this is bbc news, and these are the top stories developing at eleven: the number of patients on hospital wards in england has been at unsafe levels at nine out of ten nhs trusts this winter, bbc analysis shows. hospitals in england are told they will have a legal duty to ask overseas patients to pay for their nhs care upfront. the number of unexpected deaths among mental health patients in england rises by almost 50% in three years. also this hour: another twitter tirade — president trump uses social media to ramp up criticism of thejudge who set aside his travel ban on seven muslim majority countries. the queen breaks another royal record to become the first british monarch to have reigned for 65 years. and the england cricket captain, alastair cook, announces that he's stepping down after a record 59 tests in charge. good morning.

welcome to bbc newsroom live. the number of patients on hospital wards has been at unsafe levels in nine out of ten nhs trusts in england this winter, according to figures obtained by the bbc. some hospitals were operating at close to full capacity, putting increased pressure on the number of beds available. all week we are taking an in—depth look at the state of the nhs in a series of special reports. here's our health correspondent, jane dreaper. it's been a very difficult winter at yeovil hospital in somerset. like many other hospitals in england, they've had to battle behind the scenes here to find enough free beds in recent weeks. you can get periods, particularly over the winter period, when you are managing bed by bed, minute by minute, and teams

are having to spend a lot of time and energy running around finding a bed for the next patient that needs it. and moving patients between beds isn't ideal, we don't like doing it unless we really have to, but sometimes you have to prioritise clinically who needs to be in the right bed. ideally hospitals have patients in around 85% of their beds so there's time for cleaning and space for urgent cases. our analysis of nhs figures showed most hospitals in england were above the recommended rate this winter. nearly half those trusts had occu pa ncy levels a bove 95%. up—to—date figures weren't available for the rest of the uk. most hospitals in europe run at 80% capacity and they cannot understand when we talk to them and say that we run our hospitals at 95% capacity, they just think it's a very odd way, and also, to be frank, a slightly dangerous way to run a hospital system if you're doing that day in, day out. nhs england said the practice of using beds intensively was likely to continue.

meanwhile, a poll carried out by ipsos mori for the bbc suggests in england 57% blame a shortage of staff or lack of funding for the current pressures. the government in england says although the nhs is busier than ever, patients rate their care highly. jane dreaper, bbc news. an nhs trust has begun a formal inquiry into the case of an 89—year—old woman who was kept in hospitalfor six months despite being well enough to be discharged. iris sibley was taken to the bristol royal infirmary after a fall at her residential care home last summer. she recovered but no suitable nursing home place was found for her until last month. the cost of keeping her in hospital is estimated at £90,000. the trust has apologised. plans to tackle health tourism in england have been announced by the government. hospitals will be given a legal duty to charge overseas patients up front, if they are not eligible for free care. the move, which applies

to non—urgent cases, follows criticism of the health service for failing to recover money from foreign visitors after they've been treated. emergency care would still be provided before payment. here's our health editor, hugh pym. hospitals are already supposed to charge those foreign patients who don't qualify for free non—urgent care, but a report by the national audit office found that money raised next year would fall far short of a £500 million target set by the government. ministers have announced that, from april, nhs trusts in england will have a legal duty to charge upfront for non—emergency care, rather than send invoices after the event. it's not clear how this would be enforced. the way to solve the problem would have been if every visitor coming into this country would have health insurance as a compulsory requirement for allocation of a visitor visa, and that would give the message out to the rest of the world that the nhs is not free for everybody. a uk—wide poll ofjust over 1,000

adults by ipsos mori for the bbc shows that 74% of respondents support increasing charges for visitors from outside the uk to help fund the nhs. 40% said raising income tax to finance the nhs would be acceptable. 37% said it would be acceptable for uk citizens to pay for some health services which are currently free. hugh pym, bbc news. at 12:30pm here on the bbc news channel, we'll be taking your questions on the state of the nhs and the issue of health tourism. your questions will be answered by professor martin knapp from the london school of economics. please get in touch via text or send an email or contact us via twitter using the hashtag bbc ask this. let's cross over to nottingham now to see how health services there are faring.

joining me live from the queen's medical centre in nottingham is caroline shaw, chief operating officer of nottingham university hospitals nhs trust. we have been hearing about the pressures , we have been hearing about the pressures, what is the situation where you are? it is hugely busy in nottingham, like in all other trusts in the uk. we've had a difficult winter seeing far more at —— admissions than previous winters. do you have any examples of where things go wrong? for instance we we re things go wrong? for instance we were talking about the case of iris who stayed in hospital long after she should have left because she couldn't go elsewhere. is that happening much in your hospitals?” don't think things go wrong, we are dealing with a much more elderly population, people with complex health needs. many more people live longer and so discharges are more complicated. we are working collectively with our partners both

in social services and with the ccds to develop plans expediting discharge from the hospital. has there been a problem? give an example of how things are changing with the new systems you are talking about. what we are trying to do with the new system is prevent elderly and frail people coming into the hospital in the first place because we know that once somebody elderly and frail is admitted into hospital thatis and frail is admitted into hospital that is not the best place to care for patients so we are doing schemes with people helping patients discharged straight from ed. we are able to identify who is ready to be discharged, and finding social care in the community to expedite

patients. we are having to work in collaboration with our partners to enable it to happen. i'm trying to work out why. .. enable it to happen. i'm trying to work out why... it enable it to happen. i'm trying to work out why. .. it seems enable it to happen. i'm trying to work out why... it seems you are saying you don't have a problem with bed blocking, is that fair? we do, like most trusts across the country, most large acute trusts in the uk, we have problems with people who are in hospital longer than they should be. 0bviously once a person is medically fit, the best place for that person is their own home or other forms of care but it's a continuous issue we are working with all the time to develop schemes and expedite discharged so we can help people who need our beds. and the schemes you are coming up with, is itan schemes you are coming up with, is it an expensive system? because obviously the social care issue is where the finger is being pointed a lot at the moment. you are talking

about greater cooperation and trying to get around the issues of people not having somewhere to go once they are fit to be discharged. as we are looking on developing new ways of working, we know when we look at the economics it's far more expensive to keep people in acute beds because they are geared up for intervention and have many doctors and nurses looking after them. if you look at ca re looking after them. if you look at care in the community you can do it ina care in the community you can do it in a different way and support people without the same kind of intervention. so what we are looking at really is pooling budgets and doing things differently and looking at how many beds we need for acute ca re at how many beds we need for acute care and how many we need for rehabilitation, and how many care packages we need in the community of nottingham and nottinghamshire to help people get home quicker. so you are saying you are making it work within the constraints you have got, or do you need more resources? within the constraints you have got, or do you need more resource57m nottingham we are trying to make it work by working in collaboration but

asa work by working in collaboration but as a population has increased and people are living longer with more complex situations, there is pressure on the acute care and the acute budget, as with any hospital in the uk. you are managing a very complex situation with complex intervention and difficult issues, but what we are trying to do is come together collectively so we can make a huge difference to people in nottingham and i think we have fantastic nottingham and i think we have fa ntastic staff nottingham and i think we have fantastic staff in the hospital which enables us to give the best ca re which enables us to give the best care to our patients. do you find your staff having to say to people who are scheduled for operations that they cannot have them because of pressure on beds? we make sure with our elective operations that we make —— treat cancer patients, but if you look at all waiting times in

nottingham we have been able to maintain them, and that is a juggfing maintain them, and that is a juggling act every day. that's down to the fantastic staff in the hospital to enable that happen. it's disappointing for people who have elective operations to find them cancelled on the day, and when that happens you have to find time later in the day, week or month, so we try to make sure we meet our elective programme as well as our emergency programme as well as our emergency programme and it's a juggling act every day of the week. thank you, very much. caroline shaw, chief operating officer of nottingham university hospitals nhs trust. in scotland, new figures have revealed some patients are waiting more than a year to be discharged from hospital even though they are well enough to leave, often because no places are available for them in care homes. the longest wait was by a patient in dumfries and galloway, who stayed in hospital for more than a year and four months after they should have been discharged. our correspondent in

edinburgh is lisa summers. an extraordinary case there, tell us more about the case across scotland. the nhs in scotland is set up in a different way to how it is in england so we have a series of nhs boards funded by the scottish government. we were hearing there about the pressures on the nhs in scotland. figures would suggest scotla nd scotland. figures would suggest scotland is in a better place than it is in england and other parts of the uk, but it is certainly not a good picture by any means. we still have the same problems with waiting times for a&e, we still have people stuck in hospital, that case of someone there for year and a half, we still have waiting times for operations, and staff with the same concerns. it is not a rosy picture,

but they are putting in place measures to try to get people out of hospital more quickly. it is certainly a bit too early to say as to whether it is working properly or not. that was exactly what i was going to ask you, i mean how much expectation is there that that is going to transform this situation? last year, the report was published that was highly critical of the way the nhs was performing in scotland so the scottish government have taken measures to address that, and they are looking at different ways to try to alleviate the pressure is on the system. for example they are introducing quite a lot of technology to help with things like outpatient appointments. they are putting in place some innovative projects to take pressure off gps. they are reviewing the wake stuffing works over bank holidays to see if they can make some changes to that in order to get people out of hospital more quickly than they should be. having said that, the targets a re should be. having said that, the targets are still bad, there are

still too many people in hospital, the delayed discharge we hear about. it was roundabout april times we set up it was roundabout april times we set up the formal integration of health and social care so it is a slow process to try to see whether the measures are having any impact, but certainly that is very much the priority for the scottish government, to get people living longer, healthier lives at home and putting more emphasis on primary ca re putting more emphasis on primary care in the community to take pressure off hospital situations. 0bviously where resources are stretched, where money is being spent has to be looked at. does it mean there may be a re—evaluation of the free social care for people who are assessed as qualifying for it? of course that has been in place in scotla nd of course that has been in place in scotland since something like 2002, and it is really up to local authorities to decide at what point people need that free care for the elderly. again in scotland we have

free prescriptions and that's very popular across the board. if you talk to clinicians, the same pressures apply here in scotland as they do across the country and so we have heard people talking about the fa ct have heard people talking about the fact the nhs in scotland is stretched to breaking point, and as to whether that requires radical reforms or whether it requires doing things like centralising services and creating centres of excellence, these are big questions and it's very much on the political agenda at the moment. they think you will find across the board that people still appreciate what the nhs does but as we go into this year there will be a lot of pressures on the health boards here in scotland to make huge savings while coping with the rising demand, and also the increased cost of running the service. thank you very much. the number of unexpected deaths of mental health patients has risen by almost 50 % in three years, that's according to new figures obtained by the bbc‘s panorama programme.

the findings are based on data from more than half of england's mental health trusts. here's our health correspondent sophie hutchinson. in november, sheila preston's son, leo, died following a suspected accidental overdose. this was her first visit to his flat four days later. this is leo. this is leo, here. he was probably 12 years old there, and i was proud of him. and he should still be here in this flat today. iwanted... i wanted to save him. leo had schizophrenia. sheila believes he wasn't getting the help he needed. the trust that treated him says it's improving its services. his is what's known as an unexpected death. they include death from suicide, neglect, and misadventure. new figures obtained by the bbc panorama programme suggest there's been an almost 50% rise in unexpected deaths over three years. the results are based on data from more than half of england's mental health trusts.

well, sane is alarmed and shocked by this rise in the death of people with mental illness. we're particularly concerned because these are the most vulnerable people that we have entrusted into the care of mental health services, and they are so often being failed — both them and their families. but the government says it's improving mental health services, investing an extra eli; billion by 2020, and that rises in unexpected deaths are due to better reporting. sophie hutchinson, bbc news. and in the coming days we'll be running a number of reports looking at the state of the nhs, and the issues it faces. that's nhs health check, across bbc news. we will be a sewing your questions here on the channel at 12:30pm, so if you have any questions, get in

touch in the usual ways. —— we will be an serene your questions. breaking news. a 19—year—old man has pleaded guilty to the manslaughter ofa pleaded guilty to the manslaughter of a woman in russell square in london last august. he also said he wounded five others with intent in the attack. he has been charged with murder and attempted murder but made his plea on the grounds of diminished responsibility. the crown accepted the keys to the lesser charges as there was evidence he was suffering from mental illness at the time. he targeted 64—year—old retired teacher, and that is a picture of her, and several other random strangers on the evening of the 3rd of august last year. within six minutes of the alarm being phrased, armed police were at the scene and he was arrested without a shot being fired. he has now pleaded guilty to the manslaughter of this

lady, and the crown has accepted this. the headlines on bbc newsroom live: the number of patients on hospital wards in england has been at unsafe levels at nine out of ten nhs trusts this winter, bbc analysis suggests. the government is stepping up effo rts the government is stepping up efforts to recover money from non—eu patients who use the nhs in england by asking hospitals to charge them up by asking hospitals to charge them up front. and the number of unexpected deaths of mental health hospitals in england has risen almost 50% in three years. —— at mental health hospitals. and in sport: alastair cook quits as england test captain after a record 59 matches in charge. in his five years leading the team, he won the ashes twice, but he had been considering his future but he had been considering his breaking a number of england batting

records, but had been considering his future before the recent tour of india, which england lost 4—0. the new england patriots produced the biggest comeback in super bowl history to beat the atalanta falcons in houston overnight. trailing by 25 points in the third quarter, they won in it in overtime by 34—28. and 17—year—old canadian denis shapovalov was disqualified from his davis cup match with great britain last night when he smashed a ball into the face of the match umpire. it means great britain took the match, and with it the tie, as they reach the quarter finals. i will be back with more on those stories at around half past. mps will have the chance to amend the government's legislation on brexit when it returns to the commons for three more days of debate. a number of pro—remain conservative mps are understood to be considering voting with labour and the snp to try and give mps more of a say over what happens at the end of the negotiating process, although downing street is understood to be confident the bill will be approved. 0ur political correspondent tom bateman joins me now from westminster. what are you expecting? when we were talking about this bill last week, the article 50 built, the substance

fitted on a side of a full paper. mps have now had a chance to put forward their proposed amendments and that is what they are going to be discussing and debating this week. this is 140 pages of amendments that those mps would like, many of them would like. in terms of those that get selected to be debated and actually voted on, it will be substantially less because it is up to the parliamentary authority to decide which of amendments are discussed in the house of commons, but what we know todayis house of commons, but what we know today is that at least one of those will form a significant part of the debate and that is one proposed by labourmp debate and that is one proposed by labour mp harriet harman, did you with the rights of eu citizens in the uk. this has been a long—running point of discussion when it comes to brexit because many mps, particularly labour and some conservatives, say those people should have their rights in the uk guaranteed by the government. ministers have been loath to say

they would do that because they think it gives away a card to our opposite numbers in the eu, and they wa nt opposite numbers in the eu, and they want the rights of bridge citizen to be guaranteed. that will also be pa rt be guaranteed. that will also be part of the negotiations. as the week goes on in this so—called committee stage of the bill, another point of contention i think will be around the way in which some conservatives, certainly many labour mps have backed the idea that they should be what they call a meaningful vote on these negotiations. that could be either the demand that theresa may, before she signed off the brexit deal comes to parliament and they get to... 0r it could be, as some conservative pro—remain mps have asked at the weekend, but if there is no deal, if it takes too long to hammer out a trade deal with the eu, that rather than britain going over a cliff edge, as some would see it, go to

the world trade 0rganisation rules, that parliament should get to have its say, it could force theresa may back to europe to get a deal. some think this would leave britain in a sort of groundhog day scenario where they wake up every morning and cannot get a deal in europe so parliament sends theresa may back to brussels and we ended in a loop that is never resolved. i think we will see a lot more discussion about that this week. one of the key issues about all of this has been just how much of a say parliament gets on this. i don't think anyone seriously thinks this bill itself will get through parliament without changes this week. we have been hearing from the foreign secretary he was asked about it as he arrived from a meeting in brussels this morning. the commons has had abundant boats. there was one last week, there will be one this week on the triggering of article 50. i am sure that nobody will bush to frustrate the will of the people, which has been clearly

expressed. —— nobody will wish to. the key thing is that the commons voted 6—1 to pass this question to the british people. the people voted bya the british people. the people voted by a convincing majority to leave the eu and that is what we are going to put into effect and it is going to put into effect and it is going to bea to put into effect and it is going to be a great success. will any of these amendments stand chance of getting through? that will need many labour mps to have the support of a substantial number of conservative rebels. it's not entirely clear at the moment whether any of the amendments will be carried. let's see how the debate progresses this week. as we has just been hearing a man has admitted killing a woman and injuring others in an attack in london last august. the man pleaded guilty in the bailey to manslaughter by diminished responsibility. we can

go live to the old bailey. the full case has now been read out in court number eight, over there in the old bailey. this morning, the 19—year—old man pleaded guilty to the manslaughter of one woman and wounding five other people with intent. these were lesser charges to the ones he was originally charged with. he had been charged with murder and attempted murder of the other five people but he murder and attempted murder of the otherfive people but he made murder and attempted murder of the other five people but he made these pleas on the grounds of diminished responsibility and the crown explained why they accepted the pleas. they said it is based on extensive medical evidence that zakaria extensive medical evidence that za karia bulhan was extensive medical evidence that zakaria bulhan was suffering an acute episode of mental illness and that this episode that he had been suffering on the 3rd of august at 10:30am in russell square had been a psychotic one. zakaria bulhan had told doctors he could not recall the events of that evening and doctors concluded that he seemed to have

been suffering from hallucinations at the time. one of the victim ‘s, 64—year—old darlene horton, died at the scene. she had been in the uk from the united states and plumbing to return the next day with her husband. most of the other people had suffered injuries but most have almost completely recovered. it had been an extra ordinary evening. russell square was flooded with armed police immediately after the event. the alarm was raised and they arrived six minutes later. the police at that time did not know what sort of attack this was. it turned out it was a random lethal attack on people who had just been minding theirown attack on people who had just been minding their own business on an ordinary sunny evening in russell square on their way home, perhaps, from nights out in the west end, as we have been hearing in the court just now. sentencing will happen at a later date. thank you.

president trump has stepped up his attacks on the judge who blocked his travel ban on seven predominantly muslim nations. in a series of tweets, he said the american people should blame the judge if anything happened to threaten national security. simon clemison has the details. # what so proudly we hail...# the super bowl — a huge patriotic moment. but outside, the very make—up of this country is being tested. all chant: say it loud, said it clear. refugees are welcome here. 0n the streets surrounding the super bowl, more campaigners against donald trump. critics say he's violating the constitution, but the new administration argues that america is facing what it calls "a dangerous enemy" and the same constitution gives the president authority to act. his supporters also making their voices heard. mr trump, who went to his florida resort to watch the super bowl, saw his appeal against the ruling that suspended the ban rejected over the weekend, with a fuller hearing expected this week.

i think it was very smooth. you had 109 people out of hundreds of thousands of travellers, and all we did was vet those people very, very carefully. with the ban on entry lifted, at least for now, people with visas are making their way through immigration. a woman originally from one of the barred countries, spoke of her concern. i was worried, i can tell you i was worried. but my husband keeps telling me they have solved it. donald trump says he's told border officials to check people entering very carefully. in one of his latest tweets, he writes... in the end, a battle over the fundamental principles which make up a nation may only be solved in the supreme court. the queen breaks another record today, becoming the first british monarch to reign for 65 years — her sapphire jubilee.

she will spend the day privately at her sandringham estate in norfolk, with no official engagements planned. 0ur royal correspondent nicholas witchell reports. the christmas cold, which caused her to retire from public view for two weeks, is well and truly behind her. in recent days the queen has resumed her public appearances while remaining at her norfolk home at sandringham. it was there that her father, king george vi, died on 6th february, 1952. it was at that moment the long reign of elizabeth ii began. she will spend today quietly at sandringham, recalling the father to whom she was devoted, before her return to london and her full head of state programme. the queen will be back here at buckingham palace within a matter of days for another year which, despite the fact that she will be 91 in a little more than two months time, than two months' time, shows very little evidence of any significant slowing down. among the many engagements in prospect for her this year, there's one significant and very personal anniversary

to look forward to. in november, she and the duke of edinburgh will reach the 70th anniversary of their wedding in 1947. and something else to anticipate — the prospect of that state visit by president donald] trump. how will the queen handle that? well, just like the other 109 state visits she's hosted during a record—breaking reign, which began 65 years ago today. at midday there will be canon salutes in london. we will bring you coverage. now the weather. the week started off on a chilly note and by the end of the week it will feel downright cold for all fours. the wet weather spreads its way in through the rest of the day, already we have cloud increasing out the worst. to the east of that, some

fog patches and some of those could be quite stubborn but we will see some brightness before the cloud arrives. temperatures today am a 5—9 degrees. very poor rush—hour in northern ireland, wales and western scotland, and as that moves eastwards overnight we will see significant snow over higher ground in scotland and northern england, which could cause icy stretches. this band of rain hangs on across east in most counties, we will see a lot of cloud and some soggy weather here. 0ut west, more in the way of sunshine, some hefty showers as well. then by the end of the week, slowly but surely it turns colder and some will see some snow flurries. this is bbc newsroom live. the headlines: a teenager has admitted

killing an american tourist and injuring five other people during a knife rampage in london's russell square. nine in ten hospitals in england had too many patients on wards this winter, the bbc has found. the government is to step up efforts to recover money from non eu patients who use the nhs in england. the number of unexpected deaths among mental health patients in england rises by almost 50% in three years. us president donald trump attacks the judge who blocked his travel ban, saying americans should blame the courts "if something happens". let's catch up with the sport with john. after a record 59 matches leading his country, batsmen alistair cook has stepped

down as england test captain. he won two ashes series during his five years leading the team. 0ur cricket correspondent jonathan agnewjoins us on the line. jonathan, we knew he was considering his future during the recent tour of india. how much of a surprise then that he's decided to walk away from the captaincy? not very surprised. i think the way england collapsed on that last day of the tests it was before christmas, i remember looking at him then and thinking he looked empty, rather hollow eyed, it was a novel way for everything to end so it seemed from that point this would be the most likely conclusion. it is a shame because he could have gone on for another year, which i think ideally english cricket might have enjoyed, to give root a bit of time. we have the ashes next year of course. but you can only do that as a captain if you want to do it, if you have the energy, and i think alastair cook had hit the buffers. it's been a hard time for him as

captain, lots of ups and downs, co nsta nt captain, lots of ups and downs, constant noise in the background, particularly going back to the kevin pietersen affair. he's had to put up with a lot from the wings as it were, and moderate success. he was never the most exciting or adventurous of captains, but very solid, determined and gritty, much like his batting. many thanks indeed. five sports today begin their appeals against a decision to axe all their elite level funding. badminton and wheelchair rugby are among the sports making their case to uk sport to challenge their decision to cut funding for the tokyo 2020 olympic games. badminton has said it faces a financial crisis despite winning a bronze medal in rio, exceeding their target. david 0rnstein reports. these sports facing perhaps the biggest battle, representatives from each will begin meeting uk sport today. the outcome could make or

break their hopes for the tokyo 0lympics. badminton has been hit the ha rd est by 0lympics. badminton has been hit the hardest by the cuts, £5.7 million to prepare for the last games, nothing for the next. this despite exceeding uk sport's target of a quarterfinal place in rio, that was secured before an unexpected bronze win. we both want to be one—on—one, we want to show everyone what we can do and at the olympics we did that. without funding it is so difficult. we did exceed our target, we have a fantastic programme in place to secure who knows how many medals. here at the national badminton centre you don't have to look far for signs of success but none of that would have been possible without uk sport funding, and the fear is that if this appeal is rejected, that success on the court

will not be repeated. 0f rejected, that success on the court will not be repeated. of the other sports to lose their entire funding, fencing had £4.2 million for rio, wheelchair rugby 3 million, archery 2.9 million, and weightlifting 1.7 million. all cut. wheelchair rugby is one of the most popular paralympic sports and britain have high expectations for 2020, but not in the eyes of uk sport who distributes a pot of £345 million to 32 olympic and paralympic associations. i just feel there is something ugly about the decision. sunspots have massive increases, and we as the only disability sport affected have lost all of our funding with massive implications. the sports appealing believed money should be reallocated more fairly. they will learn their fate by the end of february. that's all the sport for now. back to you. no matter where you live in the uk, this winter has seen nhs services come under immense pressure.

none of the four nations is achieving any of its three key targets for a&e, cancer or routine treatments, such as knee and hip replacements. but a poll conducted for the bbc suggests only around 40% of people are prepared to see a rise in income tax to help fund the nhs. john maguire reports. ask staff here how the winter is going and they use words such as busy, challenging, demanding. drjohn tipping shows me how they track exactly what's happening here in the emergency department. it allows us to see what the pressures are in the system, so it allows us to see how many patients we've had in the last hour. they deal with everything from aches and breaks to problems breathing, a particular issue for the elderly in winter. comparing this january to four years ago, we are up 10% on attendance. it doesn't sound huge but actually it's up 20% on ambulance arrivals and 28% on the number of patients we have had to admit, which indicates that

although the numbers haven't massively increased in that time, the complexity and illness level in patients is definitely rising. demand is increasing, so how should we pay for it? a bbc poll found that 51% are against the idea of charging for some services that are currently free, but 37% do support extra charges. 50% wouldn't want income tax to rise because of the nhs but 40% would back an increase, something perhaps unsurprisingly more popular with older people. you would never be able to put enough money in, but hopefully at least you can keep catching up. mh—hm. so no, if more money is made available to the nhs, i certainly wouldn't object. those who earn more pay more on a scale. i would think that would be the fairest way. to live within its means, the nhs has to develop new ways of working. here in yeovil, they are pioneering the frail older person's assessment service which staff call a one—stop

shop, an mot for the body, if you like. they are seen by a nurse, consultant, pharmacist, occupational therapist, and if they need to see a specialist for diabetes, we will call them to a unit, so they are seen in one place. this team of doctors and nurses, although based in the hospital, goes out into the community to deal with some of the most vulnerable. called the symphony project, it's another new way to help patients. patients don't want to be in hospital. they want to be looked after within their own home, when that is possible, so we are trying to meet the interventions before the crisis point is reached, so that we can bring services together and manage people in their homes more effectively. the nhs remains cherished, revered and highly valued but the challenge is to determine at what cost. john maguire, bbc news, yeovil. with me is roy lilley,

former nhs trust chairman and a writer and broadcaster on nhs issues. explain first of all how you see the problem because social care is obviously a fundamental part of what is going on in that event are not being freed up even when people are well enough to leave hospital. that's one element but explain how you see that part of it. social care with the health service is partners in care, particularly with the elderly. if they come in the front door in hospital generally speaking a&e can fix them up quite quickly, then it's a question of where we put them. they going to a medical bed, then wait for a medical package. the tipping point came in 2010 when the government was trying to recover the economy from the banking crisis. they cut right across the public sector, local authorities have huge

cuts, which means social services just cannot do the job. they cannot get the care packages together so you find people marooned in hospital for a long time. then other problems arise because if someone has complicated needs, perhaps dementia, incontinence or lifting issues, and you go to a care home and the local authority is prepared to pay £700 a week for that person, and the care home can rent that bed based to a private person who's paying £2000, you can see what the care homes are going to do and that's why it's getting more and more difficult for local authorities to find care packages for complicated patients.” say it is one issue, one part of the problem, how significant part of a problem, how significant part of a problem do you think it is? problem, how significant part of a problem do you think it i57m problem, how significant part of a problem do you think it is? it is hugely significant. if you look at the blockage in beds for example,

medical bed soon spill over into surgical beds. if out of medical beds because they are being occupied by people who cannot go home, where do you put people? then you have to go to surgical beds, and cancel operations because there are no beds, so then you get what the call the elective procedures, people who wa nt the elective procedures, people who want their knees and hips done, that sort of thing, that starts to build up, now there are 350,000 people on the waiting list so the whole system blocks up. how would you see the solution? at the end of the day it's about money. the quicker solution would be an injection of money into local authorities so we can get social care back up and running again. then we have got to look very seriously at the staffing crisis there is in the nhs. 27,000 vacancies. since brexit was announced, there's been a 98% fall

in the number of nurses wanting to come here from europe and we depend on them. we have 100,000 staff who are eu nationals so that will be a huge problem for us. is it time to look at what the nhs funds?‘ huge problem for us. is it time to look at what the nhs funds? a lot of people are talking about the sustainability of the nhs, if we just look at the numbers... sorry, let me interrupt you because the israeli prime minister benjamin netanyahu israeli prime minister benjamin neta nyahu is israeli prime minister benjamin netanyahu is in downing street meeting theresa may for talks, but he's focusing on iranian weapons and not settlements in the west bank. the pictures keep freezing but we will stay with them for a moment because he is there waving to the cameras and no doubt in a moment the door will open and he will be greeted by theresa may for those talks. he has said he will be looking to deepen diplomatic security, economic and technical

ties with the uk and i mentioned his wanting to focus on the situation with iran. there you go, a glamorous end to those pictures but he's gone in for the talks. let's resume what we were saying about sustainability in the nhs. it is all about the money really i think. the nhs will have flat line funding more or less measured over the period between 2010 and 2020. if you look back to the year 2000 we were putting 6.3% of our gross domestic product into running the health service, next year it will be 6.6%. we have gone from being smacked on the european average of gdp to funding the nhs to down at the bottom and below slovenia. we are simply not putting enough money in. the nhs is entirely sustainable, it is very professionally run, and it gets a

lot of people through the system. but how much more would it require because there's an ageing population and a growing population? the ageing population is not quite the problem eve ryo ne population is not quite the problem everyone thinks it is, that is mainly an issue for social care. the nhs, they seldom lead, located treatments. if i was the prime minister i would say i would try and get nhs funding back to the european average by the end of the next parliament, which is a long way off i know. what is the difference? at the moment it will be about to or 3% of gdp, which is a lot of money and it depends how the economy goes. we mentioned the bbc polling which shows only 40% would be prepared to see taxes go up. i find that very strange. the audiences are taught to

and the people i write for and who write to me say, we would put more money into the nhs to give it breathing space. so what can we say? 0ne opinion is worth somebody else's, i have no idea. without that money, what happens? the public will start to see, as waiting lists go up, they can't get the granny into a ca re up, they can't get the granny into a care home, and they will say, why is that? really it is just about money. the nhs is very efficient. social ca re the nhs is very efficient. social care does a greatjob, but you can't do it without the money. thank you. at 12:30pm on this channel, we will take your questions on the state of the nhs and the issue of health tourism. your questions will be answered by a professor from the london school of economics. please get in touch if you have thoughts or questions. you can send us an e—mail or contact us by twitter using the hashtag below. in a moment, a summary of the business news this hour, but first the headlines on

bbc newsroom live: the number of patients on hospital wards in england has been at unsafe levels at nine out of ten nhs trusts this winter, bbc analysis suggests. the government steps up efforts to recover money from non—eu patients who use the nhs in england, by asking hospitals to charge them up front. a 19—year—old man has admitted killing an american tourist and injuring five others in a knife attack on russell square last august. in the business news: ryanair has reported an 8% fall in profits as increased competition forced the irish airline to cut fares. the company says that average ticket prices may have fallen by as much as 15% over the winter period. ryanair has warned that 2017 will continue to be a difficult year for the industry, but the carrier left its profit forecast unchanged. apple, facebook, google and microsoft are among 97 companies to have filed an official court

document opposing donald trump's travel ban. the us president's executive order prevents people from seven mainly muslim countries entering the united states. on saturday, the federal appeals court rejected the trump administration's request to reinstate the ban after it was initially blocked a day earlier. and the society of motor manufacturers and traders says 2017 has got off to a good start for the new car market, but warns there is cooling ahead. more than 174,000 cars were sold last month, continuing a strong run that propelled 2016 to be a record year for the industry with 2.69m cars sold. more now on the news that low frills airline ryanair has reported an 8% fall in profits for its third quarter to about £82m. it said average fares fell to £28 per customer a fall of 17% — but traffic was up 16% on last year.

neil sorahan is the chief financial officer of ryanair he thinks the decision to leave the european union — especially if it's a ‘hard—brexit‘, will impact the airline's domestic uk flights. we are only at the start of the journey. we will see article 50 invoked next month. it's a two—year negotiation process of course, the planes are full at the moment with lower fares. we are stimulating demand with lower ticket prices and are always getting a better programme, but we believe as we move closer towards the end of the process over the next 24 months, if the uk decides not to remain in open skies then it will absolutely have implications for travel in and out of the uk. we have three domestic routes here in the uk and we will have to make a decision over the next 18 to 24 months as to what we do with those.

whether we cancel those routes or whether we open up an air operators' certificate here in the united kingdom and operate under that. so, there's a lot of different constituencies in relation to brexit as to what may or may not happen. but it's early days and i believe that if it is a hard brexit, which it looks like it will be, then we may absolutely see a slowdown in consumer sentiment here. a million more older people should be in work by 2022. that's according to business champion for older workers, andy briggs of aviva. the challenge is to address the widening skills gap, tackle age bias in work and enable people to stay in work longer. so the suggestion is that every uk employer should increase the number of people aged 50—69 they employ by an extra one for every eight already on the books — and do that within five years. lets get more on this. baroness ros altmann —

a leading authority on all aspects of pensions and a champion for the rights of pensioners. what is the problem then that older workers face? there is still a huge amount of age to scrivener nation in the workforce. sometimes it is unconscious bias where younger middle managersjust unconscious bias where younger middle managers just assumed that older people are not up to the job. —— there is a huge amount of age discrimination. in fact many people in their 50s discrimination. in fact many people in their50s and discrimination. in fact many people in their 50s and 60s these days are relatively young and perfectly fit and able to do work. so there is this discrimination in the job market and also the kind of social norm, where sometimes people assume that the employer won't want to employ them, when in fact surveys show that most of the over 50s and even the over 60s nowadays would like to keep working longer if they could find the suitable work to do.

we keep hearing how difficult it is the younger people trying to find jobs. if the people who fall in that age bracket, 50 to 69, r perhaps more comfortable, have almost paid off their mortgage, isn't it better that they freaked up jobs for younger people trying to get started in their careers? younger people trying to get started in theircareers? —— younger people trying to get started in their careers? —— a free upjobs. the economic analysis shows that if you force older people out of the labour force, you damage you force older people out of the labourforce, you damage the you force older people out of the labour force, you damage the economy and that means less jobs for the young. especially with the ageing population with god, we are going to have millions more older people in the labour force in the next two yea rs the labour force in the next two years and a few hundred thousand people who i gender. —— the ageing population we have got. so if the younger people decide to leave the

lower back labour force avenue they have done before, if their employers for some out, they will not have that much money to spend, they won't have as big pensions, and in the end, young people will find they have more taxes to pay to support increasing numbers of older people, and there will be less spending in the economy as a whole, so we need to wa ke the economy as a whole, so we need to wake up and especially if we're going to leave the european union and if we're going to cut immigration, we need to keep the skills and talents and experience of all the people. a lot of employers are already recognising this but we need to have more older workers in the labour force, ideally need to have more older workers in the labourforce, ideally working pa rt—time, the labourforce, ideally working part—time, i think that is what most of them would prefer as they reach into their 60s and late 60s, and more flexible at it in the workplace would also help improve their income prospects and improve the income for the economy as a whole. thank you

very much. here are some other stories we're following today. japan's toyota and suzuki have agreed to formal talks aimed at creating a partnership between the two car firms. last year, the two carmakers said they were looking at making a deal that would see them share information and new technology development, among other areas. gold mining business randgold reported record gold production last year. sales in the fourth quarter were up 26% and for the year were 3% higher. profits were up 38% at $294 million and the company is proposing a 52% rise in its dividend to $1.00 per share. and they say diamonds are forever, but the job of chief executive of the upmarket us jewellers tiffany & co isn't, as federic cumenal has stepped down. mr cumenal had been in charge since april 2015, but a decline in spending by tourists and the stronger dollar had been hurting the company's performance.

european shares edged up in choppy trade at the start of the week. one of the top performers on the ftse 100 is randgold resources. up up more than 4.7% after the company reported an increase in its profits for the last three months of last year. it raised its annual dividend payment. investors seemed to like that. meanwhile, ryanair, which is listed in dublin, has seen its share price fall after a poor results update. that's all the business. as we've been reporting, today marks the queen's sapphirejubilee — that's 65 years on the throne. she's spending the day privately in norfolk, but the anniversary will be marked by gun salutes and bells will be rung. this is the scene at green park in central london. this is where one of the gun salutes

will be taking place, in central london. the king's troop royal horse artillery are due to begin a 41 gun salute. we will have coverage of that. it is a day of remembrance for the queen. she will be seen in —— she will not be seen in public today. it is the day her father died and she ascended to the throne. we will cover that gun salute at midday. the headlines are coming up on the bbc news channel. in a moment we say goodbye to viewers on bbc two. the week has started chilly and will end that way. but first, an interlude of wet and windy weather moving its way particularly across western areas as we go through the rest of this afternoon. the further east you are, you should hold onto a largely dry day, though sunshine will become increasingly hard to find. 0ne will become increasingly hard to find. one or will become increasingly hard to find. 0ne ortwo will become increasingly hard to find. one or two fog patches in eastern areas and one or two could lingerfor eastern areas and one or two could linger for a eastern areas and one or two could lingerfor a good part of eastern areas and one or two could linger for a good part of the day. 0ut west, things are changing. by

3pm, a lot of cloud in the south—west of england and wales, fairly heavy bursts of rain developing here. but elsewhere, a little cloudy through the afternoon but largely dry. 5 degrees in birmingham. the odd fob patch could linger, for example across the pale of york. but in eastern england a largely dry afternoon. but for northern ireland and the western area of scotland, heavy bursts of rain and really strong and gusty winds. up to 65 mph in spots. so a pretty poor rush—hour in belfast. but in glasgow as well. as we get deeper into the evening, some of the rain but to snow across the higher ground of scotland, and down into the hills of england as well, so on the hills of england as well, so on the trans—pennine the hills of england as well, so on the tra ns—pennine routes the hills of england as well, so on the trans—pennine routes and other areas there could be travel disruption tomorrow. and icy stretches later as well. it will to dry in eastern areas —— western areas later on. possibly a touch of

frost. tomorrow, this rain band in eastern areas. natwest, brighter weather and sunshine. —— out west. some showers heavy with her and thunder in wales but all the while, the cloud and rain will linger in eastern areas and will not clear through the day. through wednesday, the cloud and patchy rain at this stage, it will have weakened, drifts further westwards again, so another largely cloudy day in eastern areas, the best of the brightness out west. temperature is beginning to drop away in eastern parts. in the end of the week, we begin to develop easterly wind. that will bring cold airforall easterly wind. that will bring cold airfor all of easterly wind. that will bring cold airforall of us and easterly wind. that will bring cold air for all of us and with that it will be rather cloudy. the best of any brightness in the west. some snow flurries, especially over hills but perhaps later it at lower levels. worth staying tuned into the forecast, which you can always do on

our website. goodbye for now. this is the scene at green park in central london where there will be a gun salute to mark the fact that the queen has become the first british monarch to celebrate her sapphire jubilate, her rain reaching 65 yea rs. jubilate, her rain reaching 65 years. it is for her heyday of remembrance because it is the day that her father died at the age of 56, and at the age of 25, she ascended the throne. —— it is for her a day of remembrance. so she will be spending the day quietly at sandringham. it is said that she marks estate every year, the start of it, with private prayers where ever she is in the world. she was in south africa when she was informed of the death of her father tom and returned to this country the following day. 65 years since the day that she ascended the throne,

but actually it wasn't until 14 months later that she was crowned queen. bugle plays a nice bit of ceremony there in green park in london. the air thick with fire as the 41—gun solute happened at midday to mark 65 years on the throne for the queen. if you are wondering about gun salutes and why they happen, they are to mark special royal occasions like anniversaries and birthdays. 41 guns because the basic salute is 21 rounds, but in royal parks an extra 20 are fired, and at the tower of london and extra 20 are also fired because the tower is a royal palace.

in the tower of london there would bea in the tower of london there would be a total of 62 rounds and that will actually be happening at one o'clock to mark the sapphirejubilee for the queen. she will not actually be seen in public today, for her it isa be seen in public today, for her it is a day of quiet contemplation as she remembers the day her father, king george vi, died from lung cancer and she ascended to throne of the —— and it was another 16 months later that she was crowned. photograph was ta ken later that she was crowned. photograph was taken by david bailey in 2014, is being used to mark the occasion, sapphirejewellery in 2014, is being used to mark the occasion, sapphire jewellery given to her by her father. she occasion, sapphire jewellery given to her by herfather. she is spending the day quietly at

sandringham estate. we will have coverage of that gun salute at one o'clock. from tower bridge. the number of patients on hospital wards has been at unsafe levels in nine out of ten nhs trusts in england this winter, according to figures obtained by the bbc. some hospitals were operating at close to full capacity, putting increased pressure on the number of beds available. all week we are taking an in—depth look at the state of the nhs in a series of special reports. here's our health correspondent, jane dreaper. it's been a very difficult winter at yeovil hospital in somerset. like many other hospitals in england, they've had to battle behind the scenes here to find enough free beds in recent weeks. you can get periods, particularly over the winter period, when you are managing bed by bed, minute by minute, and teams are having to spend a lot of time and energy running around finding a bed for the next patient that needs it. and moving patients between wards isn't ideal, we don't like doing it unless we really have to, but sometimes you have to prioritise clinically who needs

to be in the right bed. ideally hospitals have patients in around 85% of their beds so there's time for cleaning and space for urgent cases. our analysis of nhs figures showed most hospitals in england were above the recommended rate this winter. nearly half those trusts had occu pa ncy levels a bove 95%. up—to—date figures weren't available for the rest of the uk. most hospitals in europe run at 80% capacity and they cannot understand when we talk to them and say that we run our hospitals at 95% capacity, they just think it's a very odd way, and also, to be frank, a slightly dangerous way to run a hospital system if you're doing that day in, day out. nhs england said the practice of using beds intensively was likely to continue. meanwhile, a poll carried out by ipsos mori for the bbc suggests in england 57% blame a shortage of staff or lack of funding for the current pressures. the government in england says although the nhs

is busier than ever, patients rate their care highly. jane dreaper, bbc news. an nhs trust has begun a formal inquiry into the case of an 89—year—old woman who was kept in hospitalfor six months despite being well enough to be discharged. iris sibley was taken to the bristol royal infirmary after a fall at her residential care home last summer. she recovered but no suitable nursing home place was found for her until last month. the cost of keeping her in hospital is estimated at £90,000. the trust has apologised. plans to tackle health tourism in england have been announced by the government. hospitals will be given a legal duty to charge overseas patients up front, if they are not eligible for free care. the move, which applies to non—urgent cases, follows criticism of the health service for failing to recover money from foreign visitors after they've been treated. emergency care would still be provided before payment. here's our health editor, hugh pym.

hospitals are already supposed to charge those foreign patients who don't qualify for free non—urgent care, but a report by the national audit office found that money raised next year would fall far short of a £500 million target set by the government. ministers have announced that, from april, nhs trusts in england will have a legal duty to charge upfront for non—emergency care, rather than send invoices after the event. it's not clear how this would be enforced. the way to solve the problem would have been if every visitor coming into this country would have health insurance as a compulsory requirement for allocation of a visitor visa, and that would give the message out to the rest of the world that the nhs is not free for everybody. a uk—wide poll ofjust over 1,000 adults by ipsos mori for the bbc shows that 74% of respondents support increasing charges for visitors from outside the uk to help fund the nhs. 40% said raising income tax to finance the nhs

would be acceptable. 37% said it would be acceptable for uk citizens to pay for some health services which are currently free. hugh pym, bbc news. we can talk to a consultant in critical care and acute medicine now. tell us what the picture is where you are now. this winter has been very challenging for the nhs and all the more so for a very large teaching hospital here in nottingham. we are often very full, with a lot of patients coming to our front doors. we are doing our best to rise to the challenge. how are you doing that? one thing we have

donein you doing that? one thing we have done in the last couple of years is made a significant investment in mobile devices so all our doctors, nurses, physiotherapists, etc, have access to information they need about patients wherever they are in hospital. it also means we can collect information such as temperature, blood pressure, pull —— pulses. also, we can find out what patients are waiting for. so this investment in mobile technology has allowed us to get a huge insight into exactly who are patients are, and more importantly what they are waiting for. what different has it made in terms of speeding things up and making better use of resources? that is exactly why we have done it and really what this has given is a huge amount of visibility of what is happening in our hospitals. it has helped us, such as our therapists to understand the patients they need to

see first to help them towards the discharge. it has also helped enormously in indicating with external partners, social services or community health services, so we can give them the information they need so we can discharge patients in as little time as possible. so what does it mean for the weightings operate there? does it mean waiting list targets are being hit? there is no problem, job done? absolutely not. this is a significant challenge for every nhs trust. nottingham is a pioneer in terms of technology but we have a long way to go. we have 1400 adult beds and 250 children' beds. we are one of the most busy departments in the country. issues we have seen a radical tree are magnified here. we're trying to do our best to use technology available to us to make that problem, to find solutions to the problem we have.

what else would need to be done to address the remaining issues? there isa address the remaining issues? there is a substantial need for us to understand exactly what people are waiting for in hospitals. i know that sounds slightly unusual, but hospitals don't necessarily know exactly what the issues are. there are delays in getting people out to nursing home care and other social ca re nursing home care and other social care services, but also we need to look ourselves and to work out what we can do to ensure our patients are getting the best care possible all the time, every day. thank you very much, doctor mark simmons. at 12:30pm here on the bbc news channel, we'll be taking your questions on the state of the nhs and the issue of health tourism. your questions will be answered by professor martin knapp from the london school of economics. please get in touch via text or send an email or contact us via twitter using the hashtag #bbcaskthis. after a record 59 matches

leading his country, alistair cook has stepped down as england's test captain. he won two ashes series during his five years leading the team. he had been considering his role during england assessment recent defeat to india. the bbc‘s cricket correspondentjonathan defeat to india. the bbc‘s cricket correspondent jonathan agnew says his decision is not a surprise. i thought he looked a bit empty at christmas. it was a hollow way for everything to end. it seemed at that point this would be the most likely conclusion. it is a shame because he could have gone on for another year, which i think ideally english cricket might have enjoyed much to give route a bit of time and breathing space. that year but have taken in south africa and the ashes

next year but you can do that as a captain if you really want to do it and had the energy, and i think that cook had hit the buffers as far as that was concerned. it has been a ha rd that was concerned. it has been a hard time to him as captain, lots of ups and downs. constant noise in the background, particularly going back to the kevin pietersen a fair, so he has put up with a lot from the wings, as it were, and moderate success when he was never the most exciting or determined of captains, but very gritty, much like his batting. the new england patriots produced the greatest comeback in super bowl history to beat the atlanta falcons 34—28 in overtime. the falcons were in complete control having scored three touchdowns before half time. they were 25 points ahead before the spectacular fightback — no team has come form that far behind before. —— no team has come from that far behind before. the patriots drew level at 28—28 with less than a minute left of regulation time remaining.

and then, in overtime, a touchdown from james white completed the comeback to take the title. quarter—back tom brady named the most valuable player for a record fourth time. it's a fifth title for the patriots. there was a painful finish to great britain's davis cup tie when canada's denis shapovolov was disqualified after smashing a tennis ball at the match umpire — handing the tie and a place in the quarter finals to gb. kyle edmund was two sets up in the decider. and the canadian in red after losing his serve, smashed a ball away... and it struck the umpire square in the face. despite not intending to strike him, canada defaulted the match and great britain will face france in the quarterfinals next april. mark sport in the next hour. —— more sport. president trump has stepped up his attacks on the judge who blocked his travel ban on seven predominantly muslim nations. in a series of tweets, he said the american people should blame the judge if anything happened to threaten national security.

0ur correspondent kim ghattas is in washington. tell us what donald trump has been saying. quite a lot. tweeting nine times over the course of the weekend and tweeting this morning, just a few minutes ago, saying, any fake news, sorry, people want border security and extreme vetting. there have been other treats as well. some of them dismissing the judge, have been other treats as well. some of them dismissing thejudge, as have been other treats as well. some of them dismissing the judge, as you just said. calling him a so—called judge. saying that he should be blamed if anything happened in terms of security incidents. another tweet, i have instructed homeland security to restrict people coming into our country —— to check people coming into our country very carefully. the judges making coming into our country very carefully. thejudges making things very difficult. all these tweets have unsettled people in washington,

members of congress, former officials, administration officials who bristle at the idea that the president should so publicly seem to be putting pressure on a judge and potentially laying the ground for blaming him should anything happen in the us in terms of security. but where we are right now with the legal case, which is important because there was a bit of a limbo situation going on, two states have appealed, have put... called for a temporary restraining order on the executive order of president trump, banning people from those southern muslim majority countries from coming into the country. that is a national lifting of the band which means that over the weekend and into today, people from these countries and refugees who had been banned by the executive order can come back into the country, and they have been coming back into the country. we

haven't seen many joyful coming back into the country. we haven't seen manyjoyful reunions in airports around the united states —— we have. now lawyers from the justice department will repeal that restraining order and make their 0ttomans this evening. they will say that these judges are second—guessing the president on national security matters and only the president can decide who enters into the us. so quite a lot of tension there, with people saying this will go all the way up to the supreme court. you cannot overstate the significance of what is going on. eight president neely imposition in this battle. —— a new president in this battle. —— a new president in this battle, this stand—off with the courts over a policy he once enacted, and speaking in the way he is speaking about it on twitter, making very clear his position. is speaking about it on twitter, making very clear his positionm is unprecedented. that is why it has

rattled and unsettled and upset so many people. clearly the president himself is upset that his executive order is being challenged, but the retort that you hear from people here is that that is how democracy works. a lot of people who did not vote the donald trump, who opposed his policies, and the democratic side, feel their best recourse is going to be the courts and the judges around the country to push back against what they are already warning is overreaching by the president. you heard criticism from republican members of congress as well, who pushed back against donald trump's use the word so—called judge. they said, we don't so—called judges. so i think everyone on all sides is trying to understand how to

proceed in what is uncharted territory and frankly unprecedented times. but there is real tension in the us about this issue, and donald trump's tweet this morning, pushing back again about the polls that show that most americans don't agree with this travel ban and the easy way to dismiss all of this now in the base... in front of his supporters orfor his base... in front of his supporters or for his supporters is just dismiss it as fake news. and it is important to remember that some people do support this travel ban, but there has been quite criticism about how it was enacted. thank you. the israeli prime minister benjamin netanyahu the israeli prime minister benjamin neta nyahu is the israeli prime minister benjamin netanyahu is in london holding talks with theresa may in downing street. he has made clear he wants britain to support renewed pressure on iran. a 19—year—old man has admitted

killing an american tourist and wounding five other people in a knife attack in central london last august. zakaria bulhan from tooting in south london was appearing at the 0ld in south london was appearing at the old bailey where he pleaded guilty to manslaughter on grounds of diminished responsibility. 0ur correspondent is at the old bailey. tell us what happened. zakaria bulhan came to court eight at the 0ld bulhan came to court eight at the old bailey this morning, where he made his plea. he had been charged with the murder of 64—year—old darlene horton and the attempted murder of five others. he told the court he was not guilty of murder but was guilty of manslaughter on the grounds of diminished responsibility. he admitted he wounding five others with intent. the crown explained why they were accepting the lesser charges. they said there was expert medical evidence to show he had been suffering an acute episode of mental illness at the time and had been psychotic. the court has also now

been hearing more detail about what happened that night. it was about 10:30pm on the 3rd of august in brussels square. a man with a large kitchen knife was seen moving erratically on the square when he veered across and without any warning or provocation stabbed six people in relatively quick succession, and he said nothing. he tried to flee the scene before police brought him down with a taser stu n police brought him down with a taser stun gun. at the time, armed police had flooded russell square not knowing what sort of vague threat this was, if it was terrible, but it quickly emerged, it was a lethal attack of a random person on random strangers. a few minutes after the pleas were accepted in court this morning, a detective chief inspector from the metropolitan police talk to us. in the beginning the motives

we re us. in the beginning the motives were unknown. there was speculation as to whether it was potentially a terrorist attack. we understood the reasons for that, the location of the attack and the fact that tourists were potentially targeted. it wasn't terrorism, but clearly a lot of people around, a lot of inquiries to make, and it was a full investigation. one person did die in that attack, 64—year—old darlene horton. she had been planning to return to the united states the next day. five other people were wounded. we hear that mostly they have made full recoveries. we are in the process now of a two—day sentencing hearing and centres will be passed on zakaria bulhan at a later date. thank you. the prime minister has been paying tribute to the queen on her sapphire jubilee. theresa may has said that today marks yet another remarkable

milestone for our remarkable clean. i know the nation willjoin with me today at celebrating and giving thanks for the lifetime of service her majesty the queen has given to our country and to the commonwealth. this picture has been rereleased today. it was taken in 2014, taken by david bailey, and in it the queen is wearing sapphire jewellery given to her by her father as a wedding gift in 1947. the statement by theresa may goes on, it is a testa m e nt to theresa may goes on, it is a testament to her selfless devotion to the nation that she's not marking becoming the first monarch to rain for 65 years with any special celebration but instead getting on with the job to which she has dedicated her life. she has truly been an inspiration to all of us and iam been an inspiration to all of us and i am proud of behalf of the nation to offer humble thanks and congratulations on celebrating this sapphire jubilee. it is congratulations on celebrating this sapphirejubilee. it is a day the queen is spending quietly at sandringham, which is where her

father was born and died. he died suddenly at the age of 56 when she was in south africa, which is where she was informed herfather was in south africa, which is where she was informed her father had passed away and so at 25 she ascended to the throne. so 65 years today since she ascended to the throne. now let's catch up with the weather. after a cold and frosty start, things are going downhill, clouding over, and it will turn wet and windy through the afternoon. heavy rain moving in from northern ireland, and eventually the western side of scotland, accompanied by possibly severe gales. further east, fog patches could linger all day long in severe gales. further east, fog patche: spots, .inger all day long in severe gales. further east, fog patche: spots, graduallyiay long in _— be increasing 55:77 7 "7” ”m m 7 and overnight g evening and overnight we see this band of heavy rain sweeping eastwards. snow. —— snow for

scotla nd eastwards. snow. —— snow for scotland and northern england. into tomorrow, this band of rain hands—on in eastern areas. there will be showers, some of them heavy with hailand showers, some of them heavy with hail and thunder, to the south—west. as we get towards the end of the week it will turn increasingly cold, rather cloudy and there will be some snow flurries, particularly in the east. this is bbc newsroom live. the headlines: nine in ten hospitals in england had unsafe numbers of patients on wards this winter, the bbc has found. the government is to step up efforts to recover money from non eu patients who use the nhs by asking for payment up front. the number of unexpected deaths among mental health patients in england rises by almost 50% in three years. a teenager has admitted killing an american tourist and injuring five others in a knife rampage in london's russell square last august. president donald trump has continued to criticise the judge who blocked his travel ban on seven countries, saying americans should blame the courts

"if something happens". and the royal horse artillery has fired a 41 gun salute in central london to mark 65 years of the queens reign. no matter where you live in the uk, this winter has seen nhs services come under immense pressure. none of the four nations is achieving any of its three key targets for a&e, cancer or routine treatments, such as knee and hip replacements. but a poll conducted for the bbc suggests only around 40% of people are prepared to see a rise in income tax to help fund the nhs. john maguire reports. ask staff here how the winter is going and they use words such as busy, challenging, demanding. drjohn tipping shows me how they track exactly what's happening here in the emergency department. it allows us to see what the pressures are in the system,

so it allows us to see how many patients we've had in the last hour. they deal with everything from aches and breaks to problems breathing, a particular issue for the elderly in winter. comparing this january to four years ago, we are up 10% on attendance. it doesn't sound huge but actually it's up 20% on ambulance arrivals and 28% on the number of patients we have had to admit, which indicates that although the numbers haven't massively increased in that time, the complexity and illness level in patients is definitely rising. demand is increasing, so how should we pay for it? a bbc poll found that 51% are against the idea of charging for some services that are currently free, but 37% do support extra charges. 50% wouldn't want income tax to rise because of the nhs but 40% would back an increase, something perhaps unsurprisingly more popular with older people. you would never be able to put enough money in,

but hopefully at least you can keep catching up. mh—hm. so no, if more money is made available to the nhs, i certainly wouldn't object. those who earn more pay more on a scale. i would think that would be the fairest way. to live within its means, the nhs has to develop new ways of working. here in yeovil, they are pioneering the frail older person's assessment service which staff call a one—stop shop, an mot for the body, if you like. they are seen by nurses, a doctor, pharmacist, occupational therapist, and if they need to see a specialist for diabetes, we will call them to a unit, so they are seen in one place. this team of doctors and nurses, although based in the hospital, goes out into the community to deal with some of the most vulnerable. called the symphony project, it's another new way to help patients. patients don't want to be in hospital. they want to be looked after within their own home,

when that is possible, so we are trying to meet the interventions before the crisis point is reached, so that we can bring services together and manage people in their homes more effectively. the nhs remains cherished, revered and highly valued but the challenge is to determine at what cost. john maguire, bbc news, yeovil. all this week the bbc will be focusing on the nhs and its future. this morning we have been asking you to send in your questions, including news that hospitals will have a legal charge to —— duty to charge overseas patients upfront for non—urgent care if they are not eligible for free treatment. with me to answer some of your questions is

professor martin knapp, health economist at the london school of economics. why doesn't the nhs send bills to eu countries for services supplied to eu tourists in the uk? it is less than 1% of the nhs budget thatis it is less than 1% of the nhs budget that is accountable by health tourism, so it is a tiny thing. in some cases it can mean people can get delayed, their health care they are due, but for lots of uk residents they get health care abroad. lots of uk residents live abroad, in spain for example, and will qualify for those systems elsewhere so it is a complicated funding arrangement across different european countries to reimburse for the use. i don't think it is uneven across the different countries. and on that issue of charging for overseas patients, how much of a

difference do you think it would make? how much money would be clawed back? it wouldn't be very much and often it would take a long time to chase the money. if they paid up front that would make things easier, but within the european union as we are, that would be sorted out by the european arrangement. it would be people outside of europe that would be charged in that way. then there would be people who have to oversee that. yes, and there's lots of complications. i would see it as administratively more of a hassle than the money it generates. so what would you say is the fundamental aspect that needs to be looked at? there is a duty, people in this country a through taxation, we feel we should get first call on that so it does feel unfair but equally if we go abroad, if we have an accident or illness we would want to get

health care quite quickly even if we couldn't pay for it at that particular points so we have to think about what the experiences would be for us as individuals. on the question of how the nhs is funded, what it is doing, and anonymous text asks : if we all paid an extra percentage of national insurance or tax we should be able to reduce some problems. i don't know why people don't want this. in the bbc survey, 37% did back extra charges. you could actually argue that those percentages are higher than you might imagine.” think so, people are very fond of the nhs, they want to get health ca re the nhs, they want to get health care when they needed. what they don't want to do is pay higher taxes to make sure they get that better quality so it is difficult balancing act. people often argue we should ta ke act. people often argue we should take more of the tax revenue away from some areas such as defence and

put it into health but they are difficult politicaljudgment. put it into health but they are difficult political judgment. the principle of the nhs is that we support people when they needed free of charge, so we try to redirect services to people with greater health needs and we try to compensate people who don't have the funding to pay for health care themselves so those are important principle is that most people want to hang onto. what percentage of the nhs budget goes to management, administration, wages and pensions? ican give i can give you a precise figure, 1496. i can give you a precise figure, 14%. if i go to an outpatient appointment, and a nurse is bugging me in and supporting my treatment, is that marge —— managerial? i don't know, it is often difficult to know what many people feel there's lots of managers in the nhs. i don't think it is particularly managerial

heavy compared to other healthcare systems at all. the nhs has grown to a size which makes it virtually impossible to manage — should consideration should be given to to devolution? we do have that to some extent because clinical groups across the country reflect what they would like to see in terms of healthcare priorities so it is still a central system but we have a great deal of devolution of decision—making about what services to commission. sorry, i was just distracted, i think we have some breaking news but not for now actually. 0n the debate earlier on on the victoria derbyshire programme, they were talking about the legal duty for the nhs to charge foran the legal duty for the nhs to charge for an patients upfront for care and whether that starts to set a precedent in charging in the nhs. there was also discussion about some people suggesting that if people are

drunk and therefore using the nhs because of their own behaviour that perhaps they should be charged up front. how do you see that? it was described as being a trojan horse. you could say that someone who is drunk and has an accident and goes to a&e should be charged, but what who goes off skiing, comes back with a broken leg and needs to be treated within the nhs? is that within their control? it is difficult to know what would be morally chargeable in these circumstances. we pay for prescriptions if we don't have eligibility for reimbursement so there's a little bit of charging already that goes on within the health service. i don't think introducing charging for some of those cases would make a big difference to the demand. obviously you are an economist looking at the economy of the nhs, do you see obvious areas where costs can be cut? is it an efficient

organisation? i think it is very efficient. we do lots of good things... has that changed, has it improved? i teach american students who are horrified by the length of time we wait to have certain elective procedures. in the states they would get that treatment more speedily but they also like what we have in the uk, where people from very low income groups have equal access to nhs services, the same as people in other income groups so that compares favourably to the us and many other countries across the world so our efficiency is how well we convert our money into good health. in some respects we do very well. we've had a big change in the number of people who die from heart related problems, that's improved considerably. 0n the other hand we have seen suicide rates going up, so i think there are concerns that

money is not being targeted in the way many people in society would like to see. is the model as it is sustainable? not as it is because with the growing number of elderly people who are much heavier users of services than young people, we have to think about how we either change the model or increase taxes considerably so there is a need for fundamental rethink about that. do you feel we are starting to have a debate on it? because it's always politically unpalatable for any government to say we are going to start to charge. we don't often have a debate openly. when we think about social care, for many years we didn't have a discussion about social care funding. then report was accepted social care funding. then report was a cce pted by social care funding. then report was accepted by parliament and kicked into the long grass so although there was difficult call discussion and decision made, it hasn't been implemented. the same would happen with the health service, it's a sensitive area and it would be difficult for the government to say

we would introduce charging across the nhs. it would be a good vote loser. good to talk to you and get your thoughts. thank you. we arejust we are just hearing that the man jailed for killing a metropolitan police officer has killed himself in prison, the ministry ofjustice has confirmed. he strangled a metropolitan police officer before trying to dissolve his body in an acid filled bath. he had admitted dismembering the 59 rolled police officer when he was high on crystal meth. he was jailed for life. —— 59—year—old. he had claimed that the police officer had died accidentally, but he was found guilty of murder and ordered to serve a guilty of murder and ordered to servea minimum guilty of murder and ordered to serve a minimum of 24 years injail. so we arejust

serve a minimum of 24 years injail. so we are just hearing from the ministry ofjustice that stefano? brizzi has killed himself in prison. we have a brief statement saying, in hmp belmarsh prison, stefano? brizzi died in custody on sunday the fifth of debris. as with all deaths in custody, there will be an investigation by the prisons and probation ‘s ombudsman. 0ur headlines: the number of patients on hospital wards in england has been at unsafe levels at nine out of ten nhs trusts this winter, bbc analysis suggests. the government steps up efforts to recover money from non—eu patients who use the nhs in england, by asking hospitals to charge them up front. a 19—year—old man has admitted killing an american tourist and injuring five others in a knife attack on russell square last august. the number of unexpected deaths of mental health patients has risen by almost 50% in three years —

that's according to new figures obtained by the bbc‘s panorama programme. the findings are based on data from more than half of england's mental health trusts. here's our health correspondent sophie hutchinson. in november, sheila preston's son, leo, died following a suspected accidental overdose. this was her first visit to his flat, four days later. this is leo. this is leo, here. he was probably 12 years old there, and i was proud of him. and he should still be here in this flat today. iwanted... i wanted to save him. leo had schizophrenia. sheila believes he wasn't getting the help he needed. the trust that treated him says it's improving its services. his is what's known as an unexpected death. they include death from suicide, neglect, and misadventure. new figures obtained by the bbc panorama programme suggest there's been an almost 50% rise

in unexpected deaths over three years. the results are based on data from more than half of england's mental health trusts. well, sane is alarmed and shocked by this rise in the death of people with mental illness. we're particularly concerned because these are the most vulnerable people that we have entrusted into the care of mental health services, and they are so often being failed — both them and their families. but the government says it's improving mental health services, investing an extra £1.4 billion by 2020, and that rises in unexpected deaths are due to better reporting. sophie hutchinson, bbc news. there is much more on that on tonight's panorama on bbc one at 8:30pm. and more on the bbc‘s health

check on our website. avalanches triggered by heavy snow have killed more than 100 people and injured dozens more in parts of afghanistan and pakistan. homes have been destroyed and roads blocked. there are fears more people are trapped under the snow. this is one of the worst hit areas in afghanistan. the severe snowstorms have buried entire villages in this province. at least 50 bodies have been recovered but rescue efforts have been hampered as they struggled to reach another bilic. the mountainous regions in the north and east of the country have suffered most. —— they struggled to reach another village. translation mac 22 provinces have been experiencing heavy snow. most

of the transportation routes between main cities have been shut down. on the major roads and highways, soldiers have rescued hundreds of beer calls trapped by the storm. and in the capital, kabul, the international airport is shut down. the rapid snowfall has also caused roofs to collapse. 0n the rapid snowfall has also caused roofs to collapse. on sunday, a normal working day in afghanistan, the government declared a public holiday to ensure schools were closed. the desktop has been steadily rising over the past few days and officials are warning of more avalanches. —— the death toll. shannon matthews went missing on her way home from a swimming lesson in 2008. the search for her lasted 24 days, cost police over £3 million and involved hundreds of neighbours. but in a twist that shocked the nation, the west yorkshire schoolgirl‘s disappearance turned out to be an elaborate hoax involving her mother. ahead of a new drama based on the case, danny savage has returned to dewsbury to look

at the impact on the community that helped look for her. police, emergency. my daughter is missing, please. how old is she? nine. an emergency call to report a missing child. the woman making it is karen matthews, mum of a little girl called shannon. hours later, the seemingly distraught mother goes on to make an emotional on—camera appeal. shannon, please come home. please, i'm begging you, baby. come home, please. have you heard anything at all from her, karen? no. but this is a hoax. karen matthews knows exactly where her daughter is. she's fully aware that a family friend is hiding shannon. the plan is to keep hold of the schoolgirl until a reward is offered, pretend to find her, and claim the money. but for 24 days, west yorkshire police, the people of dewsbury and us journalists following events believed it was a genuine child

abduction, or even murder. the rest of the country was convinced too. huge resources were poured into finding the nine—year—old. as the shocking truth unfolded, i was one of the journalists who spent weeks on dewsbury moor speaking to residents, who never suspected the unthinkable. now, the bbc has made a drama about real—life events, focusing on the community and how it tried to help karen matthews. i'm going out searching again. that's great, but let's get organised. we don't want people searching in the same places. we need street maps and a proper list of who's searching where. let's do this properly. the two—part series deals with how the friends and neighbours react when the truth unravels and they realise they have been lied to. shannon was eventually found alive about a mile from home. she was hidden in the base of a divan bed and drugged to keep her subdued.

as he was arrested, the man who held her — michael donovan — blurted out to officers that he and karen matthews were in it for the money. what karen matthews did here in dewsbury nine years ago is still almost beyond belief. to fake the abduction of her own child for money was described by the judge at her subsequent trial as truly despicable, and its left a mark on this town. dewsbury will forever be associated with the shannon matthews saga. i met up with the man who represents dewsbury moor to talk about the story being dramatised. i hope to see dewsbury moor portrayed in a positive light, that this incident was just the actions of two people, nothing more than that, and i hope it's reflected fairly and that the characters involved are reflected accurately as well. but one resident told us people will never forget what happened. it's always there. the name shannon matthews comes straight to mind. because it happened,

but it took such a long time and it was so focused. and all the time it was on, you know, the amount of people that were involved, it was uncanny. both matthews and donovan were sentenced to eight years in prison. the judge strongly criticised them for allowing the police and public to waste time in a search. it is the effect on that community that this new drama aims to portray. danny savage, bbc news, dewsbury. the moorside is on bbc 0ne tomorrow at 9pm. ina moment, in a moment, the news at one. first, the weather. first, the weather. the week started on a cold night with a widespread frost this morning and it will end on a cold note, too. but first a wet and windy interlude, heading our way later today. through

the afternoon, things fine in central and eastern areas but sunshine increasingly hard to find as cloud increases and four south west england, wales, northern ireland and western scotland we will see heavy rain and some strong, gusty wind. through the south—west of england and into wales we will see heavy outbreaks of rain. the heaviest will be on southern facing slopes so across the brecon beacons, for example, very wet later on. and for example, very wet later on. and for northern ireland, a soggy end to the day. april rush hour in belfast and some strong and gusty wind. maybe 65 mph. some rain into the western side of scotland, showers for the northern isles. in between a decent amount of dry weather. some perhaps into the afternoon. a similar story in eastern england into the midlands. 0ne similar story in eastern england into the midlands. one or two stubborn fog patches through the vale of york could linger all afternoon. but a dry afternoon, if

increasingly cloudy. through this evening and into tonight, the wet weather will spread eastwards across all areas, particularly gusty in scotland. some snow in the high ground of scotland and into the pennines as well. temperatures could drop low enough to give this some icy stretches across untreated surfaces in the south—west tomorrow. but the weather front is reluctant to clear eastern scotland and england. tomorrow it will hang about all day long. increasingly patchy cloud. elsewhere tomorrow, some brightness but hefty showers in the south—west, containing some hail and under. remember the band of rain in the east. 0n under. remember the band of rain in the east. on wednesday it moves eastwards again. then we start to have easterly wind so it will turn increasingly cold in eastern areas, and that takes us to the end of the week. it looked cold for all of us, rather cloudy and the increasing

chance of some snow flurries particularly in the east. the nhs under pressure. the number of patients on most hospital wards in england has been at levels deemed unsafe this winter. figures from nhs trusts show that nine out of ten hospitals were close to being full with discharging elderly patients proving to be a major issue. also this lunchtime: donald trump versus the courts. the legal battle continues to reinstate the ban on travel from seven mainly muslim countries. a teenager pleads guilty to killing an american tourist and injuring five others in a random attack in london last summer. three months after the demolition of thejungle, three months after the demolition of the jungle, we report three months after the demolition of thejungle, we report on migrants trying to get to the uk. alastair cook resigns as england test captain