nin Northern Ireland in 2011
Dialogue: 0,0:01:37.22,0:01:40.13,Default,,0000,0000,0000,,showed that there were higher levels\Nof antibiotic prescribing
Dialogue: 0,0:01:40.13,0:01:43.32,Default,,0000,0000,0000,,used to treat infections\Nin Northern Ireland nursing homes
Dialogue: 0,0:01:43.32,0:01:46.77,Default,,0000,0000,0000,,compared to homes\Nin other European countries.
Dialogue: 0,0:01:46.77,0:01:49.73,Default,,0000,0000,0000,,Another study, which we published in 2010,
Dialogue: 0,0:01:49.73,0:01:52.75,Default,,0000,0000,0000,,found high levels\Nof a bacteria called MRSA
Dialogue: 0,0:01:52.75,0:01:55.14,Default,,0000,0000,0000,,in both residents and staff.
Dialogue: 0,0:01:55.59,0:01:57.04,Default,,0000,0000,0000,,Further research showed
Dialogue: 0,0:01:57.04,0:02:00.14,Default,,0000,0000,0000,,that controlling infection in care homes\Nwas difficult for staff
Dialogue: 0,0:02:00.14,0:02:01.72,Default,,0000,0000,0000,,because of lack of time
Dialogue: 0,0:02:01.72,0:02:03.34,Default,,0000,0000,0000,,and they didn't have the resources
Dialogue: 0,0:02:03.34,0:02:06.89,Default,,0000,0000,0000,,to purchase the necessary equipment\Nto prevent infection.
Dialogue: 0,0:02:07.32,0:02:10.12,Default,,0000,0000,0000,,A survey conducted by Mather LifeWays,
Dialogue: 0,0:02:10.12,0:02:15.24,Default,,0000,0000,0000,,which provides care services\Nto older people in US nursing homes,
Dialogue: 0,0:02:15.24,0:02:20.06,Default,,0000,0000,0000,,found that staff felt ill-prepared\Nto deal with public health emergencies.
Dialogue: 0,0:02:20.50,0:02:21.87,Default,,0000,0000,0000,,In the UK context,
Dialogue: 0,0:02:21.87,0:02:24.82,Default,,0000,0000,0000,,care homes are not seen\Nas part of the National Health Service.
Dialogue: 0,0:02:24.82,0:02:26.64,Default,,0000,0000,0000,,Many of them are privately owned,
Dialogue: 0,0:02:26.64,0:02:31.20,Default,,0000,0000,0000,,and this may affect access\Nto personal protective equipment, PPE.
Dialogue: 0,0:02:31.20,0:02:35.19,Default,,0000,0000,0000,,And, importantly, as the name suggests,\Ncare homes are homes.
Dialogue: 0,0:02:35.19,0:02:37.68,Default,,0000,0000,0000,,They are the residents' homes,
Dialogue: 0,0:02:37.68,0:02:39.55,Default,,0000,0000,0000,,albeit on a communal basis,
Dialogue: 0,0:02:39.55,0:02:42.64,Default,,0000,0000,0000,,and staff will try to enhance\Nthat homely environment
Dialogue: 0,0:02:42.64,0:02:44.64,Default,,0000,0000,0000,,rather than create a clinical environment,
Dialogue: 0,0:02:44.64,0:02:46.84,Default,,0000,0000,0000,,which would be commonly seen\Nin the hospital.
Dialogue: 0,0:02:47.75,0:02:48.95,Default,,0000,0000,0000,,So all of this background
Dialogue: 0,0:02:48.95,0:02:52.36,Default,,0000,0000,0000,,highlights how a perfect storm\Nhas been created in care homes
Dialogue: 0,0:02:52.36,0:02:54.12,Default,,0000,0000,0000,,during this pandemic:
Dialogue: 0,0:02:54.12,0:02:55.53,Default,,0000,0000,0000,,a vulnerable population,
Dialogue: 0,0:02:55.53,0:02:57.06,Default,,0000,0000,0000,,a high-risk environment,
Dialogue: 0,0:02:57.06,0:02:59.02,Default,,0000,0000,0000,,and lack of resources.
Dialogue: 0,0:02:59.02,0:03:02.34,Default,,0000,0000,0000,,But, perhaps, there's also been\Nan intangible factor at play
Dialogue: 0,0:03:02.34,0:03:06.24,Default,,0000,0000,0000,,and something this society\Nmay not have been prepared to admit:
Dialogue: 0,0:03:06.24,0:03:09.17,Default,,0000,0000,0000,,do we really care\Nabout what happens in care homes?
Dialogue: 0,0:03:09.17,0:03:13.24,Default,,0000,0000,0000,,The residents are old\Nand are probably going to die anyway.
Dialogue: 0,0:03:13.24,0:03:14.72,Default,,0000,0000,0000,,So why bother to test?
Dialogue: 0,0:03:14.72,0:03:18.35,Default,,0000,0000,0000,,And why bother to count\Nthe number of cases and deaths?
Dialogue: 0,0:03:19.18,0:03:21.100,Default,,0000,0000,0000,,Prime minister Boris Johnson\Nstated in the UK Parliament
Dialogue: 0,0:03:21.100,0:03:24.22,Default,,0000,0000,0000,,on Wednesday, May the 6th:
Dialogue: 0,0:03:24.22,0:03:26.31,Default,,0000,0000,0000,,'There is an epidemic\Ngoing on in care homes,
Dialogue: 0,0:03:26.31,0:03:29.12,Default,,0000,0000,0000,,which is something I bitterly regret.'
Dialogue: 0,0:03:29.12,0:03:30.65,Default,,0000,0000,0000,,There's been growing recognition
Dialogue: 0,0:03:30.65,0:03:33.83,Default,,0000,0000,0000,,that care homes were left behind\Nand forgotten in the early stages.
Dialogue: 0,0:03:33.83,0:03:37.81,Default,,0000,0000,0000,,and there's now a concerted effort\Nto play catch-up with testing,
Dialogue: 0,0:03:37.81,0:03:39.12,Default,,0000,0000,0000,,the provision of PPE,
Dialogue: 0,0:03:39.12,0:03:41.72,Default,,0000,0000,0000,,and further support from the NHS,
Dialogue: 0,0:03:41.72,0:03:44.22,Default,,0000,0000,0000,,with hospital nurses\Nnow working in care homes
Dialogue: 0,0:03:44.22,0:03:47.71,Default,,0000,0000,0000,,and other staff providing advice\Non infection control.
Dialogue: 0,0:03:48.27,0:03:51.50,Default,,0000,0000,0000,,Care home staff have worked\Nunder the most difficult of circumstances
Dialogue: 0,0:03:51.50,0:03:53.36,Default,,0000,0000,0000,,to provide the best care to residents,
Dialogue: 0,0:03:53.36,0:03:56.01,Default,,0000,0000,0000,,to the extent that many\Nare now living on-site
Dialogue: 0,0:03:56.01,0:04:00.08,Default,,0000,0000,0000,,to maintain lockdown conditions\Nand minimise the risk of transmission.
Dialogue: 0,0:04:01.10,0:04:03.08,Default,,0000,0000,0000,,As we move towards a possible lifting
Dialogue: 0,0:04:03.08,0:04:06.27,Default,,0000,0000,0000,,of some of the more extreme\Nelements of lockdown,
Dialogue: 0,0:04:06.27,0:04:08.74,Default,,0000,0000,0000,,might the experience\Nwitnessed in care homes
Dialogue: 0,0:04:08.74,0:04:10.99,Default,,0000,0000,0000,,lead to a more sustained\Nand permanent change
Dialogue: 0,0:04:10.99,0:04:13.21,Default,,0000,0000,0000,,in how society views older people
Dialogue: 0,0:04:13.21,0:04:16.16,Default,,0000,0000,0000,,and particularly those\Nwho reside in care homes?
Dialogue: 0,0:04:16.16,0:04:17.41,Default,,0000,0000,0000,,Might care homes be seen
Dialogue: 0,0:04:17.41,0:04:20.20,Default,,0000,0000,0000,,as an important part\Nof health and social care,
Dialogue: 0,0:04:20.20,0:04:22.40,Default,,0000,0000,0000,,not sitting at the periphery of the NHS
Dialogue: 0,0:04:22.40,0:04:23.40,Default,,0000,0000,0000,,and often viewed
Dialogue: 0,0:04:23.40,0:04:25.77,Default,,0000,0000,0000,,as the care provider of last resort?
Dialogue: 0,0:04:26.40,0:04:27.86,Default,,0000,0000,0000,,In 2007,
Dialogue: 0,0:04:27.86,0:04:29.65,Default,,0000,0000,0000,,the British journalist Polly Toynbee
Dialogue: 0,0:04:29.65,0:04:32.40,Default,,0000,0000,0000,,wrote in an opinion piece\Nfor The Guardian:
Dialogue: 0,0:04:32.40,0:04:34.54,Default,,0000,0000,0000,,'Schools are hot politics;
Dialogue: 0,0:04:34.54,0:04:36.61,Default,,0000,0000,0000,,old folks' homes aren't.'
Dialogue: 0,0:04:36.61,0:04:38.53,Default,,0000,0000,0000,,13 years later, in 2020,
Dialogue: 0,0:04:38.53,0:04:42.14,Default,,0000,0000,0000,,care homes have become hot politics,\Nbut for all the wrong reasons,
Dialogue: 0,0:04:42.14,0:04:45.25,Default,,0000,0000,0000,,and society has been appalled\Nat what has happened.
Dialogue: 0,0:04:45.25,0:04:49.69,Default,,0000,0000,0000,,But perhaps this tragedy will be\Nthe catalyst for change in care homes.
Dialogue: 0,0:04:49.69,0:04:50.73,Default,,0000,0000,0000,,On a Thursday night,
Dialogue: 0,0:04:50.73,0:04:54.71,Default,,0000,0000,0000,,we stand on our doorsteps\Nto applaud those working in the NHS
Dialogue: 0,0:04:54.71,0:04:56.68,Default,,0000,0000,0000,,and other front-line workers.
Dialogue: 0,0:04:57.13,0:04:59.78,Default,,0000,0000,0000,,Let us reflect, in particular,\Nabout care homes -
Dialogue: 0,0:04:59.78,0:05:01.04,Default,,0000,0000,0000,,the staff, the residents -
Dialogue: 0,0:05:01.04,0:05:03.97,Default,,0000,0000,0000,,and what they have faced\Nover the course of this pandemic.
Dialogue: 0,0:05:04.60,0:05:07.55,Default,,0000,0000,0000,,It is timely that we think\Nabout what we value
Dialogue: 0,0:05:07.55,0:05:12.100,Default,,0000,0000,0000,,when it comes to the care and protection\Nof some of the most vulnerable in society.
Dialogue: 0,0:05:12.100,0:05:15.72,Default,,0000,0000,0000,,And we should think\Nabout what we would want for ourselves
Dialogue: 0,0:05:15.72,0:05:18.97,Default,,0000,0000,0000,,if, in the future,\Nwe become care home residents.
Dialogue: 0,0:05:19.79,0:05:21.82,Default,,0000,0000,0000,,Alan Bennett, the writer and playwright,
Dialogue: 0,0:05:21.82,0:05:25.14,Default,,0000,0000,0000,,has been an advocate\Nfor improving care for older people.
Dialogue: 0,0:05:25.14,0:05:28.32,Default,,0000,0000,0000,,He has written movingly about\Nhis own mother's time in a care home,
Dialogue: 0,0:05:28.32,0:05:30.04,Default,,0000,0000,0000,,where she eventually died.
Dialogue: 0,0:05:30.59,0:05:32.06,Default,,0000,0000,0000,,In his book 'Telling Tales',
Dialogue: 0,0:05:32.06,0:05:36.22,Default,,0000,0000,0000,,he reminds us that old age will come\Nto many of us despite what we think.
Dialogue: 0,0:05:36.22,0:05:37.85,Default,,0000,0000,0000,,He writes the following:
Dialogue: 0,0:05:38.46,0:05:41.12,Default,,0000,0000,0000,,'And one of the ways the young\Nthink they are safeguarded
Dialogue: 0,0:05:41.12,0:05:44.51,Default,,0000,0000,0000,,against the fate and the future\Nof their grandparents is by their names.
Dialogue: 0,0:05:44.51,0:05:48.50,Default,,0000,0000,0000,,Sharons don't suffer from dementia\Nor Damiens from incontinence.'
Dialogue: 0,0:05:48.98,0:05:52.78,Default,,0000,0000,0000,,Alan Bennett goes on to warn us\Nthat our names are not enough to save us.
Dialogue: 0,0:05:52.78,0:05:53.92,Default,,0000,0000,0000,,I quote:
Dialogue: 0,0:05:53.92,0:05:57.16,Default,,0000,0000,0000,,'But coming up the road are the Danes\Nand the Darrens and the Waynes,
Dialogue: 0,0:05:57.16,0:05:58.88,Default,,0000,0000,0000,,and they too shall fail.
Dialogue: 0,0:05:58.88,0:06:01.46,Default,,0000,0000,0000,,It won't be long before\Neven Tiffany is a grandmother
Dialogue: 0,0:06:01.46,0:06:03.99,Default,,0000,0000,0000,,and her cot got ready in the corner.
Dialogue: 0,0:06:03.99,0:06:06.66,Default,,0000,0000,0000,,Her children, middle-aged\Nand vaguely resentful,
Dialogue: 0,0:06:06.66,0:06:09.30,Default,,0000,0000,0000,,come and sit with her\Non Sunday afternoons
Dialogue: 0,0:06:09.30,0:06:12.94,Default,,0000,0000,0000,,while she tries to remember\Nwho they are and who she is.
Dialogue: 0,0:06:12.94,0:06:14.39,Default,,0000,0000,0000,,"You're Tiffany, Mother,
Dialogue: 0,0:06:14.39,0:06:16.78,Default,,0000,0000,0000,,and this is your little granddaughter."
Dialogue: 0,0:06:16.78,0:06:18.62,Default,,0000,0000,0000,,And what will her name be?'