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tv   BBC News  BBC News  January 14, 2017 4:00pm-4:31pm GMT

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this is bbc news. the headlines at apm: the prime minster warns gps in england they must open for longer to meet patient demand, or risk losing funding. doctors leaders have hit back. clearly we know what the reasons for the problems are. the reasons are: we have too few doctors, lower than any other parter europe. we have too few hospital beds and cuts in social care. jeremy corbyn warns the social care system is at serious risk of breakdown, and if labour wins the next election failing private care homes will be taken into public ownership applause watford supporters and fans across football remember former manager graham taylor, who died on thursday. commentatorjohn motson is among those paying tribute. the connection between watford and theirfans the connection between watford and their fans was something and it remains to this day to a great extent. it's his legacy. but it was
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something that i hadn't witnessed at any other football club. also in the next hour — a girl, stolen from hospital when she was only eight hours old, has been found, 18 years after she disappeared. the woman thought her mother —— thought her mother has been charged with kidnap by police in the us. and in half an hour, as barak obama leaves the white house after eight years, reporters takes a look at his legacy as the united states‘ first african—american president. good afternoon and welcome to bbc news. good afternoon. welcome to bbc news. the prime minister is warning gps they could face funding cuts, if they don't keep surgeries open for longer to meet
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demand from patients. the government says many people are going to hard—pressed accident and emergency departments because they can't get gp appointments. doctors‘ leaders accuse the government of failing to address an nhs funding crisis. our political correspondent tom barton reports. waiting time targets missed. hospitals declaring major alerts. the news from the nhs last week wasn't good. now there's a suggestion from number ten that part of the cause is that family doctors just aren't open for long enough. a downing street spokesman said, "it is increasingly clear that a large number of surgeries are not providing the access that patients need and that patients are suffering as a result". and so ministers are proposing withholding extra funding from gps who can't show they're offering appointments at the times their patients want them. the government sees gps as key to reducing pressure on hospitals, pointing to figures which suggest that nearly 30% of patients at a&e
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would be better cared for elsewhere. but those who represent gps see today's announcement as an attack on their profession. there's no point in blaming hard—working doctors or nurses in the nhs. there's no point blaming one part of the system when clearly, we know what the reasons for the problems are. the reasons are we have too few doctors — lower than any other part of europe. we have too few hospital beds. we have cuts in social care. so patients who are in hospital can't come out into the community. jeremy corbyn today defended gps and argued the solution to pressure in hospitals is to improve funding in the care system. a labour government would give social care the funding it needs and give a firm commitment to take failed private care homes into public ownership to maintain the social care protection that our people need. applause. it's the very least we can do
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to guarantee dignity for people who have given so much to our country. ministers say stopping people from using a&e inappropriately should ease pressure on hospitals and they say other parts of the nhs, including gps, must play their part in making that happen. tom barton, bbc news. we've been asking people outside a gp‘s surgery in leeds what they thought of the government's proposals. well, our gp surgery is open seven days a week, which is very good, so i think every surgery should be open seven days a week, considering that there are that many patients to see. saves everybody going to a&e and everything so, yes, i think it's a jolly good idea and, yes, they should be open seven days. a lot of gps, though, say they have a shortage of doctors, very hard to find doctors. that's a problem, yes. do you think, then, there should be more money?
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oh, yes, i think there should be a lot more money poured into doctors and, can i say this, social care for the elderly? i think they definitely need to be open seven days a week. i work in the recruitment industry so i understand the recruitment argument. there needs to be just a big focus and investment on recruiting, attracting more people to the industry and recruiting the right talent, i suppose. it's definitely the way forward, to ease the pressure on a&e. these guys are already open six days a week and they have a walk—in clinic. it takes weeks to get an appointment as it is, so i'd imagine that it's not a very good idea, in my opinion. although a&e are struggling, too. do you think that would work, then, if gp surgeries opened for longer, that might help a&e? possibly, but you'd need more gps then, so it's a vicious circle, really, with all of this stuff. i personallyjust used a gp surgery this morning, funnily enough, for a blood test, so it's very convenient to have that on a saturday morning.
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my personal view is, time to put my money in, if you want a seven—day—a—week service. if i was offering something seven days a week for a business, i'd expect it to cost more than five days. and you heard one lady mentioning social care reform, well, jeremy corbyn has used a speech in central london to announce that failing care homes could be taken into public ownership, under a future labour government. he also defended the direction he is taking the party, amid warnings that labour is heading for likely defeat at the next general election. mr corbyn attacked the government's record on the nhs and warned that the social care system in england was at risk of breaking down, because of growing demand and financial pressures. i don't keep talking about the national health service because it is in labour's comfort zone. i talk about the nhs because it is in a danger zone at the present time. much of this is about the systematic neglect of our elderly people. over a million of whom are not
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getting the social care they need. we will not let the elderly down. people who have worked and contributed all of their lives in taxes and made a huge contribution to our society. a total of 380 care home businesses have been declared insolvent since 2010. that is because the amount councils pay towards fees for residencies have fallen and costs have increased. we are warning the government that if you do not put money into social care now, the system is at serious risk of breaking down. the fifth annual report of the care quality commission found one in five nursing homes did not have enough staff to make sure people received good and safe care. frankly that is outrageous. one in five. a labour government would give social care the funding it needs and give a firm commitment to take failed private care homes
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into public ownership to keep the social care protection our people need. with me is our political correspondent chris mason. where does this leave theresa may and the government?” where does this leave theresa may and the government? i think she's decided that after a volley of terrible headlines about the nhs in england that she had to be seen to be making a decisive intervention in all of this. what's interesting politically is that she has decided to side with one part of the system against the other. she's gone out of her way to say that most gps do a fantasticjob. her way to say that most gps do a fantastic job. but effectively her way to say that most gps do a fantasticjob. but effectively she's saying, when you look at the the pinch points in the system and the pressures on accident & emergency departments that one of the causes of that is gp surgeries not open for long enough or not open at the times that patients in the local area want to see them open. the tricky business for her politically in all
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of this is two fold. one, if you start siding with one side of the system against the other, then you cause a row and gps' leaders are unsurprisingly not particularly happy. secondly, there's a bigger picture political challenge for her, which is when you look at long—term opinion polling, there's lots of people who don't trust the conservatives with the health service. it's one of their weakest spots. when you have this kind of situation in the nhs in england that so situation in the nhs in england that so many people are labelling as a crisis, a conservative government is perhaps always on the book foot in that situation. that's why theresa may has wanted to intervene as some would see it prorocktively as she has this weekend. is it dangerous ‘ her? potentially, ‘her? potentially, yes. you get for her? potentially, yes. you get powerful voices in the health service making the argument that this is far more, for instance, than just the usual winter thing. and they say that there's underlying pressures , they say that there's underlying pressures, a lot of them make the case it's underlying lack of funding that means much more needs to be
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done. i think secondly, there was a pressure for her politically in not saying anything that she would be seen to be dismissive of this whole thing. for several days this week, she had talked about how yes, the system was under pressure, but it is every winter. voice that's were very ha rd every winter. voice that's were very hard for her to easily dismiss, so not just trade union hard for her to easily dismiss, so notjust trade union leaders or the opposition, seniorfigures notjust trade union leaders or the opposition, senior figures in notjust trade union leaders or the opposition, seniorfigures in nhs management were saying, hang on, it's not quite as simple as this. faced with that scenario, i think she felt she had to intervene. downing street would make the argument that in making these remarks about gps surgeries they're standing upfor remarks about gps surgeries they're standing up for patients and many people would argue that their gp service isn't perhaps what it used to be. just briefly, touching on jeremy corbyn and his thoughts there. possibly bringing, if they we re there. possibly bringing, if they were in power, bringing care homes back into the public system, if they're failing. is that feasible? it would be a huge thing to do. it is ofa it would be a huge thing to do. it is of a piece with a socialist
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agenda thatjeremy corbyn is keen to pursue. he was saying in the clip we just heard that he wasn'tjust talking about the nhs because it's labour's comfort zone. to an extent it is for the exact reason that i was saying that it isn't for the conservatives. but they are seizing on what they see as a huge conversation going on in england at the moment about the health service and the pressure that's are particularly there around social care. what we don't have at the moment is the detail about exactly how they would go about nationalising certain care homes and crucially, how much that would cost. thank you. the east coast of england has escaped largely unscathed from a tidal storm surge during the night. thousands of people had been advised to leave their homes, but the high tide failed to breach flood defences. simon clemison reports. after all the words of warning, just the sight and sound of a huge display of strength by nature. within five or ten minutes it was coming over the walls and it
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was just flooding straight in. it just started running all the way down the street. it was awful. about 30 homes were inundated here in hornsea. businesses too. into the evening, people in the path of the storm surge were still trying to protect their properties. many had been advised to leave, but some in great yarmouth were keen to stay put. we saw this all happen in 2013. but you have to take precautions at the end of the day. all we are doing is putting sandbags near the doorways. others found comfort however they could as special rest centres opened up. but when high tide arrived in each town, conditions appeared to ease. the environment agency had sent in pumps and more than five miles of temporary barriers. officials insist the emergency response was not over the top. the worst appears to be over. the defences have held. the rest centres will be laid off now. to be honest with you, if that had of breached, we would have been in a lot worse situation in and these centres would have been needed.
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it's wise to say that we followed everything by the book as far as the environment agency and emergency services were concerned. for those of you who want to go home, get out of here! some are now beginning to return home. but with storm warnings still in place, people are being urged not to take chances. and the headlines: the prime minister warns gdps in england they —— gps in england they must open for longer to meet patient demand or risk losing funding. doctors leaders have hit back. jeremy corbyn warns the social care system is at serious risk of break down and if labour comes to power, failing private care homes will be taken into public ownership. the east coast of england has escaped largely unscathed amid fears of an
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overnight tidal storm surge. in sport, harry kane scores a hat—trick. tottenham move to second in the premier league table with an impressive win over west brom this afternoon. it's been a week to celebrate for the spurs' striker after the birth of his first child. his side are four points behind chelsea who play leicester in the late kick off. tributes have been paid at watford, the former club of manager graham taylor, who died at the age of 72 on thursday. a minute's applause was held before their match with middlesbrough, as the club remembered his time in charge during the late 70s and 80s. whats are in action against tlus in the —— against toulouse in the champions cup. they've been given the lead thanks to a penalty. more on all those stories throughout the afternoon. before you disappear, john. there've been lots of tributes being paid to graham taylor today — including one from his close friend bbc commentatorjohn motson.
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in the past half hour, he was speaking to final score's jason mohammed. i shared a little bit of lunch with his wife rita and the two daughters, joanne and karen, and they have made a brave decision to come here today and to join in these celebrations, if that is the right word, of the watford supporters. my memories of him go back to his lincoln city days in the mid—70s. i was living very close to this ground at vicarage road when he came here in 1977, appointed by elton john, as he was then, who had already interviewed bobby moore for the job, by the way, and then taylor, as i was saying on football focus earlier, reconstructed this club from top to bottom. and over on the far side from me now is the eltonjohn stand, that was a rickety old construction when he first came and it remained that way for many years, but he built a stand at the front for the young supporters to come with their mums and dads, he invented all sorts of things.
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i think my main memory about him, jason, is the way he integrated the club because it was a club, not a team, where he was concerned. the way that he integrated the club into the community. he insisted, he did not ask, he insisted that two players every week or maybe twice a week went out to a local function, mixed with the supporters. the community in turn embraced him and the club and the connection between watford and their fans was something and it remains till this day to a great extent, it is his legacy, but it was something i had not witnessed at any other football club. john is here with me. he was a very loved man, wasn't he, as a manager? absolutely. that's really been the feeling since his passing on thursday, just the real admiration thatis thursday, just the real admiration that is held for graham taylor. he had difficult times as manager of
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england, of course, when they suffered that early exit at the 1992 european champions and failed to qualify for the 1994 world cup. as you can see here from this minute's applause, held at watford, before their match with middlesbrough in their match with middlesbrough in the premier league this afternoon, marked by both sets of fans. it's fairto marked by both sets of fans. it's fair to say that admiration stretched across football, not only those clubs that he managed, aston villa and watford, his wife rita there in the crowd today. obviously a difficult time for her and her two daughters, who were there with her. i think they will be buoyed by the outpouring for, outpouring of emotion and sense of admiration that there was for graham taylor, a significant achievement in his time at watford and aston villa as well. with aston villa in action as well against wolves, two of his former clu bs, against wolves, two of his former clubs, it's going to be an emotional day at molineux, where those two teams face each other later. thank you. a cross—party group of mps is calling on the government to publish its brexit plan by next month at the latest. they're also asking for transitional arrangements to smooth britain's
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departure from the european union to give the economy time to adapt. our business correspondent joe lynam reports. britain's biggest industries employing millions of people have long been calling for some sort of transitional arrangement after britain quits the eu. they needed to avoid a sudden change in the rules post brexit. now, they've got support from a key group of mps from all parties in the commons. we think that any return to tariffs or bureaucratic obstacles would not be in the interests of british business and the committee believes that transitional arrangements will be needed to smooth the process as we leave the european union particularly, if there were to be any changes to the way we trade or the way we sell our services. the brexit committee of mps says the government should set out by mid—february whether it aims to remain in the single market or the customs union. it should press for a transitional arrangement with the eu if it can't secure a full deal within the two year time frame.
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crucially the committee said that the government should offer mps a vote on whatever is agreed at the end of the negotiation. but some lobby groups dismissed the idea. we should spend the two years of negotiations on the financial services and ensuring the city is ok. we don't need a transitional arrangement. the government said, "we will set out our plans by the end of march and that parliament will be appropriately engaged throughout the process of exit, abiding by all constitutional and legal obligations." next week, theresa may gives a big speech on britain's future talks with the eu. at the same time, the supreme court could decide whether she, or all mps in parliament will decide whether and when to formally trigger the exit process. joe lynam, bbc news. let's go back to our top story this afternoon. that's a warning by the prime minister that gps could face funding cuts, if they don't keep their surgeries open for longer. the
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government says longer hours would reduce pressure on a&e departments, but doctors say a lack of funding is the problem. let's talk to the conservative mp, maria, caulfield, who's in west sussex this afternoon. good afternoon to you. is this the doctors' fault then? no, absolutely not. but what the prime minister is trying to do is make the best use of the resources we have in the nhs. we know that there's, this winter, there's acute pressure on the a&e departments right across the country. it's the busiest winter everfor a&e admissions. country. it's the busiest winter ever for a&e admissions. this country. it's the busiest winter everfor a&e admissions. this is one tool to try and relieve that pressure is to open up gp practices for longer. but to threaten them with funding cuts if they don't do it. it's more than a tool, isn't it? it's not necessarily funding cuts. it's not necessarily funding cuts. it's about extra funding that would be available if gps were to open for longer. if they don't do that, that funding won't necessarily go to them. it's to encourage gps to be
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open when patients need. it we know, for example, a&es are the busiest on a monday. 13% busier on a monday than the rest of the week. gps surgeries are traditionally open on a monday. if they close in the after non—and patients can't get to them, they will go to a&e if they have a medical need. this is trying to encourage gps to open their doors all day, when patients need appointments. if they can't, that extra money that they were going to get should go to the a&e departments instead. a lot of gps have told us that they work extra hours unpaid to try and meet their patients' needs at the moment. their side of the story is that they're completely underfunded. it's not an extra money for extra hours, they need more funds for what they're doing. absolutely. i know that as a nurse. i was absolutely. i know that as a nurse. iwasa absolutely. i know that as a nurse. i was a nurse for absolutely. i know that as a nurse. i was a nurse for over absolutely. i know that as a nurse. i was a nurse for over 20 years. i still work as a nurse in my leave. i am under no illusion how busy gps are. this idea of opening gp practices isn't just about the doctors. there's extremely
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experienced health care professionals that work in gp practices. you have advanced nurse practitioners who can prescribe, request investigations. you've got practice pharmacists who can dispense and sort out a lot of medical problems. this isn'tjust about doctors working for longer in practices. it's about bringing everybody together and offering a service to the patients who are going to a&e and in 30% of cases haven't had an accident orient an emergency. to be treated at a general practice surgery is where they need to be. this sounds very much, with respect, like a walk—in centre, that labour introduced and then you got rid of some of them. no, i don't think that is the case. we've got excellent gp practices. they do a tremendous job. if patients need a gp appointment in the afternoon, and we're finding out more and more gp practices are not openin more and more gp practices are not open in the afternoon, then people are going to go to a&e. that's why
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we have the busiest a&e attendance records. we need to take the pressure off that system. there needs to be a change in terms of being able to book appointments. you know, only 7% of gp practices offer online facilities. for people who are working very long hours now, the general public, working nights, days, weekends. you know, we need to make it easy for them to get to gp practices. it's not always a case of opening practices for longer, but making it as easy as possible to get an appointment. if they can't, they will go to a&e instead. are you in danger as a party of pitting one side of the nhs against the other? ie, the a&e hospital side against the gps? no, absolutelyi ie, the a&e hospital side against the gps? no, absolutely i disagree with that. what we're trying to do is use all the tools in the box. we're trying to use all the resources so when one aspect we're trying to use all the resources so when one aspect and it's a&e at the moment is under
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pressure, we use another resource to try and help with that. likewise, we're trying to bring health and social care together. we're the first government — lots of governments have talked about it in the past — we're the first government doing that with the better ca re government doing that with the better care fund and the stp programmes, trying to make sure that health and social care is working together so exactly the opposite of what's being suggested. instead of people working in little silos, actually bringing people together for the good of the patients. you say that the issue is a&e, that's where the problem is at the moment. but the gps say that the problem is with them as well. i think the whole service is under immense pressure. no—one's disagreeing with that. but it cannot be right that gp practices up it cannot be right that gp practices up and down the country are closed most afternoons in many places. so we have to make the use of resources . we have to make the use of resources. if there is the opportunity for gp practices to be open, it doesn't have to be the gp that's there, it could be advanced nurse practitioners, pharmacists, a
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whole range of health care professionals, we must be using that resource to take off the pressure from another part that's currently under severe strain. do you think the public trusts the conservative party with the health service? yeah, certainly i've been out meeting constituents this morning and they do. i was a nurse before i got located working fulltime. if you look at the conservative benches, we've got gps, we've got the newly located member of parliament on the conservative benches is an obstetrician. there's a range of health care professionals there. we are using our experience in the health service to make a difference and ensure that the nhs is protected and ensure that the nhs is protected and secure for years to come. it's only the conservative government that's delivered the £10 billion of funding that's been requested. labour, in their manifesto, said the nhs wouldn't get a penny more. look at what we're trying to do. there's thousands more nurses in the country now, thousands more doctors than when the conservatives took office. this is a difficult time for the
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nhs. we are very committed to ensuring we see this time through and get out the other side. 0k, ensuring we see this time through and get out the other side. ok, so say hypothetically, the doctors, gps don't take up your offer. what are you going to do then? well, you know, this isn't do this or else. this is a set of proposals to say look, we recognise that a&e is under pressure. we also recognise that there are gp practices up and down there are gp practices up and down the country that are not available to patients — the country that are not available to patients - sorry to interrupt. what will do you, if the gps say no? the prime minister has said that the funding they were going to get for opening up for longer hours, if they don't, then she is going to put that money with the patient and wherever the patient goes, the money will follow the patient. the prime minister has been clear on that. she expects patients to be able to access health services from 8am to 8pm. if gps aren't willing to do
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that, then she will fund that wherever the patient chooses to go. which would be a&e? wherever the patient chooses to go. which would be me? who knows. let's have that discussion. i don't want to get into a battle, pitting one side against the other. that's what you're doing. that's actually what you're doing. that's actually what you're doing, as a party, that's what the prime minister is doing at the moment, in a way. she's pitting one side against the other. the gps are very angry about this. no, i think she's — i think she's made a discussion. as a health care professional myself, i think it's a good suggestion. we need to lock at all options. there are many gps around the country doing this already. it's working well. the pressure on a&es is happening in certain places. we need to make sure that those gp practices that aren't opening in the afternoon, you know, we either have that discussion with gps and say can you offer services that are currently not available? and if not, let's look at the other options. 0k, thank you very much for talking to us. a teenager, who was stolen
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as a newborn baby from a hospital in florida 18 years ago, has been found in south carolina. kamiyah mobley was discovered after a tip—off, and dna tests confirmed her real identity. the woman who raised her has been charged with kidnapping. richard galpin reports. this is kamiyah mobley with the woman who, for all her life, she believed to be her mother. they'd seemed a perfectly normal and happy family living in a quiet part of south carolina. but today, her mother, gloria williams, is under arrest, charged with kidnapping kamiyah after she was born 18 years ago and giving her a false identity. so in south carolina, we found an 18—year—old young woman, with the same date of birth, but a different name. so further investigation revealed that fraudulent documents had been used to establish that young woman's identity. in interviews with people, it supported the possibility that this young woman may be kamiyah
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mobley. just after she was born in this hospital in florida in 1998, kamiyah was abducted by a woman posing as a nurse. but it was only last year that police received a tip which eventually led to the arrest. for her biological family, a moment of huge relief. she sounds so intelligent and so respectful and she says she will be here to see us. for kamiyah herself, disbelief that the woman she loved as a mother is now accused of being her abductor. richard galpin, bbc news. let's hear what the weather is doing. here'sjohn. let's hear what the weather is doing. here's john. it let's hear what the weather is doing. here'sjohn. it is cold and for some of us it's going to stay cold, for others, though, we are going to see a change in the weather. we've got a front coming in from the west, which will introduce rain to western scotland, but as
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that pushes eastwards, it will turn toa that pushes eastwards, it will turn to a period of snow here. onwards into northern england too, some snow to the east of the pennines later on tonight. a lot of ice around, i think, where you've had previous snow showers melting and then refreezing again. across western areas much milder, seven or eight degrees. no problems with ice here. a mild day to come tomorrow. the problem is further eastwards. this rain continues to come up against the cold air across eastern counties, east anglia, the far south—east, a period of snow before it eases away. stays chilly here, with temperatures no more than what, two, three degrees compared to the nines and tens you'll see further west. we'll keep that east—west split into the early part of next week as well. so, across the more south—eastern areas, it will be chilly, but probable lit best of the sunshine here through the early part of next week. further north and west, generally milder, but the catch is — we will probably see more cloud and a bit of patchy rain here as well.

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