tv BBC News BBC News February 6, 2017 2:00pm-3:01pm GMT
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this is bbc news. i'm simon mccoy. the headlines at two. the nhs under pressure — nine out of ten hospitals have been dangerously overcrowded this winter. there's a squeeze on mental health services too — with a big rise in the number of patients who've died unexpectedly. stefano brizzi, a killer who strangled a police office and tried to dissolve his body in acid, has died in prison. president trump steps up his attacks on a judge who overturned his travel ban on seven muslim majority countries. a nineteen—year—old admits stabbing an american tourist to death and injuring five other people in central london last year. i'm rebecca jones has in the next hour we will have more has alastair cook resigns as the england test batsmen. —— test captain. gun salute
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the queen should become the first british monarchy to celebrate 65 yea rs british monarchy to celebrate 65 years on the throne. —— as she becomes the first. good afternoon and welcome to bbc news. the number of patients on hospital wards has been at levels deemed to be unsafe in nine out of ten nhs trusts in england this winter — that's according to the bbc‘s analysis of nhs figures. the pressure on beds has meant many patients have been at a higher risk of infection and delays in getting treated. up—to—date figures aren't available for the rest of the uk. nhs england says the main problem is finding alternative care for patients who were medically well but frail. our correspondent, jane dreaper, has been to a hospital in somerset to see just how much pressure the nhs is under. it's been a very difficult winter
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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
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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. hospitals in england will have a legal duty to charge overseas patients upfront for non—urgent care if they are not eligible for free treatment. from april this year, so—called health tourists could be refused operations unless they cover their costs in advance. emergency care would still be provided immediately, and billed later. here's our health editor hugh pym. hospitals are already supposed
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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. auk a uk wide poll shows that 74% of respondents support increasing charges for visitors 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.
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the number of mental health patients dying unexpectedly has risen this is part of the accident and urgency unit, it is one of the busiest in the country, let us talk with mr brooks, who runs the major trauma centre. this is one of six places in england, scotland, wales and northern ireland will be following suit eventually you believe? we have been going since 2012, they are following the lead, across all of the major trauma centres and we know, from looking at the media and colleagues, the rest of the country is looking to follow suit. there are just looking at a road accident, all in a days work? absolutely, two of three people at the same time, we see five severely
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injured patients in the major trauma centre everyday and it is not uncommon for us centre everyday and it is not uncommon for us to centre everyday and it is not uncommon for us to have two or three people at the same time. in the old days, patients of more than a 10% chance would be taken to their local hospitals in many incidences. the theory here is that people come to a regional centre of expertise, and you are convinced this is saving more lives? absolutely, by bringing people to major centres, doctors and nurses and all of the therapists, we know across england, we have improved survival by 20%, to 20% more people loss of five in. just by bringing them into the right place. we are in the resuscitating unit where you see the most serious cases, is this area protected from the pressures of accident and emergency? everywhere it has always been a huge amount of pressure, and winter is very key. here we have a big resuscitation area, nine beds
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are you and sometimes it is close to be full but we have always got space for trauma places. we tried to be out of here within 20 minutes at most, so the arklow like the rest of the emergency department, it is the system. thank you very much, and like so many areas we are hearing about, it is about the flow of patients and there is still improvement needed. the number of mental health patients dying unexpectedly has risen by almost 50 per cent in 3 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. our health correspondent sophie hutchinson reports. 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.
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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,
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and they are so often being failed — both them and their families. the rise in unexpected deaths corresponds to a drop in income. for mental health. over the last two yea rs, mental health. over the last two years, though has been a rise in money, but mental health trust have not received an increase but when you allow for inflation, their funding has fallen by hundred and £50 million. —— 150 million. but the government says it's improving mental health services, investing an extra £1.11 billion by 2020, and that rises in unexpected deaths are due to better reporting. and nhs england also rejects the figures and says that suicide in particular is reducing for mental
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health patients. and there's more on that story on tonight's panorama, on bbc1 at eight thirty. and you can see more on the bbc‘s nhs health check on our website: on our website: that's at bbc.co.uk — health. in the battle of trump versus the courts — the courts are winning — so far — and the president's doing nothing to hide his frustration. he's stepped up his attacks on the judge who set aside his travel ban on seven predominantly muslim nations. the justice department has until this evening to submit its challenge to the decision. our correspondent daniel boettcher reports. # once so proudly we held...# america brought together by sport and patriotism — the super bowl watched by well over 100 million people on television. but outside the stadium, the country's divisions and tensions were all too apparent.
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more protests against president trump, and in particular his travel restrictions. un—american, say his opponents, and unconstitutional. elsewhere, his supporters made their voices heard. they believe it is the constitution that gives the president the authority to order these restrictions. donald trump was at his florida retreat to watch the super bowl, and despite the legal challenges of the past few days he defended his order as being effective. i think it was very smooth, we had 109 people out of hundreds of thousands of travellers and all we did was vet those people very, very carefully. it's more than a week since he signed his executive order. the administration argues the president can decide who can enter or stay in the us, but last friday a federal court overturned the ban after it was challenged by two states. the following day the president made his first attempt to get the ban restored, arguing his presidential authority
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was being undermined. yesterday that appeal was rejected, now both sides have until later today to file full submissions. until the case is decided, the restrictions, which include a travel ban on seven predominantly muslim nations, is on hold. but on twitter donald trump has continued his onslaught against thejudge, orso—called judge, as the president characterised him, who suspended his ban. "just cannot believe a judge would put our country in such peril," he wrote. "if something happens, blame him and court system. people pouring in, bad." minnesota and washington state, which are challenging the ban, say there will be chaos if it's restored. that will be part of their submission for the latest stage of the legal process. daniel boettcher, bbc news. our correspondent kim ghattas is in washington. shejoins us now, how long could these legal battles go on for? they could go on for quite awhile, this isn't going away any time soon and
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it could go all of the way up to the supreme court. this morning lawyers from state and minnesota state filed their arguments. the court said that restoring the travel ban would cause chaos, their argument is based on the fact that the executive order is unconstitutional, that it violates immigration law —— the states. the united states has additional legal briefs to justify the executive order, as we heard, their argument is that it is ready and issue of national security, and that therefore the president is the ultimate decider on who can come into the country or not. this legal battle, is also, a test of the different powers in the united states. we have had a lot of
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criticism of donald trump's attack of thejudge, with criticism of donald trump's attack of the judge, with even criticism of donald trump's attack of thejudge, with even republican senators criticising him for what he did. chiding him for criticising the judge like that. we had one republican senator saying "we don't have so—called open judges, republican senator saying "we don't have so—called openjudges, we don't have so—called openjudges, we don't have so—called openjudges, we don't have so—called centres can we don't have so—called centres can we don't have so—called centres can we don't have so—called presidents. we are people from three different branches of government are supposed to uphold the concert you should at all times." donald trump finding that his executive orders are being challenged, and perhaps, the theme that we will find here is that it is the judiciary that we will find here is that it is thejudiciary which will that we will find here is that it is the judiciary which will prove to be the judiciary which will prove to be the biggest challenge to donald trump's executive orders. to pick up on that point about donald trump's criticism of the church. how rare is that for an american president to criticise a judge so publicly, because legal clashes with the president are nothing new, are they? no they are not, but this is
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unprecedented, especially in the era of twitter where the president can ta ke to of twitter where the president can take to his favourite form so cheesily. not just take to his favourite form so cheesily. notjust criticise the judge, so publicly, —— so easily. but also publicly blame him for any potential future terrorist attack, at the end of the day people will say, that the buck stops with the president as they like to say in the united states. that it is really a president who is responsible for what happens in the country, that is on one side. on the other side, democrats who are looking at donald trump's nominee for the supreme court, getting ready for a fight there, trying to stall, they are game to start raising questions about the nominee and using that against all trump and everything he is trying to achieve as president. thanks. the headlines on bbc news:
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the nhs under pressure, nine out of ten hospitals have been dangerously overcrowded this winter. stefano brittany, a killer who strangled a police officer tried to dissolve him in acid has died in prison. president trump steps up his attacks ona president trump steps up his attacks on a judge who overturned his travel ban on seven muslim majority countries. and in sport alastair cook quits as england test captain not a record 59 matches in charge. he won the ashes twice, but has been considering his future during the recent tour of india which they lost 4-0. the recent tour of india which they lost 4—0. the former south african rugby union captain, has died aged 49. he helped them win the world cup back in 1995. and canada were disqualified from their final davis cup match against red britain, after one hit the ball in the face of the umpire, it meant that britain won
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the tie to reach the quarterfinals. i will have more on those stories. stefano brizzi, who was jailed for the murder of 59—year—old police officer gordon semple in london, has died in prison, the ministry ofjustice has said. an investigation will take place, say the ministry ofjustice. this case, many people will remember very recently he was sent to prison for this crime. the the judge described the terrible features of this case has been particularly memorable, the judge even praising the police officers who had to deal with the aftermath of the scene at his flat. pc gordon semple met him on the gauge dating app grinder. red sea claimed that it was a sex game gone wrong that he had accidentally died at his flat. but the jury found him
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guilty and then dismembering his body and trying to break it up in acid. there will also cannabis dig elements and the prosecution heard that he tried to cook parts of his body and eat them as well. so a horrific, horrific case. brizzi actually admitted dismembering the body, he says he was high on crystal meth, and his defence team used that asa meth, and his defence team used that as a reason in saying that he had been addicted to crystal meth for some time, the prosecution described him as an evil and katich man. he was jailed for life. what about the death? we know that he was found deadin death? we know that he was found dead in his cell this morning, reports that he took his own life in belmarsh security prison comedy had only been there for the last three months. the ministry ofjustice says ina months. the ministry ofjustice says in a statement, that, brizzi died in custody on sunday the fifth of debris. as with all deaths there
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will be an independent investigation by the prison and probation ‘s ombudsman. 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 later this afternoon. our political correspondent tom bateman is at westminster. what kind of changes are they seeking? we are claimed to have a pretty packed afternoon and evening of —— we are going to have a pretty packed afternoon and evening of business. the prime minister will be giving a statement, after her visit to the eu summit in malta, about president trump and nato, and of course, about the european union, that will then set the groundwork for what is an evening of debate and votes in the house of commons. as you mentioned, this is now what is known as the committee stage of this bill. the bill to empower this government, to trigger article 50. what is
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essentially galea happen, is that mps will have the chance to look forward and hope that they can get selected. with amendments to this, what we will have tonight, among a raft of proposed amendments to be discussed, is the labour mp harriet harman who was calling on to government, and he's citizens living in the uk. that has been a bone of contention throughout the brexit process. many mps saying including conservative mps that they want that sorted out in the government says it doesn't want to do that because it feels it will give away a part of the negotiating hand to other eu countries. then in the wider sense of what is going to be discussed, a lot of tonight is going to be about giving parliament the role to scrutinise negotiations, scrutinised the process of brexit. what some conservative mps and potential rebels are beginning to rally
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around, is some sympathy for a labour amendment that says that the government should give parliament the opportunity to say what the role all the relationship should be with the european union if there is no deal. this has become something which some conservative mps like anna soubry and others have said that they wa nt want from this. would they walk into other lobbies, that remains to be seen, there is certainly the possibility and the threat that they might. that they would want to use as leveraged over teresa may to get some guarantee over that issue. a teenager has pleaded guilty to killing an american tourist and injuring 5 other people during a random knife attack in london last summer. 19 year old zakaria bulhan denied murder but admitted manslaughter by diminished responsibility. katriana renton is at the old bailey. the 19—year—old had been charged
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with the murder of a 64—year—old and he attempted murder of five others here at the old bailey. he said he was not guilty of murder, but was guilty of manslaughter, on the grounds of diminished responsibility. and he admitted wounding five others with intent. the crown explained that they were accepting the lesser pleas as expert medical evidence showed that he had been suffering an acute episode of mental illness, paranoid schizophrenia at the time and he had been psychotic and appeared. the court has been hearing more detail of what happened on that evening at around half past ten, on the 3rd of august in russell square, it had been busy, people were out spending the night out in central london. a man with a large kitchen knife was seen man with a large kitchen knife was seen moving erratically as he veered across the square and without any warning or provocation, he stabbed six people in relatively quick succession. he said nothing. he
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tried to run away before police brought him down with a taser stun gun, while on the ground a police officer claims to have heard him utter allah. the 64 old lady lay dying. and the court heard state m e nts dying. and the court heard statements from the daughter and her husband, he described her death as an unspeakable tragedy, then at the time, the motive was unclear, the police did not know, they flooded the square not knowing if this was a terror threat or a random lethal attack which it quickly emerged it was a random attack triggered by mental illness. this is a two—day hearing on going, at the moment it is taking place at court eight in the old bailey, after which he will be sentenced. three months after the calais migrant camp known as thejungle was demolished, the bbc has learned that hundreds of migrants are still trying to reach the uk
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through the channel port. despite a police crackdown, scores of migrants are still trying to hide on lorries and enter britain through kent, as our correspondent peter whittlesea now reports. it's the last bus to calais from a small fishing village near dunkirk. there are dozens of migrants waiting to get on, and others havejust returned from calais. what do you do in calais? london. you try to get to london? and you get on this bus? so you've come back from calais? what have you been doing there? try to get on lorries? yeah, on the lorry, i try. i asked the bus driver as i got on whether this was normal. she said, yeah, every night migrants try to catch the bus, but they have a maximum limit of 30 migrants allowed on the bus. she told me last night 60 people tried to get on the bus. so why are they making the journey?
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since the calais jungle burnt down and was cleared, this camp became the only official place to stay. but those living here are still determined to get to britain. we have 300 shelters here. every shelter as five orfour people inside. there must be 1500 people. including women and children, everything. and how many of those 1500 people here are trying to get to britain? everyone illegally. the final stage of their journey is by foot. the destination, lorry parks on the outskirts of calais where they attempt to break in and stow away on trucks. when the dog barks, it means he can smell something. they think people are probably hiding in the field on the other side of the fence. there are now calls in britain for the french
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authorities to do more. it's really important these buses are stopped so people can't go to calais, try their luck, and then go back home in the evening to the camp at dunkirk. charities claim the camp near dunkirk has nearly doubled in recent months, meaning more and more migrants are living a commutable distance from calais. peter whittlesea, bbc news. and viewers in the south—east can see that report in full on bbc one at 6.30 tonight. the queen has set another record today becoming the first british monarch to reign for sixty—five years. the prime minister says the queen made it clear that she did not want official celebrations to mark the historic milestone — but said she was "truly an inspiration to all of us". our royal correspondent nicholas witchell reports. gunfire. in green park by buckingham palace, a 41 gun salute fired by the king's troop royal horse artillery, to mark accession day — the day the queen came to the throne. it's now 65 years since that moment.
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so to mark this sapphirejubilee, buckingham palace has reissued this photograph of the queen wearing a sapphire necklace and earrings given to her by her father in 1947. for the queen herself, though she has been seen several times in public since that heavy cold kept her out of sight over christmas, today is always a day for quiet contemplation, remembering herfather. she's at her sandringham estate in norfolk. it was here that george vi died quietly in his sleep on the sixth february 19 52. news of his death was given to a stunned nation by the bbc. this is london... the queen was in kenya at the time. she returned immediately to london to begin a reign that's now the longest in history. it's a role to which she remains fully committed to. 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
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in a little more than two months‘ time, shows very little evidence of any significant slowing down. cheering . the younger members of the family, principally kate, william and harry, are now deploying their energy very much more fully in support of the queen. but britain's head of state still has a busy programme of her own. among the many engagements in prospect for her this year, there is 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 donaldj trump. how will be queen handle that? well, just like the other 109 state visits she is hosted during a record—breaking rain that began 65 years ago today. let's have a look at the weather. it
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is now wet and windy conditions moving in off the atlantic whereas further east, still under that dry weather, it will turn wetter later on, probably after dark. some of this rain is quite heavy. heavy rain across northern ireland further south, it is jan generally lighter and patchy, it is still going to be pretty atrocious. as we head on towards the evening. evening commute will be quite poor across northern ireland much of scotland and north—west england and wales, we see as well accumulating, across the pennines down towards the peak district to five centimetres, so really do take care. by the end of the night, we will see iced developing, temperatures rarely plummeting as the rain band becomes more confined to was the eastern side of the uk. things change towards the end of the week we start towards the end of the week we start
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to pick up bitterly cold bits, very wintry with some chances of snow showers. we will keep you updated with that. hello, this is bbc news. the headlines. nine in ten hospitals in england had unsafe numbers of patients on wards this winter, the bbc has found. the number of unexpected deaths among mental health patients in england rises by almost 50% in three years. stefano brizzi, who murdered a police officer and dissolved his body in acid, has been found dead in his cell at belmarsh prison. 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". a teenager has admitted killing an american tourist and injuring five others in a knife rampage in london's russell square last august. and the royal horse artillery has fired a 41 gun salute in central london, to mark the 65 years of the queen's reign.
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now, time for the sport. good afternoon. 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, but had been considering his future in the role during england's recent tour defeat to india, asjoe wilson reports. there is some flash photography in this report. 2012 and england's new cricket captain alastair cook posed for cameras like a visit to the dentist, he would rather not, but he knew he had to, so smile. alastair cook captained his way, old —fashioned, reasonable, and yes, even inspirational. on foreign soil or at home, he withstood more test matches than any other england captain. but it takes its toll. the demands get to every skipper eventually.
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having lost the recent test series in india emphatically, 4—0, cook decided he'd had enough, explaining in a statement today, "stepping down has been an incredibly hard decision, but i know it's the correct decision for me, and the right time for the team." alastair cook's record makes him one of britain's outstanding sportsman in an era where live cricket was only available on pay tv in the uk. england won just over 40% of the test matches he captained, not the best record, but better than most of his predecessors. as a batsman, no—one in britain has played more test matches or made as many runs. cook recently overtook his mentor, graham gooch. he has worked feverishly hard on his technique over the years to improve that technique. we have seen a fantastic test cricketer. the rock of the england batting for the last decade. cook is only 32 and wants to carry on as a batsman, but who replaces him as captain? no decision officially as yet, but the heir apparent has
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always beenjoe root. the highly talented batsman, but unknown as captain, as he recently reflected in a bbc interview. it's one of those things you have to learn on the job. the timing of this is quite relevant, but being a dad you don't really know what to do until you have to go with it and see how it goes. i imagine it would be similar. cook once told me he felt his england era had been tarnished by claims made by kevin pietersen in his book. that tension took up so much attention. pietersen suggested today on twitter he's now ready for an england comeback, far more likely england will still look to cook, freed from the responsibility of captaincy, to make more centuries. joe wilson, bbc news. the former south africa captain and rugby world cup winner joost van der westhuizen has died at the age of 45. he'd faced a long battle with motor neuron disease. the bbc‘s rugby union reporter chrisjonesjoins me.
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chris, just outline the impact he had on the game. i think when we talk about the impactjoost van der westhuizen made, we need to look at it on two fronts. firstly, as a quite magnificent scrum—half, one of the all—time greats. 89 caps for south africa, 38 tries, he was part of the famous springbok team that won the world cup in 1995. he was the man who stopped jonah low move dead in his tracks in that world cup. the man who couldn't be stopped, joost van der westhuizen, did it. a fellow springbok ijust van der westhuizen, did it. a fellow springbok i just spoke to said van der westhuizen, did it. a fellow springbok ijust spoke to said that westhuizen was the epitome of a south african rugby player. a great player, and a great inspiration as a man who gamely and bravely fought the debilitating motor neurone disease. he set up his foundation as
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well and inspired so many young people along the way. a great figure on and off the rugby field. thank you. that's all the sport for now, i'll have more in the next hour. more now on the announced plans by the government to step up efforts to recover money from so—called health tourists, overseas patients who use the nhs in england. from april, there will be a legal duty on hospitals to ask visitors to pay for non—urgent care upfront, if they don't qualify for free treatment. the total cost of overseas visitors being treated by the nhs in england is estimated at around £2 billion a year. meanwhile, the health secretary jeremy hunts has aimed at recovering £500 million a year by the middle of this parliament. however, figures released last year showed that the government is set to fall short of its target by £150 million. with me is vivek kotecha from health think—tank, the centre for health
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and the public interest, and saffron cordery, who is the director of policy and strategy at nhs providers. shejoins me from our central london studio. thank you forjoining us. vivek, what is the evidence so far about how successful the nhs is in getting this money back? it varies. the residence outside of the european economic area, they estimate in 2012 bid was about 65% of the outstanding debt was collected. in the eu, it is about 16%. there's a huge gap in collecting eu residents shortfalls. even though in theory it should be easier, given that we are part of the european health insurance scheme at the moment. at the moment. so what happens after brexit? after
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brexit, if we don't have the same agreement in place, there is a risk we are going to end up footing quite large bills to prepare this administration, and to cost and bill all the citizens in this country. saffron, i wonder why some nhs trusts seem to be better at getting money from these health tourists than others? i think, thinking about how we collect this income from those who visit the nhs from overseas, it's really important to think about the practical arrangements that need to be in place to do this. we know that in some areas, for example in peterborough, they are running a pilot to look at eligibility for overseas health care and collecting the money upfront. however, what we've got to make sure is we've got the infrastructure in place to actually be able to do that. and, at actually be able to do that. and, at a time of unprecedented pressure on the nhs, we need to think about
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where we actually focus our efforts. it's very important we collect any income for the nhs, it's very important we collect any income forthe nhs, but it's very important we collect any income for the nhs, but we've got to put this into perspective. what we are talking about is collecting an extra £211 million a year which is 0.8 of the total nhs budget. it's very important to make sure everyone pace of the treatment they have from the nhs but we've also got to make sure we put it in perspective. are we facing a future where people turn up we facing a future where people turn up with id and a credit card and would get treated unless they produce both? i'm not sure what the arrangements will be in future. we are facing a situation where those who are visiting the nhs for treatment from overseas will certainly need to be able to prove that they are eligible for treatment and that they are able to pay for it. we've got to remember this is about elective care, it's not about
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people in an emergency turning up and needing treatment. that will always be available, whether they are. ithink always be available, whether they are. i think we've got to really put this in perspective and keep a focus on what you're talking about. we are talking about a very small percentage of the nhs's overall budget. we've got to make sure the right processes are in place but we also need to make sure we aren't putting in overly bureaucratic measures that cost more money than they collect. vivek, when we talk about the cost effectiveness of these measures, one thing we are aware of is the pressure but the social bill is putting on the nhs and finances. what can the government do to maybe find money there? one of the key things when we look at social care, is there is a lot of pressure on people getting a gp appointment. that puts pressure on the hospital bed system. we have one of the lowest levels of hospital
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beds per thousand. germany has around eight, russia has around seven. we've been losing hospital beds over time. at the same time within the social care sector, the other issue is there is a very high rate of return on profit being made by high equity backed ones. they make on average about 12% profit on thatis make on average about 12% profit on that is their target. it is taking a lot of money out of the nhs. if we could reduce that 5%, through more government investment, because it is quite a low risk, low return business, we could save £99 per bed per week in social care which could fund a lot more places. saffron, the pressure on families to take responsibility is something that only recently the care minister was talking about. saying that families should take their parents into hospital and make sure they've got somewhere to stay afterwards, and
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that would ease a lot of the pressure. we are passing the buck too much to government? we've got to look at the whole system of —— that is operating at the moment. we need to make sure everything is equally weighted. the country per capita, we spend 30% left on health and care thana spend 30% left on health and care than a country like germany at the moment. so we've got to look at the level of investment we put in to help and care. we've also got to look at how we actually run the health and care system so it isn't just about whether families are doing their bit. it's about whether every part of the system is working properly. we know that the money has been taken out of social care and local authorities, and hasn't been replaced with anything that could put an effective social care system in place. the social care system is very substantially challenged at the
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moment and i think it's about every pa rt of moment and i think it's about every part of what makes up the mosaic of health and social care provision playing its part, rather than focusing on one element. it's not just about throwing money at a problem, it's about the way the nhs works and the waste there still is. yes. i feel at least in the social ca re yes. i feel at least in the social care sector there is leakage via tax avoidance and other profit making. explain that. a lot of the larger groups are structured in ways to minimise their tax burden so in a sense, it's money going out of the health and social care system. within the nhs there are other things. this £500 million target, to put it into perspective, last year the nhs spent £4.1 billion on temporary agency staff. i feel like focusing on those areas with be better value for money in terms of the money you get out for the money
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you invest in, instead of trying to work out to resign ordinary residents entitled to nhs services across the country. in hospitals thatis across the country. in hospitals that is important, especially when they have a lot of foreign visitors in those areas. but generally as it was said by the providers, it is about being sensible about where we focuses on limited —— where we focus this limited money. we need to spend every penny carefully and make sure we're getting the most out of each pound we spend. saffron, does the issue of efficiency chime with you? i think that what he has just issue of efficiency chime with you? i think that what he hasjust said is spot—on. hospital trusts are keen to cut things like agency costs. there is a question about efficiency nhs but it's not about the efficiency of trusts but how whole local systems are running. health and social care being invested in and social care being invested in and working more closely together
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will give us much greater flow through the hospital system and out into social care and will enable us to use things like operating theatres to full capacity, to make sure we reduce things like cancelled operations, and will also make sure we are running the nhs is at capacity which is safer. we talked about bed occupancy rates needing to be at 85% rather than 95% they are currently running at. but certainly chimes with what hospital trusts are telling us. thank you very much for your time. in a moment a summary of the business news this hour, but first the headlines on bbc news. the nhs under pressure — nine out of ten hospitals have been dangerously overcrowded this winter. stefano brizzi, a killer who strangled a police office and tried to dissolve his body in acid, has died in prison. president trump steps up his attacks on a judge who overturned his travel ban on seven muslim majority countries.
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i'm vishala sri pathma. in the business news. apple, facebook, google and microsoft 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. a falling pound and a flood of rivals moving into its profitable markets dented ryanair‘s financial performance in the last three months of 2016. it reported that fares and profits fell slightly more than expected during the quarter. mps are urging the owner of hbos, lloyds banking group, to pay compensation to victims of fraud facilitated by two former employees, who were jailed last week. they also want assurances the bank will review its handling of the fraud and publish its findings. we're buying more cars than ever
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before, but several major trade bodies say that 2017 will see a contraction in the market. last month was the best january five 12 years in terms of car sales with 174,000 cars sold. the industry ‘s trade body says 2017 will see a contraction in the market. a new survey out today has spoken to car dealers showing dealerships are optimistic about the year ahead. joining me now is the close brothers motor finance's director of strategy, chris bosworth. is this just is thisjust a is this just a case of sales men being optimistic about the year ahead? i don't think so. i think there's a variety of factors at play. the trade body have focused mostly play. the trade body have focused m ostly o n play. the trade body have focused mostly on new car sales whereas the dealers have got the balance between new cars and used cars as well. we saw in the last nine months of last year, a move towards the used car
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pa rt year, a move towards the used car part of the market which is the society of motor manufacturers and traders have as less of a focus for them. one of the factors driving growth is consumer behaviour. we've got inflation creeping up and the falling pound. is that not going to ta ke falling pound. is that not going to take its toll? i think they will ta ke take its toll? i think they will take a toll. again, it'll create a movement between the new and used car markets. people still want cars. the product is evolving, we are seeing cleaner and safer cars being launched all the time. there is sometimes a financial incentive to change your car. so people still wa nt change your car. so people still want cars, i think we'll see a movement away from new and old disused. what you said about diesel ca rs disused. what you said about diesel cars and more environmentally friendly cars being popular, we are seeing a decline in diesel cars, why is that? the story is out there already, there has been a lot of
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concern around the emission tests on diesel cars, a lot of politicians making noises around further regulation on diesel cars. i think the important thing to remember is, as the statistics show, 45% of new ca rs as the statistics show, 45% of new cars board are still diesel. i think it's a localised problem. —— 45% of new cars bought are still diesel. white in terms of brexit, your survey said business is better in terms. -- brexit will have such a severe consequence for the car industry of the government isn't able to secure tariff free access. industry of the government isn't able to secure tariff free accesslj think able to secure tariff free access.” think that is short—term versus long—term. i think the initial impact of brexit, did again create an incentive towards used cars. we saw manufacturers removing their subsidies around new car sales and obviously that was quite good for the dealer. particularly our largely
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independent dealerships that are not owned by manufacturers. i think the short—term impact has been quite positive for the used car market, the longer term impact around inflation and consumer confidence could fundamentally be a slowdown on the market. we are all still waiting to see what the plan is and what the timing is and whether how much impact that has an 2017 figures is difficult to say at the moment. 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 car—makers 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
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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. a quick look at the markets before we go. the randgold share price up quite considerably. there is no sign of an end to the political crisis in romania. an estimated half a million people have taken part in a sixth night of protests in romania, in spite of the government backing down on plans to de—criminalise some corruption offences. the demonstrations are the largest since the fall of the communist dictator nicolae ceausescu in 1989. our correspondent steve rosenberg sent this report from bucharest. here at the centre of bucharest,
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these protesters have got what they wanted. earlier, romania's government cancelled its controversial decree that would have shielded some public officials, who'd abused their office, from prosecution, and it was these crowds, it was pressure from the streets, which forced the government into a u—turn. but as you can see, the protests are continuing and now many of the protesters here are demanding that their government resigns. we want them to leave. it's not enough just to cancel it. they did something very wrong and we want them out. you want the government to resign? yes. we are determined to resist, to keep fighting. to keep fighting until the current government steps down. we believe they have lost credibility, notjust with the romanian people but with other countries around the world so it's time for them to go. these are the largest anti—government protests romania has seen since the fall of communism. over the last few days,
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hundreds of thousands of people have been coming onto the streets to accuse their government of backtracking in the fight against corruption. and on the square they are actually projecting anti—government slogans onto the government building. the authorities reject the criticism, and supporters of the government accuse judges and prosecutors and investigators of being overzealous in the fight against corruption. but mass protests have forced to retreat. this is a victory for people power. steve rosenberg, bbc news, bucharest. one of the most popular and influential british artists of the 20th century returns to tate britain for an exhibition covering six decades of his life. david hockney‘s most famous works celebrating his achievements in painting, drawing, print and photography will be on display. our correspondent david sillito reports.
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it's a vibrant world of colour. sun soaked californian pools, through two great yorkshire skies. those glasses, the mop of blonde hair. david hockney is instantly recognisable. a brightly coloured star of british art for more than 50 years. and this is his life in paint. it's certainly comprehensive. one of the first things that strikes you is just how big the exhibition is. the exhibition goes right back to 1960. that's the famous splash painting over there. there is pop art. mr and mrs clark and percy. a room of drawings and then more paintings. and another. the east yorkshire landscapes. the video art of east yorkshire. there it is, 13 rooms, 200 works of art.
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57 years. it's a life spent looking, thinking, puzzling about that most basic artistic problem, how to capture what we see. it seems strange in an era of, well, conceptual art, that the one artist everyone knows is a proper painter, a draughtsman, everything you think of as an artist. is it a bit old—fashioned? i think, in a way, he's always been a bit old—fashioned, and that's been his radicalism. he has made in recent years landscapes, nothing more traditional than landscapes. but you see him do it with an ipad or massive video installations with the same creativity and imagination he puts into his paintings. he is deliberately old—fashioned, and that is why he is so different. from yorkshire to california, from pop art to landscape. a 57 yearjourney of thinking about what we are seeing. david sillito, bbc news.
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it looks sunny in los angeles! i'm not going to argue with you! let's find out what's happening closer to home. we are starting off wet and windy and ending much colder, we could see some snow in the forecast to end the week. this area of low pressure will bring a spell of wet and wind to us all gradually through the course of monday. turning downhill, that wind picking up with outbreaks of rain. further east you'll hold the dry weather until after dark. the sunshine gradually fading. windy and what of the south—west, in towards wales with maybe some wintriness
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over snowdonia. if you stubborn mist fog patches. the sunshine will continue to fade as the cloud rolls in from the west. wet and windy from northern ireland, just getting towards western scotland as well. further east, it should be more dry. a chilly day, despite any brightness. winds pick up this evening. quite a yucky evening commute for much of scotland and north west england. 50 to 60 miles an hour likely with the rain turning to snow over the higher ground of scotland. also across the pennines towards the peak district. the aware of that. pretty treacherous conditions across the northern half of the country this evening into the first part of the night. further south, quite a wet into the day and throughout the night it remains cloudy and dump across eastern areas. a bit of ice as well by the end of the night when skies begin to clear. it will be a cold night for all. into tuesday, this weather front never really clears, it hangs
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on bringing more cloud. this feature moves into the south—west corner of the country to bring a rush of potentially thundery showers. through the day, a cloudy one for eastern side of the uk, remaining breezy, cold without bricks of rain. some sunshine elsewhere but a cluster of heavy showers with hail pushing towards wales and the south—west of england, potentially into northern ireland. things start to get colder on wednesday. starts to get colder on wednesday. starts to pick up the biting easterly wind. it pushes the weather front and back west. we'll hold on to the best of the brightness across the far west. that's the theme for the rest of the week, it turns colder with the chilly easterly wind digging in. it could bring the risk of some snow in the east. this is bbc news, the headlines at three. the nhs under pressure; nine out of ten hospitals have been dangerously overcrowded this winter. the government steps up efforts to recover money from non—eu patients by asking hospitals
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in england to charge them up—front. stefano brizzi, a killer who strangled a police office and tried to dissolve his body in acid, has died in prison. president trump steps up his attacks on a judge who overturned his travel ban on seven muslim majority countries. a 19—year—old admits stabbing an american tourist to death and injuring five other people in central london last year. i'm rebecca jones, and in the next hour, we'll have more on alastair cook quitting as england test captain the 32—year—old batsman led his team to two ashes victories during a record 59 matches in charge. the queen makes history today reaching her sapphire jubilee
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