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tv   BBC News  BBC News  February 7, 2017 8:00pm-9:00pm GMT

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this is bbc news — the headlines at eight: the government has defeated an amendment to the final draft brexit agreement before it's put to the european parliament. it could have sent the prime minister row back to the negotiating table. as us government lawyers head to the courts to try an re—impose trump's travel ban — the secretary of homeland security says no more countries will be added to the banned list. a 10 minute appointment with your gp — how the uk has some of the shortest doctors appointment times in europe. the royal marine convicted of murdering an injured afghan fighter begins his appeal — the court hears new psychiatric evidence. also in the next hour, fixing england's broken housing market — the government promises to build a million new homes by 2020 and plans for a helping hand at one online supermarket — but what happens to humans when the robots do the job? good evening and
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welcome to bbc news. the government has announced that parliament will vote on its final deal on brexit before it's put to the european parliament. earlier this evening a potential government defeat was avoided after mps opposed a labour amendment calling for the commons and the lords to be given a say before negotiations are finished. the impact of these developments means —— means parliament will have the power to send theresa may back to the negotiating table in brussels. live to westminster and the latest from our political correspondent, tom bateman. we managed to explain it pretty well. it is slightly confusing for
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people about what exactly is going on, with other amendments being voted on? what this is about, essentially, is a group of mps, particularly opposition mps, attempting to attach a set of conditions to the government's desire to have complete control of the brexit process. what they are debating is the article 50 bill. that is the bill in which parliament is empowering the government to go to brussels and negotiate our way out of the european union. many in labour, the snp and the liberal democrats have tabled a series of amendments to attach conditions. they wanted things like parliament in law to have to give its approval to any deal before the deal is signed off by theresa may over in brussels when it happens in a couple of years. that was potentially one of years. that was potentially one of the most dangerous moments for the government, one that amendment was voted on this evening. what had
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happened before that was brexit minister david jones had read out a short paragraph saying that the government gave, in effect, a verbal guarantee saying that mps would be able to have a vote on the final deal before it goes to the european parliament. however, there has been some discussion about how much of a concession this was. some mps said it amounted to very little. however, it amounted to very little. however, it has been enough to see off any potential rebellion. the government won the vote with a majority of 33. however, there were seven conservatives who voted against that, but that was even dead by the fa ct that, but that was even dead by the fact that six labour mps voted on the government's side. —— evened out. can we get an update on the speaker of the house, john bercow? he does seem to be under pressure to
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apologise or retract. even calls for him to be removed from his post. how serious is this forjohn bercow?m was only yesterdayjohn bercow said to mps that his opposition to donald trump meant he shouldn't be able to come here and make a speech to both houses of parliament because parliament was opposed to racism and sexism. now that story moved to the house of lords a little earlier today, when lord's speaker lord fowler gave john bercow a little today, when lord's speaker lord fowler gavejohn bercow a little bit ofa fowler gavejohn bercow a little bit of a ticking off, by suggesting it was a breach of protocol. but both speakers should act in consultation and then decide who gets invited to come here when it comes to foreign leaders. he said he had an open mind as to whether donald trump should come here. a number of points of order and were raised in the house of commons about what the speaker
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had said yesterday. some conservative mps raising their concerns about the fact this had been done. the speaker has an historically impartial role in that seat. but mr bercow stood by his decision. he said he had acted honourably when he said what he did yesterday. thank you for that update. the scottish parliament has voted against plans to leave the european union, though the supreme court has already ruled that the uk government doesn't need to consult the devolved administrations. msps voted by 90 to 3a in favour of a motion put forward by the scottish government. in the referendum on leaving the european union, a majority of the electorate in scotland voted to remain. and we'll find out how this story — and many others — are covered in tomorrow's front pages at 10:40 this evening in the papers. our guests joining me tonight are the daily telegraph's political correspondent, laura hughes, and buzzfeed reporter aisha gani.
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america's secretary of homeland security, john kelly, has said that president trump will not add more countries to the list of seven whose nationals have been placed under a temporary travel ban. it comesjust it comes just hours before government lawyers head to the courts to try to get the executive order reimposed. meanwhile, the us senate has confirmed donald trump's nominee for education secretary by the narrowest possible margin. live to washington and the latest from kim ghattas. first, let's start with the travel ban. an awful lot of debate and rhetoric over who is going to win the day in court. where are at now? it will all come down to the judges who will be ruling on this case in the ninth district circuit court of
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appeals. that is one level above federal court. the federal court is the court that suspended the order. that was a judge in seattle, in washington state. the reason why he was able to do that is because the policy that was implemented, that was imposed by an executive order, had national impact, and so this federaljudge could rule on it and decide that other national level the travel ban was suspended. the administration is trying to get that overturned. it is going to the next cheerin overturned. it is going to the next cheer in thejudicial overturned. it is going to the next cheer in the judicial system, to the court of appeals, which will be hearing arguments from both sides this evening. 0ral arguments, hearing arguments from both sides this evening. 0ralarguments, over the phone, very unusual. the administration is clearly framing this from a national security perspective, saying that of holding the... it is important to put the
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ban back in place because until that is done, there is irreparable harm being done to the country. lawyers from washington state are arguing that that is not plausible, because that that is not plausible, because that would mean that until the executive order had been signed by the president, irreparable harm was being done to the country and that is simply not possible. the lawyers are arguing that the executive order is simply unconstitutional, and of course, thejudges will is simply unconstitutional, and of course, the judges will rule based on the legality of the executive order, even though there is an issue, of course, of national security. can we just talk about the education secretary, betsy devos, who is won by the narrowest possible margin? we understand mike pence had to cast his vote is to make sure she got thejob. there has been an outpouring on twitter from americans in the last couple of hours, the can't believes she has got the job. why are people so angry? there was
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also an outpouring of phone calls to members of congress, americans calling from it —— across the country, states where they are concerned about her views on education, which are frankly quite thin. she is a big supporter of voucher schools. that's something lot of people fear is undermining public education. there are concerns about her lack of experience in education, the fact she didn't have a degree in education, the fact she never worked in education. and democrats are calling this one of the worst appointments ever. we have the worst appointments ever. we have the democratic national committee saying that mr trump's swamp just got a new millionaire, because she is the heir to the arm where marketing fortune. it was a very tight vote in the senate. the
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democrats managed to get two republicans to their side. they feared that betsy devos's support for charter schools would undermine public schools in their state. in the end that 50—50 tight hats to be broken by vice president mike pence, who went to the senate to cast a vote in favour of betsy devos. it has never happened before. this is quite historic. it shows the difficult battles ahead also for democrats. they failed on this occasion to stop parts of donald trump's agenda. but it does show that they do have also the possibility to get republicans on their side. they say they are confident they can continue to try to push forward like that. the democrats say as well that they have the support of the people just by judging the number of phone calls
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that members of congress got. the administration, of course, it is quite differently. and they are quite differently. and they are quite happy with the confirmation of betsy devos as education secretary. it isa betsy devos as education secretary. it is a fascinating political landscape at the moment. many thanks. "fixing the broken housing market in england" — that was the pledge from the government today, as it set out new plans to build a million new homes by 2020. the new strategy includes putting more pressure on councils and better deals for people who rent. labour says the measures are "feeble beyond belief". from manchester, home editor mark easton reports. this part of england could be seen as a test—bed for central government's housing ambitions. is to become the engine faranortherfisafierhaue—a. — creating the jobs that will drive the growth will need, councils estimate, another 227,000 homes in the next 20 years. some on greater manchester's green belt.
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the ink was barely dry on the draft plan before the protests began. demonstrations have been held across the region in recent weeks. at least nine of the local mps, both labour and tory, four this side and four that side. but these campaigners don't think greater manchester's plan is realistic in the slightest. the campaign to save bury‘s green belt is adamant the proposal to turn farmland into a new residential community is based on faulty logic. i know we need housing, but use the brownfield first. there's 11,000 empty homes in greater manchester, get them filled up and then start looking at greenfield. but those looking to restore greater manchester's industrial greatness say it can't grow unless it builds. we are not in the business of tearing up the green belt.
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we believe we have looked at the brownfield land supply all across the conurbation and that we cannot accommodate our growth without taking a small part of green land into account as part of the future development of the city region. and people like gerard saint—etienne, who struggles to pay his rent — never mind get on greater manchester's housing so i'd like it to be more attainable for the working man because it seems to be like the working man has been pushed aside. the government says affordability is at the heart of its strategy, both with homes for rent and to buy, but will developers deliver? we know that greater manchester needs around about 4,800 new affordable homes every year. in the past the area has been delivering around 2,000 so we know there is a big demand for affordable housing out there. as an industry, we are keen to meet that demand through appropriate development.
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today's white paper promises radical action to mend england's broken housing market, but when it comes to a realistic plan to deliver enough affordable homes where people want to live, there are questions as to whether that can be done without some development on the green belt. now central government has decided to dodge that fight, but here in greater manchester it's game on. they are going ballistic. they just won't accept it. in high lane near stockport, locals are preparing for battle, determined to halt plans for new houses in their village. people think you are nimbys, you know that? they can think whatever they want. we're not nimbys, we're not opposed to new housing, but we need it to be done in a balanced and structured way and using brownfield sites first. but you don't want it in your back yard. no, i'm not saying we don't want new houses in high lane, we do, but we don't want mass development. so, who will decide who's right? the question at the heart of today's housing plan is whether it changes the balance of power
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between development and local opposition. mark easton, bbc news, greater manchester. the headlines on bbc news: the government has defeated a group of mps in parliament who wanted a vote on the final brexit-£523 of mps in parliament who wanted a vote on the final brexit-£52 us security g no securityg no more countries q added to the countries will be added to the banned list. doctors' leaders say ten minute gp appointments are crazy. more on that in a moment. more on that in a moment. we will be speaking to a couple of gps about their ideas to improve care. sport now, and for a full round up, let's go to the bbc sport centre. good evening. alastair cook says it
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will be great for england's cricketers to have a new voice with a new drive and new ideas. he has been speaking for the first time since stepping down as england test captain. he told joe wilson he can no longer give his all to the role. it's a job you need to do at 100% and you need to be committed to everything. unfortunately, i've gone to the well a few times and i have to be honest and look in the mirror. i couldn't do it any more. i could do 95%. but it's not a job you can do at 95%. whatjob would joe root do with the team if he becomes the test captain? now i'm no longer involved in those decisions, i'll wait and see. whoever gets the job it will be a very special time for him or for them, whoever it is. they are very lucky because they have some very talented cricketers to drive forward. hopefully we can drive england forward and win a lot more games than we lose. premier league champions leicester
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city have given their manager claudio ranieri unwavering support ina claudio ranieri unwavering support in a vote of confidence from the club. despite winning the title last may, leicester have struggled this g; p5- 2521. success 1.2.17: success -- 1.2.17: success —— success 5 success —— success was 3; success —— success was basedi recent success —— success was based on stability, togetherness and determination. i know the idea of the chairman, the club, to everybody. for me it's ok. but i think this is more for you than for me. maybe the chairman wanted to stop all of the speculation. every team goes down. and the speculation, more. this season everything is wrong but we are still fighting. and that is my strength. that is important for me. huddersfield town manager david
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wagoner and his leeds counterpart garry monk have been charged with improper conduct by the football association. the charge comes after the pair were involved in a confrontation near the end of huddersfield's 2—1win in confrontation near the end of huddersfield's 2—1 win in their west yorkshire derby on sunday. both clu bs yorkshire derby on sunday. both clubs have been charged with failing to ensure their players conducted themselves in an orderly fashion. and there is one match in the championship tonight. wigan are hosting norwich. wigan have only won six league matches this season. a win would put norwich into the play—off spot. it is currently scoreless. british number four ali is better net has reached the second round of the marseille open. ranked 109 in the world, he in three sets and will face the germ and fourth
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seed, alexander zverev. after great britain's men made it into the second round of the davis cup at the weekend, it is now the turn of the women as they look to progress in the fed cup. the british team, led by anne keothavong, aaron tallin today turkey, latvia and portugal in round—robin matches. today turkey, latvia and portugal in round-robin matches. every year is an opportunity but we've also give —— got to give credit to the other teams. it is an incredibly tough zone. it is very taxing. it is days and days and days. it is not quite the same as a weekend home or away tie. it gives a different dimension, a different talents. but we have got a different talents. but we have got a great group of girls and a great support system around us. i'm really looking forward to be a part of that tea m looking forward to be a part of that team environment again and give it oui’ team environment again and give it our best shot, because that is what we'll do. we will go out there and give it our best shot and hopefully creates opportunities to move forward. that is all for now. i will be back with sportsday at 10:30pm.
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thank you. tonight we bring you the second of our special reports on the mounting pressures facing the nhs in england. it comes as the latest economic forecast from the influential institute for fiscal studies says spending on the health service is struggling to keep pace with population growth and ageing patients. more on that in a moment — but first, bbc news has been given exclusive access to the royal blackburn hospital. it was built to serve a population of 300,000 people, but now looks after half a million. as our special correspondent, ed thomas, reports, it amounts to a daily struggle, with doctors and nurses searching for beds for their patients. you may find some of the images in his report distressing. every bed on every ward. never know what is coming through the door. never. lives depending on the nhs. i wouldn't be here today but for them. for a week the bbc was allowed inside the royal blackburn hospital. a rare opportunity to see the every day pressures. it is a fight today for the beds.
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by monday morning the medical wards in a&e are full. we can give that bed back. but in intensive care space must be found. so that gives one bed on the unit. every day operations are planned, and patients need to recover here. get that bed turned round as quickly as possible. that will be our only bed. we didn't get up this morning to think we are going to ruin somebody‘s life by telling them they can't have their operation. we are trying to juggle the beds. sometimes the staff laugh because i walk up and down like this and we are still spinning. at some point today the plates won't crash. we will have enough beds for everybody. that is the same today, hopefully today we will have enough beds for everybody. right now this means patients are waiting. steven has elective surgery, for throat cancer. he has been told if no recovery beds are available. i'm in limbo, really. it might be
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cancelled. hopefully it is today. with cancer you have to take it out as fast as. staff talked about the challenges of finding beds all week. in theatre, with the operation nearly over, vascular surgeon robert gets a call from the a&e. on his mind, beds. you are having your hand on somebody‘s aorta is what you do. you have another patient to do and you don't have a bed. that stresses you. he has common to hospital with pain in his abdomen and his blood pressure is down. ronald is 84 and has clpsed —— collapsed. another elderly patient with an acute complex condition. another family desperate. how important is is this place to you? lifeline. a lifeline, because her mother,
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ronald's wife has been admitted on the same day. upstairs, waiting for an operation. betty has type two diabetes. she has been told she could lose her foot and with it her independence. so you are waiting for your operation and you are worried about your husband? yes, because he is blind and deaf, we can't do anything for himself. you have to concentrate on your operation? i can't concentrate on that until i know he is all right. i don't want my foot gone and my leg because i won't be able to stay at home. i won't be able to walk. they will have to put me in a nursing home. iam not going in a nursing home without my husband, that is not going to happen. they will put us in two different places. but this is the reality of the nhs today. increasing demands, inside and outside the hospital. it is notjust bedding i am worried about. it is her husband, they have been with each other for 50 year, they co—depend on each other.
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it is dreadful. if you lock at bed capacity, cost, management of patients with ulcers it is enormous. type two diabetes. it isjust, i can't even convey what a serious problem it is to society, the nhs, and us on the front line. and this is what the front line looks like. the davenport, waiting six hours in a&e. ready for the surgery. it seems to be the bed that is the problem. 0n the medical wards we have used every possible bed available. daily meetings to find beds. senior nurses, trying to move people through the hospital. females aren't moving off here. there are no female beds in the hospital. and some surgeons and nurses left upset and frustrated. every year we have to make savings and most people are feeling like there is is not a lot of fat left on the bone and we still don't have enough to do
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what we need to do. there is not enough staff. too many patients coming in and out. a number of things, we go home deflated and upset because we feel can't can't do any more than we are doing. the chief executive here wanted to show this pressure for beds, and the need for solutions, outside his hospital. we are trying to support staff, by looking at the bed capacity we have, by trying to work with partners to keep people out of hospital, where they don't need to be in hospital. would you rather have another ward being built or a care home in the community? it has to be a care home in the community. you don't want to be in hospital if you don't need to be in hospital. i would far rather have capacity any the community, in terms of nursing homes and care homes. everyone here is treated, no—one is turned away. and take betty, she was due to move to care home this week. together, with her husband ronald. and this is the moment a bed
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was found and steven got his cancer operation. what about that? couldn't have been timed better. are you ready? yes. brilliant. who will do yourjob in the future? will it be another human or will it be done by a robot? these are questions worth asking because companies are using ever more advanced automation to stay ahead of their competitors. rory cellan—jones gained exclusive access to one firm who say there is no choice but to let the robots do more and more. in a warehouse in hatfield, a very complex operation is under way, assembling 0cado customer orders from 50,000 potential items. it still requires plenty of people but if the online supermarket is to make money from something shoppers used to do themselves, this must get ever more automated.
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that's why there's a robotics lab in the corner of the warehouse. this robot arm designed to pick up fruit without damaging it, is one of their creations, though it is some years away from being put to work. but in another warehouse in andover, 0cado says the future is already here. swarms of robots move across a grid, collaborating to collect groceries from crates beneath them. it's a huge investment but the firm says there's no alternative. if the uk is to remain competitive on the world stage, then there is no option but to invest in not only automation but in this increasing move towards robotics because that is the only way we will be competitive. there is no choice. all kinds of businesses that want to prosper over the next decade are going to have to use artificial intelligence and automation to make themselves more efficient. the question is just how many people are going to see theirjobs taken by robots and what's going to happen to them. at london science museum,
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a new exhibition traces the history of robots and shows how they are now encroaching on tasks once restricted to humans. 0ne academic has a startling forecast. 35% of current uk employment is at high risk of being replaced by robots or similar technology by the year 2030. truck drivers, taxi drivers, processing of things like invoices. but there's a more optimistic view, that ourjobs are becoming more creative and complex and we will be able to keep ahead of the robots. some of the best skills you can have are adaptability, ability to switch between tasks, emotional intelligence and the ability to deal with change. those kind of things should protect our children for the labour market of tomorrow, whichever direction the robots take. the lesson of the past is that new technology usually creates more jobs than it destroys, but along the way a lot of people can end up losing out.
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rory cellan—jones, bbc news. the bbc has been at it for years. i am actually a robot. joining me is doctor karl frey from oxford university, who conducted the research analysis. we shouldn't joke, should we? in many ways, human beings will be replaced by robots in manyjobs. beings will be replaced by robots in many jobs. can you just beings will be replaced by robots in manyjobs. can you just tell me how you came up with this data and this analysis, and this grim prediction? what we simply did ismaiel —— looked at the task composition ofjobs. humans will be involved in some kind of tasks involving creativity. we estimated the volume of the workforce involved in those tasks. roughly a0 precise —— a7% ofjobs do not involve those kind of skills. in
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the uk context that is the equivalent of round about 35%. what jobs whatjobs are we talking about? we can't see robots replacing tv presenters but what kind ofjobs are we talking about? for that amount of jobs you are talking about robots that can express emotion, sympathy and provide intelligence. the big difference is that there is no single domain that is completely u naffected single domain that is completely unaffected by the technology. 0ver the last 20, 30 years, automation has been confined to manufacturing. what we are seeing now, the new era of big data driven technologies is making a much broader range of tasks susceptible to automation and as a result everything from transport, logistics jobs, sales and service jobs are becoming automated as well.
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we've got five cameras in the studio that are robotic cameras. when i started in television they would have had people behind them. this has been going on for some time, where robots can replace humans and save money, they have been. are you suggesting that this process where robots are replacing humans in factories and studios, it is speeding up? it is certainly increasing in terms of the scope, the kind ofjobs and industries being affected. we also see that the diffusion of new technologies is happening more rapidly as well. yes, in terms of speed and scope, automation is heating up with a pace. sometimes these cameras get it wrong, to the amusement of viewers. is there anything we can do to protect our careers from robots?|j don't protect our careers from robots?” don't think it's a question of protecting your career, it's a
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question of getting the right skills to be able to shift into newjobs and industries as they emerge and that requires adaptability and having the skills that are difficult to automate, creativity and complex social interactions. in addition to that, as new technologies are being adapted, we must acquire the skills needed to work with those technologies, and machine learning is one example of a skill set that is one example of a skill set that is becoming increasingly valuable and is going to grow in demand. sounds like a battle with the robots! thank you forjoining us. fascinating. if not a bit scary! the weather now. we had the rain and wind yesterday, a bit more calm this evening and overnight and a touch of frost in some parts of the country, particularly western areas of the uk. this is where temperatures will
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drop to freezing or below, but for the most of the country it will remain cloudy and there will be some rain, especially in the east. we had some snow over some areas of scotland, especially the hills, so maybe some icy mess. tomorrow, central and eastern areas, cloudy, wind from the north sea, very cold on the north sea coasts, in norwich for example only three degrees. western areas not feeling too bad, some sunshine in call moll, devon, wales, northern ireland, temperatures 7—9. —— cornwall. 0n wednesday the easterly wind is going to establish itself and by the time we get to friday, a chance of snow showers, initially in eastern parts of the uk. hello. this is bbc news. the government has defeated a group of mps in parliament who wanted a vote on the final brexit deal, which could have sent the pm back to the negotiating table.
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as us government lawyers head to the courts to try and reimpose donald trump's travel ban — america's secretary of homeland security says no more countries will be added doctors' leaders say average ten—minute gp appointments, which are thought to be the shortest in europe, are "crazy", and plans to move more care out of hospitals will leave even less time for patients. the appeal has begun for a former royal marine who was jailed for life in 2013 for murdering an injured afghan insurgent. the court hears new psychiatric evidence. the government announcing plans to fix the broken housing market with plans to build 1 million new homes by 2020. gps have been warning for a some time about the pressures they're under...
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what was i telling you about our robotic cameras! almost like they're doing it on purpose! the average length of time a patient spends with their gp is around 10 minutes, one of the shortest in the developed world. and doctors are warning that the pressures in the rest of the nhs are just making the situation worse. in the latest in our week checking the health of the nhs, our correspondent, elaine dunkley, has spent the day at a gp‘s surgery in liverpool. the great homer street doctors surgery in everton in liverpool looks after more than 2,000 people. this is an area with high deprivation and patients with complex needs. appointments are 13 minutes long. 13 minutes is sometimes enough and sometimes it's not. i do tend to adjust. i would normally finish my surgery late anyway. that's why we have recently increased to 13 minutes in the hope of reducing that. 0n the whole, patients
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aren't too happy to wait. they're 0k, they know they get the time that they need. but complex problems can't be done in 13 minutes. occasionally, consultations will last up to a0 minutes. the average length of a gp consultation in the uk is ten minutes, thought to be the shortest in the developed world. 92% of appointments here are less than 15 minutes. compared with 27% across europe. with plans to move care outside hospitals there are concerns it could lead to a bigger workload for gps. we spend less than other european countries, we have fewer doctors than other european nations, we have one third the number of hospital beds per head compared to germany for example. gps spend less time with their patient than any
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other european nation. we need to be addressing these issues as a priority. with short appointment slots, time wasting is also an issue. a poll for the bbc found that 70% of people in the uk believed it was acceptable to charge patients who missed appointments. the governments of england, scotland and wales say the length of consultations are down to gps but have pledged extra funding to relieve time pressures. northern ireland have yet to respond but gps say funding can't come soon enough. let's get some reaction and have a debate about this. with me is dr rebecca rosen, who's a gp. and dr prit buttarjoins us from scotland via webcam. thank you forjoining us. i'd like to start with you doctor rosen, ten minute appointments, i'm presuming that's not good enough for a doctor 01’ that's not good enough for a doctor ora that's not good enough for a doctor or a patient, but when it comes to the crunch, you got to do what you
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can do? in my practice be there the length of appointments, people with simple problems may have quite a short appointment, but for those people who have more complicated things we can give them a longer appointment. how do you adjust the time in accordance with the complaint? how do you manage that? 0ne complaint? how do you manage that? one thing we've done to respond to the pressure in the practice is set up the pressure in the practice is set upa walk the pressure in the practice is set up a walk in clinic which runs every day and we have a lot of people who turn up there. for the most part it is for a single problem and that will typically be quite a short consultation but it is our discretion, if we see somebody with two or three problems, a complex patient who we don't encounter very often, we can spend longer, absolutely. you set up a walk in clinic to cope with missed appointments, which is also a problem? we are a huge practice but we have about a00 missed appointments a week. to create a
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policy for managing that we said that if you miss two appointments without cancelling them, for six months you can only come to the walk in clinic unless the doctor makes a special exception. doctor, you've had a different approach, and your emphasis is more on the financial implications of what missed appointments, the demand for appointments, the demand for appointments is doing to gps and surgeries. unfortunately you can never get away from the money side of things. the average amount of money a gp gets per patient per year across the country is £146. it's far less in affluent areas and more in deprived areas but think what you can get for £146, perhaps two tanks of fuel, six months of cable tv, or unlimited access to your gp for a year. it's no wonder that gps really
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can't cope with the workload, given how limited the resources. it's a question of too much demand chasing too little resources. one of your ideasis too little resources. one of your ideas is to put the financial implications back to the patient? even fining them, or charging them for certain appointments.” even fining them, or charging them for certain appointments. i think we must look at all options, really. general practice will not survive until the gap between the resources and the demands is narrowed. i see no political appetite for curbing demand, if anything the politicians stoke it up in return for cheap votes by promising weekend, evening opening. increasing funding in general practice is not promised without strings attached. sorry to interrupt common people argue they are already paying for the nhs and they are being asked to pay for it again —— sorry to interrupt, people
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argue. what about looking at the needs of the patient, so they are not demanding too much time for a money knows? it's a difficult thing to manage because if you operate the appointment system and somebody comes in with a money knows and you send an outcome even if you get them out ina send an outcome even if you get them out in a couple of minutes, that is an appointment slot wasted. is it difficult to manage? yes, it's difficult to manage? yes, it's difficult because you have easy access to the clinic and more people come and there is the idea of supply induced demand, when it is easy, more people who might not have otherwise bothered. we must manage that as well. why don't you look into the idea of charging for some appointments? i think we don't have any kind of system for making charges in practices in england and if we did that we would have to set up if we did that we would have to set upa if we did that we would have to set up a payment system. for making an appointment, it isn't in the
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fundamental constitution of the nhs. there has been some suggestion that you may charge for people who miss appointments, my dentist does that and it makes me... you can get charged for a lot of missed appointments. dentists are setup to ta ke appointments. dentists are setup to take payments but we have no like that at all and i think the costs of setting up that system and chasing fines would outweigh what the income you would get is. and the other thing is that we want reception is, we are increasingly training them as health and visors, they are advising patients who have minor illness that they may use pharmacists, the self check blood pressure machine —— advisers. are they qualified to do that? this isn't clinical skills, it is about giving advice, being trained to know what the local resources a re trained to know what the local resources are other than the gp. we are introducing... sorry, if you're
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phoning up to see your doctor, you wa nt to phoning up to see your doctor, you want to see the doctor, you don't wa nt to ta ke want to see the doctor, you don't want to take the advice of a receptionist. in my experience they are normally very stressed and busy. they are certainly busy. if you look at what many practices are doing now, in the waiting room we have an ipad which can give you health information. the younger generation, digital natives, don't have as much ofa digital natives, don't have as much of a problem with that. it doesn't appeal to everybody. the problem is that as the pressure rises, we are pushing people to use phone apps to get test results. i think that's fantastic, i get that and it is brilliant, i don't have to hang onto the telephone waiting for somebody to tell me the answer. it doesn't suit everybody. what's clear from both of you is that the public have their part to play in easing the
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pressure, especially at urge rez, but what about the point that it could get quite expensive to start charging for appointments, or missed appointments? —— at surgeries. charging for appointments, or missed appointments? -- at surgeries. there is always the fear that if four example a £10 charge were introduced for missing an appointment then the government would take it as an opportunity to reduce funding is where on the assumption that we were getting that money and then you would find yourself in the situation where somebody has clocked up two or three fines hasn't paid them and then turns up with chest pain, an asthma attack and are you going to deny them treatment? it's not a comfortable position for anyone to be in. there's also the philosophical issue, if you're charging people for not turning up foran charging people for not turning up for an appointment, or having an apartment, that doesn't make sense. the dentist will charge you whether
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you turn up or not, it isn't comparing like—for—like. you turn up or not, it isn't comparing like-for-like. thank you for joining comparing like-for-like. thank you forjoining us. and we a reminder we'll be looking at the state of health services in the uk all this week. the royal marine serving a life sentence for murdering an injured taliban fighter in afghanistan in 2011 is appealing against his conviction. alexander blackman — previously known as marine a — is arguing that he was suffering from combat stress at the time of the incident. 0ur defence correspondent jonathan beale reports from the royal courts ofjustice. this video, filmed on a helmet camera by one of the marines on the patrol, shows the moment an apache helicopter opens fire on two taliban insurgents in helmand in september 2011. yeah! and then sergeant blackman and one of his men approached the insurgent who'd been wounded. the court refused an application by the bbc to release the clips
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of the next moments, when he was dragged across the field and then shot by blackman. in 2013 a military court found alexander blackman, also known as marine a, guilty of murder. but today his wife arrived at court at the start of a fresh appeal to have that sentence quashed and substituted with manslaughter instead. blackman himself listened to the proceedings by video link from the wiltshere prison where he is serving an eight—year sentence. his new defence team argued to a panel ofjudges that he was suffering a mental illness at the time he shot the insurgent. in court, blackman was described as very reserved, a john wayne—like a character who downplayed his mental health problems at the time of his original trial. but giving evidence, three psychiatrists said he was in fact suffering from an adjustment disorder that impaired his ability to make rationaljudgments and that led to a loss of self—control when he shot the insurgent.
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but were these the words of a man who didn't really understand what he was doing? and then after he fired the shot... the prosecution argued that blackman knew what he was doing, even making sure he couldn't be seen by a helicopter above. marine a's supporters will be back tomorrow to hear more evidence but his defence has to prove that his symptoms were both substantial and significant. jonathan beale, bbc news, at the royal courts ofjustice. the headlines on bbc news. the government has defeated a group of mps in parliament who wanted a vote on the final brexit deal which could have sent the pm back to the negotiating table. as us government lawyers head to the courts to try and re—impose donald trump's travel ban — america's secretary of homeland security says no more countries will be added to the banned list.
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doctors' leaders say ten minute gp appointments are "crazy" — and plans to move more care out of hospitals will leave even less time for patients. tax rises and spending cuts are set to continue into the next decade according to leading economists at the institute for fiscal studies. the amount of government income raised through tax is now at its highest level in 30 years. 0ur economics correspondent andy verity has more details. after having the 10% real terms cut in public service spending we've still got the deficit which is one of the highest it has been in 60 yea rs of the highest it has been in 60 years so it hasn't helped, the national debt is still there. we are spending beyond our income, the
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government spends more than it has in taxes and that happens with most countries most of the time but we've been trying to reduce the deficit, it has been central economic policy, with not that much success but now we are being told after seven years, it is another years of famine. —— another seven years. surrey county council has abandoned plans to increase council tax by 15% to fund a growing demand for social care. the conservative leader of the local authority said he would now seek a rise ofjust under 5% — and hope that ministers would find a solution to the problem. the government has listened and we believe the government now understands, so we are willing to ta ke understands, so we are willing to take a risk that a solution will be found to the issues that all councils face however if there is a babe progress —— however if there is in progress, our situation will become an tolerable... i'm sorry,
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untenable. voters in the west cumbrian constituency of copeland will go to the polls in just over two weeks' time for a by—election. it follows the resignation of the sitting labour mpjamie reed, who won the seat with a majority of more than two—and—a—half thousand votes in 2015. northwest political editor richard moss has been out to find out what the candidates will be basing their campaign on. whitehaven has had a labour mp for more than 80 years but with a majority of 2500 the party is under fierce assault especially from the conservatives who have campaigned hard. we've heard from six candidates but we haven't heard from julian trout, the labour party candidate, despite repeated offers to get her here. we have been told that she is not available. she has been campaigning on certain issues. some doubt aboutjeremy corbyn's support for a new power station however she says she is in support ofa however she says she is in support of a new power station in sellafield
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and she is campaigning to protect hospital services as there are plans to move things like maternity services to carlisle, 40 miles away. i spoke to julian services to carlisle, 40 miles away. i spoke tojulian trouton last week. -- gillian. i have said no ifs and no buts, party policy is 100% behind new build and the nuclear industry, it is essential to keep the lights on and it is important forjobs in this area and jeremy has sat down with those from neighbouring constituencies and talked through the issues. jeremy understands it is essential as part of the low carbon energy mix to have nuclear to keep the lights on, there's no other way. and i'm convinced we haven't changed
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party policy since jeremy has been leader, we voted on it last year and we are 100% behind nuclear. leader, we voted on it last year and we are 10096 behind nuclear. the labour party candidates talking to me last week. just over two weeks to go in the campaign, and they go to the polls on february, the 23rd. the energy regulator, 0fgem, has announced details of a price cap for millions of households which use pre—payment gas or electricity meters. 0fgem says the cap, which starts in april, will save some of the most vulnerable customers an average of £80 a year. here's our industry correspondent, john moylan. for pensioner maggie leach, energy is a big part of her household budget. to avoid unexpected bills, for years, she's been paying over the odds for gas and electricity using prepayment meters, so she thinks this price cut is long overdue.
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i don't think it's fair that we should pay more because we've got a prepaid meter. it's good they've given a reduction, but over the year, it's not really a lot. the new prepaid price cap will benefit around a million households. depending upon where they live and their energy use, they should save around £80 a year. importantly, they'll also be protected from sudden price rises, but won't a price cut for some mean a price hike for others? an efficient supplier should be able to meet this price cap without having to cross subsidise from any other area of the market, so if a company comes along and says, i have to raise my other prizes because of this, i think that is frankly rubbish. here in south london, at this tower block, the vast majority of residents use prepayment meters, and campaigners have long argued that these sorts of households get a raw deal when it comes to their energy,
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so the question they're asking today is whether an £80 saving goes far enough. people on prepayment meters are amongst the most vulnerable, and they should not be paying more than any other customer. in fact, many people think they should be paying less because they are paying in advance. the price cap is meant to be temporary, but it will protect maggie until at least 2020. by then, it is hoped that the energy market will have changed to make it easier for everyone to get a better deal. john moylan, bbc news. a police camera in the united states has caught the moment that a meteor, travelling at more than 45,000 miles an hour, tore across the sky. people across four mid—western states saw the spectacular display, which turned the sky green in the early hours of the morning. when your lastjob was being one of the most powerful politicians on the planet, what do you do next?
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barack 0bama — now the former us president — has been enjoying his new found freedom by kite surfing with the virgin boss richard branson. the pair were competing to see who could surf for longer — a challenge which the 44th president of the united states won. time for a look at the weather. the weather is going to be a lot better this evening compared to what we had yesterday. some clearer skies today across the west of the uk and a touch of frost but not the case for everybody, we have some wind and a bit of rain flirting with eastern counties and some showers have occurred across the south—west of the country and they will continue for a time into tonight. some western areas getting mist and fog patches and a touch of frost, belfast around freezing on wednesday morning. into the south, the rush hour, the weather is looking quite across cornwall, devon and somerset
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and wiltshire, most of wales and then thicker cloud across the midlands, the southeast, all the way up midlands, the southeast, all the way up the spine of the country, to eastern scotland, thicker cloud and some patchy rain. not going to feel very pleasant in leeds and hull, four degrees. this is where we have the frost across the west. northern ireland, maybe the western isles. england, away from the coast, a touch of frost. wednesday remaining cloudy, that will be the day when we start to see the weather changing, transitioning into something a bit colder, the cold easterly winds starting to set in, temperatures dropping, norwich only a high of three degrees ammar newcastle four degrees, temperatures 7—9 in western areas. 0n degrees, temperatures 7—9 in western areas. on wednesday, we'll see a touch of frost, meaning thursday morning, frosty across parts of the
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uk and then the cold air, well and truly establishing itself across the uk on thursday. a cold wind, temperatures dropping, single figures for most of us. three degrees in yorkshire, only six england, four in belfast. the cold will become more apparent on friday until we get to the wintry showers, initially across yorkshire, maybe the north—east of england, possibly eastern scotland and the temperatures, only three degrees. so, here's a summary. the cold wind, rather cloudy and occasional snow showers. hello, i'm ros atkins with 0utside source. in the next few hours, both sides of the travel ban in america would take to the appeal court to fight their case. we explain how it works. vice president mike pence has had to break a tie in the senate and
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confirm betsy devos as education secretary. it is the first time it vice president has intervened in this way in us history. we also examine this claim from president trump. has gotten to the point where it is not even being reported and in many cases the dishonest press doesn't want to reported. the white house has produced a list of attacks which it says the media have underreported. we have taken a look at the list. we did report them.
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