i'm the matron for ambulatory emergency care here at northwick park hospital. we're part of the emergency division. we try to see patients that need urgent care, and get treatment without the requirement for admission. a&e have already rung this morning to see if we can take some patients that have been down there for quite some time. we're at 100%. staffing is a huge challenge. we don't always have the number of staff that we would like. ok, so we'll go to ed. it is busy. lots of staff, and patients on trolleys, and relatives, who look fed up. they have been waiting, you can tell. good morning. i'm kathy, i'm the matron. i know you have been here for a very long time. for me, currently, this is probably the worst i have seen the nhs. when it is completely relentless, i think you do drain staff. got a real problem, actually. there is a woman who hasjust moved, and she has a bowel obstruction, and she can sit here all night

ina chair. it is absolutely full, and nowhere to examine patients. which is not the hospital's fault, it does its absolute best. mayhem in there. sorry, do you mind if i take this call? hi, colin. two orthopaedic patients, a chap in a chair. i had to wait, and wait and wait. oh, well. looks like a movie now. you are not allergic to any medicine? it is almost the end of the day. my department ticked along quite nicely. i don't think it is sustainable to continue this amount of pressure. i am off training. i'm at an athletic club, before going home and seeing to the rest of the family. and then back to do it all again. back to do it all again tomorrow. there have been many calls this week

for the government to match the funding in some other european countries. our reporter has been to germany where spending on health is the highest in europe, to look at the highest in europe, to look at the strengths and weaknesses of the system there. doctors on the walk round, they never worry about a lack of beds. germany has almost three times as many as the uk. one day after the operation, i can walk. for george, that means almost no waiting. he hasjust had a hip replacement. in england, patients wait several months. for george, it has been just a few weeks since the decision was made. the doctor said to me, i have to decide when i want to take the operation. normally, it takes three orfour weeks to get a date for an operation. all of this paid for by health insurance, 14% of george's celery, split between him and his employer. germany's health system

is convenient but expensive. and that worries doctors like martin, so in order to save money in the long term, they are putting more effort now and more time with patients into convincing them to stay healthy. it's a lot of time to convince him, to try another way, but it would be better to lose ten kilograms of weight to solve the problem with his diabetes and his hypothalamus instead of taking pills. do you have the time now under this system? yeah. doctors here in the black forest have been given a financial incentive to make patients healthier overall byjoining up care. many parts of the nhs are trying to do the same. here, there are cheaper gym sessions, cooking lessons, a music group, it is subsidised by health insurance and it's saving money. as a result, they are spending 6%

less on looking after patients. so i asked the health manager running it all, why isn't the rest of germany worried about cost? yeah, the economy runs so well in germany, so the social health institutions and insurance firms have no problems. but everybody knows it's just a question of time. it may result in five years, or it may result in 8—10 years, but it will get into a big crisis. the rolling countryside of thuringia, hundreds of miles north—east of the black forest, villages where there are more old faces than young. there is more money in the german system, but that doesn't mean there aren't problems. here in what they call germany's green heart, they have a terrible shortage of gps, and it's because of that that they are finally to begin to really change the way they work. many doctors still work alone

in germany, but here, old—fashioned ways are changing. doctors simply can't meet all the needs of their ageing patients. we don't have relatives, and the doctors had to make home visits, and there is often not enough time in the do that. that's why we were able a few years ago to make home visits. a visit from the nurse keeps these older patients well. germany's population is one of the fastest ageing in the world. they have the money now to make the changes needed in the future. branwen jeffreys, bbc news, thuringia. if you're a man and were born after

1980 you will be very lucky to earn as much as your father. new research suggests millennial men will earn a total of £12,500 less than fathers by the time they reach 30. women, by contrast, have moved into higher paying roles. question, how do you put a spring into the step of a generation that supposedly has it all? except thejobs generation that supposedly has it all? except the jobs and wages enjoyed by their parents. these are the so—called millennial ‘s, born between 1981 and 2000, whose ups have apparently outnumbered their downs. but the young men especially, the truth is they are the first to fall behind the previous generation. matt is 2a and then who is 19. they've found rewarding jobs but admit they can't match what their mum and dad have had. my dad has managed to get himself a well earned job and been in it for his whole

life. i've had to go through a good four or five jobs life. i've had to go through a good four orfivejobs to get life. i've had to go through a good four or five jobs to get a job that i'm happy with. it's definitely something that needs to be looked into. it's harder for us if we want to aspire to be as successful as our parents. it sets us off to a slow start. to give unido of how tough it has been for the millennials, look at this. —— to give you an idea. it's the disappearance of high skilled, high—paid jobs of the past but have given these changes the men. today's report said women have bucked the trend, moving into better jobs. but what about the parents of millennials men? should young men be earning more than their parents? you

would have thought so, really. it's supposed to get better. everybody expects their kids to do better than the previous generation, don't they? many believe today's young people are over rewarded in life, but it seems millennial can sometimes mean minimal. let's show you what's happening in the romanian capital bucharest this evening. if you hunted people gathered there on the streets again for the tenth day in succession. this is to do with the decree on corruption that has now been rescinded by the government. the romanian justice minister been rescinded by the government. the romanianjustice minister has resigned today, after that decree that he had drafted triggered this series of protests. international criticism has been drawn and an embarrassing climb—down by the

government. it would effectively have shielded dozens of public officials from prosecution for corruption, if the amount they were accused of taking was under 40,000 euros. the government easily survived a vote of no—confidence on wednesday but parliament must still endorse this decision. some of the protest as saying the whole government should go notjust the justice minister. the eiffel tower in paris is to have an 8—foot wall of reinforced glass built around it, as protection against terror attacks. the paris mayor's office says the wall will replace metal fences put up for the euro 2016 football tournament. the project, if approved, is expected to cost about 20 million euros, work should start later this year. the french capital has been on high alert since attacks by jihadists has been on high alert since attacks byjihadists in has been on high alert since attacks by jihadists in november 2015 left 130 people dead. scientists studying the calls of one of our closest ape relatives say

they may have revealed the origin of the earliest words ever spoken. researchers from durham and liverpool john moore universities spent years eavesdropping on orangutans, and analysed more than 5,000 of their "kiss squeaks" that sound like this. squeaking well professor serge wich, a primate biologist at liverpooljohn moores university says that each individual we are trying to dive back into the past to figure out the earliest source of human speech evolution, and we have always focused on vowels, and with this research we show that in consonants there is a lot of information, so now we think that the earliest words might have been a mixture of consonants

and vowels, not adding complexity but repeating the same information twice so that a listener would have a higher chance of getting the message. let's ta ke let's take a look at the weather forecast with louise hunt. good evening. at this time of year the battle between winter and spring can bring some contrasting conditions from one data the next. that's what we've seen this week. on wednesday we've seen this week. on wednesday we had double digits with sunshine to the west. cold in the east and that cold flow dragged quite a lot of cloud further west. we run the risk of that driving in some showers through the night as well. rain to the coast, sleet and snow with some

height further inland. temperatures will fall just below freezing height further inland. temperatures will falljust below freezing in rural areas. a cold start, maybe a touch of light frost on friday morning. still the risk of a future was. as we go through the day, the favoured spots the sunshine are scotland, northern ireland and perhaps parts of south west wales and cornwall. but really at a premium here. it's not going to be very warm. just like the last couple of days across that east anglian coastline, stretching up through lincolnshire and east yorkshire, it's going to feel cold. perhaps some sunshine for the isle of man, into the lake district, northern ireland and the bulk of scotland. a scattering of showers continuing into aberdeenshire. clear skies by day allow the temperatures to fall away through the night. those of —10 possible. towards the end of the night we pick up the potential for some more enhanced snow showers. perhaps more of a significant

dusting at lower levels as well. don't get too excited. the snow will likely turn back to rain as we go through the day on saturday. in scotla nd through the day on saturday. in scotland and northern ireland you might see some glimpses of sun through the weekend. not much change on sunday. but cool theme continues for many. top temperatures of 5—6. there are signs of a change to come, as we move into next week. with this area of low pressure, the isobars will squeeze together. that will allow the winds to swing around to a south—easterly direction, so it could be breezy but we could see some sunshine and maybe some snow. however, it could lead to some night—time frost and fog. this is bbc news. i'm martine croxhall. the headlines at 8.00pm: record numbers of patients in england spent longer

than the target waiting time in a&e in december — leaked figures suggest january could be even worse. a report into safety failures which forced 17 edinburgh schools to close criticises the council for a lack of scrutiny over construction work. the government denies abandoning the vulnerable after it stops a scheme allowing unaccompanied children into the uk. a new law designed to help protect people renting homes from rogue landlords is failing tenants, claim a group of mps. also in the next hour: donald trump's pick for attorney general is sworn in, despite objections from democrats over allegations of racism.