you are this is bbc news. the headlines at 11. patients in england may no longer be able to have some procedures that are deemed ‘ineffective or risky‘. new proposals mean treatments ranging from tonsil removal to haemorroid surgery will be offered to fewer people this is not financial. certainly from our perspective it is about safe and appropriate care of patients. tata steel, which owns the port talbot plant, has confirmed merger plans with germany's thyssenkrupp. one of the uk's largest water compa ny‘s urges people to conserve water, as it makes emergency deliveries during the heatwave. the army will extend its stay in saddleworth to continue to tackle moorland blazes which have been burning for six days. also coming up — the world cup moves into the knockout stages. france prepare to take on argentina for a place in the quarterfinals and portugal will meet uruguay later. and at 11.30, jane hill and foreign

correspondents posted to london look at events in the uk through outsiders‘ eyes, in dateline london. the nhs in england has set out plans to stop hundreds of thousands of patients receiving treatments which it says are useless or too risky. it‘s drawn up a list of procedures, including tonsil removal, breast reduction and surgery for snoring which will it‘s proposed be offered to fewer patients. jon donnison reports. nhs england says it wants to stop people from having treatments that are either ineffective or pose too many risks. it has drawn up a list of 17 procedures, including snoring and varicose veins treatment, knee arthroscopies for osteoarthritis, and steroid injections

for non—specific backpain. in all of these the health bodies say there is little evidence the treatments work or that the risks outweigh the rewards. but some doctors have questioned those beliefs and say patients will either miss out or will be forced to pay for private treatment that would actually give them some relief. the proposals are still to be put out to consultation, but nhs england says they could mean 100,000 fewer unnecessary treatments a year, saving around £200 million. it says the money could then be reinvested in front—line cancer care, mental health, and other critical services. jon donnison, bbc news. professor carrie macewen is chair of the academy of medical royal colleges — the organisation that coordinates the uk‘s royal colleges and faculties. she told me that there is over medicalisation in western practice. the criteria used is evidence

—based, so research was carried out and the input was from expert and front line clinicians and input from patients. using these criteria we have drawn up a list of procedures that probably are either falling into three categories, had been demonstrated to be ineffective, secondly, may be effective but only under certain criteria, or thirdly, can be effective but only after other interventions have been tried. some of these are presumably because medical practice has changed. the tonsillectomy being the obvious one. what about the concern that this is a form of rationing by the back door because some of these procedures would be done in certain cases and people worry about the judgment

made. if it is financial. this is not financial, certainly from our perspective it is about safe and appropriate care of patients because any intervention that is not necessary potentially carries harm and risk. we want to make sure patients get what they need. this will not only increase evidence for medics, but also improve patient input, which is important. it is recognised that informed patients who have had discussions with their doctors are less likely to opt for severe interventions and likely to ta ke severe interventions and likely to take more conservative roots. -- conservative roots. it was said they hoped to save 200 million a year. there was talk from doctors it might be possible to save treatments up to £2 billion a year. is the reality that this is a small amount, some

people might have hoped. this is not primarily about funding, although every clinician on the front line is recognising they have to use taxpayers money effectively. this is a start, but based mainly on quality improvement for patients, which means they get better value for money. if people are worried because they see a procedure and think i was due to have that, maybe it is something i thought i might need, what should they do? this decision we are told will be signed off next week and if it is, it would be implemented from the beginning of the next financial year in april of 2019. if they have fulfilled the criteria and had appropriate interventions beforehand, they will continue to go ahead with the procedure. 0therwise,

continue to go ahead with the procedure. otherwise, it is worth having a discussion with the clinician because it may be in light of recognising these things they may decide they do not wish to go ahead with the procedure themselves. it depends where they sit on the waiting list. a protest march in support of the nhs is due to get under way in central london in the next hour. the demo will be addressed byjeremy corbyn later and will celebrate the 70th anniversary of the health service. 0ur correspondent richard galpin is outside the bbc‘s broadcasting house. they are gathering and the march is supposed to begin in an hour. 0rganisers expect tens of thousands tojoin the march 0rganisers expect tens of thousands to join the march when it leaves here, heading down regent street to whitehall, where a petition will be handed into downing street essentially calling for more funding for the nhs. the march was organised

by different campaign groups, anti austerity groups, trade unions, health campaigners, and they are concerned about the level of funding, saying the government has been deliberately holding back funding over years, pushing the nhs to the brink. with me is one of the campaigners from the people‘s assembly. why have you come out today? this is the 70th anniversary and we feel what has happened to the nhs recently is it has had less and less funding in real terms and is more under strain we know staff are understrain and more under strain we know staff are under strain and patients have real problems and we are here to say we wa nt problems and we are here to say we want proper funding and proper respect for the staff and the government's attitude needs to change, we cannot continue with austerity. the government recently announced what they say is a

substantial increase in funding, kicking game in the next five years to give an extra £20 billion a year to give an extra £20 billion a year to the nhs, is it enough? no, and it is not quick enough. five years when more and more people will suffer and more and more people will suffer and more staff will leave, they are not training enough doctors and nurses and it is not enough in the sense most people who know about the nhs reckon it will not keep pace with the increasing needs people have. we need a lot more money and the government has to find this money. what do you think this march will achieve? you are talking about large numbers. will it change anything? it is part of campaigning. we have to campaign in every way and we have people campaigning, doctors and nurses have ta ken people campaigning, doctors and nurses have taken industrial action, we have had people campaigning in localities and this demonstration is pa rt of localities and this demonstration is part of that. we think we can change it and we please jeremy corbyn is

speaking today and we hope the tory government will understand it is an unpopular policy they have. thank you. it will be a busy day over here and down into whitehall in the coming hours. richard, thank you. we will hear more later. several people have been injured after a collision between a car and a taxi in leeds. the crash happened in the early hours of this morning in the horsforth area of the city. police say enquiries are currently ongoing into what happened on the a6120 and that the road will remain closed for some time. the future of britain‘s largest steel plant in port talbot has become clearer after the german firm thyssenkrupp approved a merger with the plant‘s owner tata steel. the merger would create europe‘s second largest steel—maker and follows a year of negotiations. but the firms have previously warned that thousands ofjobs could be lost, as tomos morgan reports. it has been a turbulent two—and—a—half years for tata steel‘s uk workforce. the uncertainty began with over 1000 jobs that were cut across wales,

the majority at the port talbot steel production plant. then it looked like the whole of tata‘s british business was at risk as it put its uk operations up for sale. but then current and former employees agreed to a cut in their pension package to try to secure jobs and tata offloaded the old pension responsibility in the process. in the background, tata has been working on negotiations with german steel giant thyssenkrupp and in securing the pension agreement with workers, a key milestone was reached in the next stage of this mega steel deal. tata‘s port talbot plant has been seen as the flagship for the business. it employs almost half of the company‘s 8000 strong workforce. both tata and thyssenkrupp have said they are committed to the south wales factory. unions have been seeking reassurances about the site, including a potential refit of one of the blast furnaces.

this deal would bring together a few large steel production plants across europe and experts have warned this raises longer—term questions about possible cost—cutting in the future. tomos morgan, bbc news. our business correspondent, joe lynam is here. it sounds like good news for porthole but after several years of increasingly worrying news. —— for port talbot. why are the company is confident this is going to be a positive move? i regard the merger asa positive move? i regard the merger as a safeguard measure. it protects jobs, it does not create jobs. as a safeguard measure. it protects jobs, it does not createjobs. you made reference to the last two yea rs, made reference to the last two years, which have been stressful if you are a steelworker in europe, especially in south wales. and that has been the backbone of your industry many years. it creates the

second—largest player and it prepares them for a pan—european entity that might be better able to withstand the global headwinds that are coming. two years ago we had a total colla pse are coming. two years ago we had a total collapse in steel prices and that caused that problem and tata steel decided to sell the entire business but now they have decided to merge. as donald trump imposes 2596 to merge. as donald trump imposes 25% tariffs on steel going into the us. it puts a moat around the companies to prepare them well, but it does not mean they will create single newjobs. it does not mean they will create single new jobs. voluntary redundancies will be required for the deal to go ahead, half in the uk and half in germany and the netherlands. it will have job losses but it is a safeguard measure. will much change in the way the business operates, or will it be distinct, port talbot does its stuff and

germany it is? they have to get rid of overla ps. germany it is? they have to get rid of overlaps. management call it synergy. if you have management in the uk and germany and netherlands, a lot will be scrapped and they will be based in amsterdam. they will have a bv, a dutch company entity that helps for tax reasons but it is also halfway between germany and the ukfor also halfway between germany and the uk for political reasons. the boss of tata steel was on the conference call i heard and was asked about brexit and if the uk cannot get a decent deal and he said he wants to be able to easily move products and people across borders. he was asked if he did not get that. he said that would be a sorry state of affairs, which is a diplomatic way of putting it, if brexit does not work out. adding donald trump and his worry, you steel was due to be sold in the us, now it is too expensive and it will potentially be devoted to

europe and forced down prices here. steel dumping again. chinese made steel and asian made steel heading for the us but diverted to europe and sold below the home market. water companies across the uk are warning customers to urgently reduce how much they use, amid increased demand during the current heatwave. the first hose pipe ban to be introduced in northern ireland in nearly 25 years came into force last night, while united utilities has warned a ban could follow in north—west england. peter ruddick reports. as the mercury rises, the water flows. however, it is the scale of the increased demand during the recent heatwave that is beginning to seriously worry utility companies. in rugby, bottle stations have opened up as a precaution amid fears a nearby water storage facility could run dry this weekend. customers are being asked to conserve supplies and it is a story being played out across the country. severn trent says people are using about one third more water than usual. it has led to several

disruptions and outages already and they are asking everyone to act neighbourly. in the north west, united utilities says it needs urgent help while they may be forced to introduce a hosepipe ban on monday. they have asked people not to wash their cars or take baths this weekend. a ban is already in place in northern ireland, it came into effect on friday evening and it is the first to be imposed in the nation for nearly a quarter of a century. the problem is not a lack of water. many reservoirs are actually nearly full after a rainy spring. however, huge spikes in peaktime demand mean companies are struggling to treat the water quick enough, so it is ready to be supplied to our homes. the problem we have got is people are watering gardens and using so much more water, that it is going out of the pipes as fast as we can get it in. some of the pipes are enormous, going down to probably about that size,

serving an individual street. that size will not get much bigger and we can only get a certain amount of water down it. with hot and dry conditions set to continue into next week, both weather and water warnings could be here to stay. peter ruddick, bbc news. the headlines on bbc news... patients in england may no longer be able to have some procedures that are deemed ‘ineffective or risky‘. new proposals mean treatments ranging from tonsil removal to haemorroid surgery will be offered to fewer people. tata steel, which owns the port talbot plant, has confirmed merger plans with a plant in germany. one of the uk‘s largest water companies urges people to conserve water, as it makes emergency deliveries during the heatwave. the army will stay on saddleworth moor in greater manchester throughout the weekend and into next week, to help keep control of moorland blazes that have been burning for six days. 0n winter hill in lancashire, where grass fires broke out on thursday, a man has been arrested on suspicion of arson with intent to endanger life. 0ur correspondent kevin

fitzpatrick sent this update from winter hill in lancashire. the firefighters have done a fantastic job the firefighters have done a fantasticjob in the last couple of hours to get a grip of this blaze. an hour ago there were plumes of smoke across the valley. 0ne an hour ago there were plumes of smoke across the valley. one line of a fire smoke across the valley. one line of afire raging smoke across the valley. one line of a fire raging on both sides of winter hill in bolton and this front of it goes up for about two miles. you can see further up the hill, even though they have the flames down, there are still flames and smoke coming from further up there. that is bolton where 80 firefighters are dealing with this. 30 miles in saddleworth, that is the fire that has raged since sunday and a bit of good news they believe they have got controller that. the army arrived on thursday to give it exhausted fire crews and lift and even though it spread across a huge area, seven mile square, they believe they have

got on top of it. at any moment though, because the grass is burned and there is peat underneath at any moment they fear pockets of fire could reappear but the focus today forfire could reappear but the focus today for fire crews in the north—west is winter hill and they have been ferrying water up and down. it is isolated and will be a big job to keep on top of it and prevent it spreading too far. kevin fitzpatrick. there‘s been a big rise in the number of uk citizens taking on the nationality of another eu country since the brexit referendum. new figures obtained by the bbc, reveal almost 13,000 britons claimed citizenship of one of the 17 member states which responded to a freedom of information request. fewer than 2,000 did so in 2015. the figures don‘t include most people who are already entitled to an irish passport, as our political correspondent chris mason reports. it is two years since the referendum

and since then a big rise in the number of uk citizens getting eu nationality. figures obtained by the bbc were collated from the eu and individual national interior ministries or statistics agencies. they show seven times more british people secured the nationality of another eu country in 2017, after the referendum, than in 2015, a year before it. it is a sense of having that door open and being able to get up that door open and being able to get up and go if you want to. most of the people we know who are getting citizenship in other european countries have no intention of living there, it is knowing they have that citizenship in their back pocket. let's look at the statistics. in 201712,994 uk

citizens obtained the nationality of one of the 17 eu member states from which the bbc received figures. it co m pa res which the bbc received figures. it compares with 5025 in 2016 and 1800 in 2015. the most frequent new nationality was german and a 12 fold increase between 2015 and 2017. french was the second most popular nationality and then belgian. meanwhile in brussels, negotiations trundle on between the uk and eu before brexit happens at the end of march next year. chester zoo has released heart—warming footage of the first sun—bear ever born in the uk, weighing just 400 grams. sun bears are the world‘s smallest bears and are a highly threatened species from south—east asia. the cub‘s parents were rescued from poachers in cambodia. that is quite a way to carry your

offspring! sport now. good morning. at the world cup in russia, if you lose you are out. england start against colombia on tuesday. 21 of england‘s 23 man squad took part in full training this morning at their world cup base in reppino. at their world cup base in repino. the only players missing were ruben loftus—cheek who trained on his own, but isn‘t considered to be an injury doubt for their first knockout game against columbia on tuesday, and fabian delph, who has flown home to be at the birth of his 3rd child. gareth southgate is expected to revert back to the same team that beat tunisia with deli alli returning to the side. the knockout matches begin later today,

with argentina against france at 3pm. argentina will again be looking to lionel messi to inspire them to victory. the two nations have never faced each other in a world cup knockout match. france manager didier deschamps is expected to recall some of the players he rested for theirfinal group game against denmark. and after messi, we‘ll see ronaldo, as portugal take on uruguay. portugal finished second in their group with a win and two draws. they‘ll be hoping for more of the same from ronaldo today if they‘re to go through against a uraguay team who are yet to concede a goal in the tournament. the winner will play either france or argentina in the quarter finals. and here‘s where you can follow those games. france versus argentina is on bbc one and 5live, where you‘ll find commentary of the uruguay—portugal match at 7pm. britain‘s former olympic champion christine 0huruogu has announced her retirement from athletics. she‘s 34 now, and she said a combination of her studies and a niggling injury had restricted how much training she‘d been

able to do this year. the highlight of 0huruogu‘s career was 400 metre gold in beijing in 2008 and she retires with four 0lympic medals and five world championships medals to her name. the first domestic cricket final of the summer is under way at lord‘s. kent are playing hampshire for the one day cup trophy. kent won the toss and put hampshire in to bat. a short while ago they were 29 without loss in their 50 overs. we‘re only two days from the start of wimbledon — and top seed caroline wozniacki will take on belarussian aryna sabalenka in the women‘s final at eastbourne today. sabalenka beat agnieszka radwanska, with wozniacki coming from behind and saving a match point before beating angelique kerber. wozniacki was the beaten finalist last year. and there‘s a surprise line—up in the men‘s final — slovakia‘s lukas lacko,

who‘s ranked 94th in the world, will face germany mischa zverev — lacko beating italy‘s marco checkinato in straight sets in the semis. her cecchinato in straight sets in the semis. british golfer bronte law is four shots off the pace at the half—way stage of the women‘s pga championship in illinois — she‘s in a pack on two—under—par, chasing the co—leaders ryu so—yeon, park sung—hyun and brooke henderson. in that group with law is the american angel yin, who pulled off the shot of the day — she had to take off her shoes and socks. that was for a birdie. hello there. more hot and sunny weather on the cards today. it has been causing problems for some. the wildfires viewed

from space a couple of days ago with the plumes of smoke extending from the fires across liverpool, birkenhead and out into the irish sea as well. looking at the weather picture, over the last five days, we have had exceptional heat. we have had five days where temperatures have exceeded 30 celsius somewhere in the uk and we‘re probably going to see the same today and also tomorrow as well. mind you, it has been for some of us, quite cloudy start to the day. notice how the cloud has been shrinking. we will have clear skies before long. that is the way the weather will stay take us through the afternoon. not a cloud in the sky for most of us. the air quite fresh across parts of north east england and eastern scotland where temperatures in the low to mid 20s are feeling very pleasant. the hottest weather will be towards the south west of england and wales where temperatures were probably push into the low 30s in the hottest areas. another hot one coming up, for sure.

as we look at the weather picture overnight, we might see more in the way of cloud forming in the east of scotland the east of england and maybe northern ireland later in the night as well. the temperatures will have loads of between ten and 16 in towns and cities. tomorrow, subtle changes in the weather forecast. this low pressure near france will push the risk of thunderstorms into the south—west of england. there is a chance of catching a few downpours on sunday otherwise any morning cloud tending to melt away with perhaps the odd spot of rain in the far west of scotland. otherwise it is a dry picture with lots of sunshine. there will be south—easterly winds developing which will drag you mid air from the continent. across england and wales it will feel more humid than the weather has in the past week.

it would be hot, probably one of the hottest days we have seen. in london temperatures could get up to 32, 33 in the hottest areas. it will be there or thereabouts with being the hottest day of the year. looking at the mediterranean. we are stuck between an area of high pressure which has been causing the dry, hot and sunny weather. more to come in the week ahead. hello and a very warm welcome to dateline london. i‘m jane hill. this week, what do my guests make of the deal struck by european leaders around migration? how are relations between britain and the eu as we approach very difficult cabinet talks? and we‘ll discuss the direction of the us supreme court, as its longest serving justice announces his retirement. my guests: the british conservative commentator alex deane, the irish times correspondent, suzanne lynch, the guardian columnist, nesrine malik, and the american writer, and host of the frdh podcast, michael goldfarb. at the eu summit this week, leaders reached an agreement, of sorts, around migration — to set up secure centres in eu states for migrants,

in which their asylum claims would be processed. however, these centres will be established on only a voluntary basis, and observers are already criticising the lack of detail in the plans. the french president emmanuel macron said the deal struck the right balance between responsibility and solidarity — though france is one of the countries that isn‘t prepared to host such centres. is there much to commend in these proposals? the first thing to say is there is a huge irony because migrant numbers are way down to more than 90% since the big crisis in 2015. this has exploded as a huge political issue on the european stage. i think that is down to domestic politics. in different countries around europe, primarily germany, where there is a proposed vote of no—confidence in angela merkel. this is the first eu summit with the first new italian prime minister. he dictated a lot of what happened. i think we saw european fudge on the issue. there are major questions to be asked

about the new control centres for migrants. we going to