hello, it's tuesday october 9th, it's 9 o'clock, i'm victoria derbyshire, welcome to the programme. people with mental health problems are waiting so long to get the help they desperately need that lives are being ruined, withjobs lost and marriages ending, experts are warning. we talk to some of those caught in this trap including one mother who waited so long to get help for her anorexic daughter — 18 months — that her other daughter started developing ptsd from the strain. we'd like to know about your experiences of the mental health system. we hear the remarkable story of a 22—year—old woman who, last year, became the youngest person in america to receive a full face transplant. katie stubblefield spent a day and a half on the operating table! she needed the surgery after shooting herself in the face in an attempt to take her own life in 2014. i am not a victim —

the words of strictly‘s seann walsh's former partner in a statment saying their relationship is over — after he was photographed kissing dance partner katya jones on a night out in london. rebecca humphries says she suspected something was going on but was allegedly labelled a ‘psycho‘ for suggesting it. she now says she feels free and has called on other women to trust their instincts. hello,

welcome to the programme. we're live until 11 this morning. we want to know from you this morning is it inevtiable that sean walsh will leave strictly after his former girlfriend rebecca humphries released a statement last night about his drunken kiss with his strictly pro partner katya jones? she goes on to urge women who are out there deep down who feel worthless and trapped with a man they love to "believe in yourself and your instincts". adding, "i'm not sorry i took the cat." what do you think of rebecca humphries‘ statement? what should happen to sean walsh and katya on strictly? can you imagine voting for them again? should he take the decision to leave the programme? does any of this affect his ability to dance? let me know. our top story today...the second suspect in the salisbury nerve agent attack has been named. the investigative website,

bellingcat, says the man who called himself alexander petrov and claimed to be a tourist is in fact a military doctor, employed by the russian intelligence service - the gru. andy moore reports the men suspected of poisoning the skripals were caught on camera as they headed through salisbury. the investigative website bellingcat says it can now reveal the real identity of the man on the right. they say he's alexander mishkin, a military doctor who was working for russian military intelligence, the gru. they've published these three pictures of him and claimed to have spoken to many people who know him. they say until 2014 he was giving gru headquarters as his home address in moscow. this is his passport in his real name. in his fake id he used the same first name and date of birth. this is dr mishkin on the right here, in an interview with russian state television, where the two men claimed they were just tourists. sergei skripal and his daughter yulia both spent months in hospital

in comas before eventually recovering, but dawn sturgess died after being exposed to the nerve agent novichok. she had accidentally handled a fake perfume bottle that contained the poison. and andy moore is outside the russian embassy in london right now for us. any reaction from the russians? this story broke yesterday evening and there has been no action so far. the embassy is prolific on social media, but we have not heard from them, nor have we heard from the russian government. but this will be highly embarrassing for the kremlin, to have so much information in the public domain about two supposedly secret agents. in fact it is being reported in russia that president putin, himself a former secret

service agent, is not happy with the way this operation was carried out. that he might have put those two agents on television to almost publicly humiliate them, to punish them in some way, and that he might be planning a purge of senior members of the gru to show his displeasure. is more information expected today? yes, there is a press c0 nfe re nce expected today? yes, there is a press conference being held at the house of commons later on today when we are told we will find out more about this man and how the website bellingcat, together with their russian partners, managed to track him down. we spoke briefly earlier on today to bob sealey, the mp who is hosting this press conference. he is hosting this press conference. he is something of a russian expert, a member of the foreign affairs select committee, and he told us it was appalling a doctor, somebody who has taken the hippocratic oath, should be involved in an operation to

administer lethal poison to somebody with the intent to kill, but ends up killing somebody else by accident. it is an incredible revelation, not just a member of the gru, but a medical doctor as well. bellingcat itself is turning out to be a sound source on all of this. is it back 7 source on all of this. is it back up? that is right. they were the organisation that revealed the information about the previous agent and all they said about him has been found to be true. the bbc understands that this identification they have made here is correct. certainly the security sources here are not denying it is accurate. there has been no official word from the government. the metropolitan police who are leading this investigation are saying they will not comment on speculation. but we have every reason to believe that what bellingcat says is indeed

accurate. thank you. annita is in the bbc newsroom with a summary of the rest of the days news. donald trump has hosted a ceremony at the white house after the swearing—in of brett kavanaugh as a justice of the us supreme court. he had been accused of sexual assault and the us president apologised to him, saying he'd endured "terrible pain and suffering". here's peter bowes. after weeks of political rancour, a ceremonial swearing in ceremony forjustice kavanagh. greeted by an extended standing ovation from his supporters, the new member of the us supreme court took the oath of office with his wife and daughters by his side. less than two weeks ago, he angrily denied a charge that he sexually assaulted christine blasey ford when they were both teenagers. president trump said mr kavanaugh was owed an apology. on behalf of our nation, i want to apologise to brett and the entire kavanaugh family for the terrible pain and suffering you have been forced to endure.

justice kava naugh thanked the president for what he called his steadfast, unwavering support throughout the process. i'm grateful to you and mrs trump for the exceptional, overwhelming courtesy you have extended to my family and me. mr president, thank you for everything. applause. mr kavanaugh also adopted a tone of reconciliation. the senate confirmation process was contentious and emotional. that process is over. my focus now is to be the bestjustice i can be. this chapter in the extremely acrimonious appointment of a supreme courtjudge may be closing, but with the us mid—term elections just four weeks away, the politicalfallout could be critical to the future of donald trump's presidency. peter bowes, bbc news.

a convicted british paedophile is being sued for damages by five filipino boys, who claim they were sexually exploited by him overseas. they'll give evidence via video link about alleged abuse by douglas slade while he was living in the philippines. mr slade says the claims against him are a "total fabrication". our news correspondent, angus crawford has more. a dangerous and manipulative paedophile, douglas lage, now behind bars in the uk. but for 30 years he lived here in the philippines. it is claimed he would entice children into his home and abuse them. whenever i remember the things he did to me, the way he abused as, it comes back to my mind. everything he did. a member of the notorious paedophile information exchange, two yea rs

paedophile information exchange, two years ago he was extradited, tried and convicted of sex offences against children in the uk in the 19605, 705 and 805. but today he faces a new legal battle. five young people in the philippines are suing him over the abuse they say they suffered. it is thought to be the first case of its kind to reach the high court. i think the message needs to be sent out to those in the west in particular who think that they can go too far away places, such as the philippines, to sexually abuse children and young people, that you are not beyond reach. slade may spend the rest of his life in prison here, but children on the other side of the world are still seeking justice. angus crawford, bbc news. angus crawford, bbc news. the international monetary fund has warned that a trade war between the us and china risks making the world a "poorer and more dangerous place" in its latest assessment of the global economy. the imf has lowered its forecast for global growth this year and next. it said that a full—blown trade war

between the two superpowers would put a significant dent in economic recovery. 0n the last day of the scottish national party conference, the first minister, nicola sturgeon will make her keynote speech. it is thought she will renew calls for independence. and she is expected to say that scotland needs to offer people "optimism and hope" to contrast with what she'll call the "unfolding calamity" of a westminster government. women who need treatment for urinary incontinence should only be offered mesh surgery as a last resort, according to new draft guidelines for the nhs. the national institute for health and care excellence — or nice — says non—surgical options, like pelvic muscle exercises, should be the first choice. the nhs in england has already put restrictions on mesh operations after safety concerns. and victoria will be speaking to nice — the organisation which drew up those guidelines — plus the campaign group sling the mesh shortly.

prison officers in england and wales are to be issued with canisters of a synthetic pepper spray to help deal with violence and disorder. the announcement came as the president of the prison governors' association, andrea albutt, accused the government of failing to react in a "timely manner" to the "crisis" in jails. prisons minister rory stewart said prison officers' ability to keep control of prisons, and the ‘chaotic‘ individuals within them, is vital to ensuring everyone's safety. elon musk‘s spacex com pa ny has successfully launched its latest satellite into space wowing social media users in the process. lighting up the skies above california, the falcon 9 rocket went into orbit and returned 8 minutes later to an air base north west of los angeles. the satellite will be used to track natural disasters, crop yields and soil—moisture levels from 385 miles above the earth. rebecca humphries, the former girlfriend of strictly come dancing contestant seann walsh, has said she is "not a victim", after he admitted

kissing his dance partner. comedian walsh and katya jones, who is married to fellow strictly professional neiljones, apologised after they were pictured kissing on a night out. actor rebecca humphries tweeted that "she's not a victim and is now free". that's a summary of the latest bbc news — more at 9.30. manderson e—mails to say i think sean welsh should leave, the public is not impressed and it means he will most likely be voted off this weekend. stewart on twitter says, we will all be watching them on saturday to see what happens next with the dancing going on in the background. east enders comps to strictly. and this on mental health and how long you have waited for treatment. clare says, i am a0 years old, i have a breakdown three months

ago andi old, i have a breakdown three months ago and i have been diagnosed with ptsd, clinical depression and anxiety. i am still waiting to see a psychologist to work through those issues. i have been waiting three months and i now face having my wages cut to half because i have been off sick for so long. 0n wages cut to half because i have been off sick for so long. on top of the mental health illness i am incredibly anxious that i cannot afford to live or pay my bills. sometimes i wonder why i bothered begging for help. get in touch with your own experiences. let's get some sport. holly hamilton is at the bbc sport centre. tell us more about eden hazard. he admitted his dream was to play for real madrid. having played for chelsea at the last six seasons he

wa nts to chelsea at the last six seasons he wants to try something different. but the blues have been enjoying live under the new manager maurizio sarri and eden hazard is the top scorer and chelsea fans hoped he might be ready to sign a new deal at sta mford might be ready to sign a new deal at stamford bridge when his contract i’u ns stamford bridge when his contract runs out in 2020. instead he has admitted that once again that he is torn and he cannot make his mind up. he has been honest, he says, i do not want to say yes to signing a new contract and in the end i do not end up contract and in the end i do not end up signing. he says chelsea have given him everything and sometimes he wakes up thinking he wants to go and sometimes he thinks he wants to stay. no formal talks have taken place yet and he wants to see it out until the end of the year. so no panic for chelsea fans just yet. he is one of the nominees for this yea r‘s is one of the nominees for this year's barn door, but there are a lot of players from real madrid on the list. there are eight. it is after their champions league success

last year. gareth bale is included, along with lu ka last year. gareth bale is included, along with luka modric. he won the golden ball as the best player at this year's world cup for croatia. they finished runners—up. last month he got that best men's player award, given to the well‘s top layer. many people feel he could win that award this year. there are a record number of premier league players on the list as well, 11 in total. among them is tottenham's harry kane, who helped england reached the semifinals of the world cup in russia. he was awarded the golden boot as well. but it is hard to ignore the presence of these two. they have dominated the bal en door over the last decade. cristiano ronaldo and lionel messi. they have w011 ronaldo and lionel messi. they have won it five times each, ronaldo for the last two years. can anyone steal their crown this year? for the first time there will be a woman's award.

it is hard to imagine this award has been going since 1956 and this will been going since 1956 and this will be the first time a female footballer will be recognised. 15 nominees alongside the men released, including two england players. lucy bronze was part of the lyon side that won last season's champions league and is already widely considered the best right back in the women's game. also frank kirby who won the super league and fa cup double with chelsea last season and she is the reigning player as roma player of the year and the women's footballer of the year, so you imagine she would stand a good chance. if you want to see the full list, all those details are on the bbc sport website. the ceremony will be held in paris on the 3rd of december. looking forward to it. thank you very much. just on past nine. people diagnosed with

mental health illnesses are waiting months — and sometimes even years — for specialist treatment, according to research by the royal college of psychiatrists out today. in one case — astonishingly — a man waited 13 years from initially being referred, to getting the right treatment. the royal college says it's a "scandal" that's being caused by lack of workforce in mental health. the government says it's "transforming services with record amounts of funding", with the nhs spending almost £12bn on mental health last year. so what's going wrong? let's talk now to dr kate lovett from the royal college of psychiatrists, rachel bannister whose daughter has anorexia but had to wait eighteen months for treatment, kerean watts who waited a year, and leane stevenson whose daughter is currently waiting for a bed in a mental health ward. welcome to all of you. leanne, your

daughter is 19 and she has complex drug—resistant daughter is 19 and she has complex drug—resista nt psychosis. briefly explain that. complex in that not only does she hear voices, but she sees things, she hallucinates. she also has a sensation of pace, so she can also has a sensation of pace, so she ca n taste also has a sensation of pace, so she can taste things that are not real. and she can also feel things. it is complex and drug—resista nt and she can also feel things. it is complex and drug—resistant in that we have tried nine anti—psychotics with no effect at all. she was being treated for three years by an early intervention team and that has now stopped. the funding ran out. we we re stopped. the funding ran out. we were not made aware of it and only recently found out that you get three years with early intervention in psychosis, who should be the specialists with psychosis, and we recently found out she has got to go into the community health team. in

the interim we do not have any support for her. what is that like for you and how? it is horrible. somebody with a mental health illness feels very vulnerable and alone anyway. then to be abandoned, her psychosis takes control of that. it latches on, so you are worthless. you are not worth a recovery, it is not worth investing in you. it is ha rd not worth investing in you. it is hard not only to carry a person, but to carry on mental illness on top of that. it is heartbreaking watching somebody suffer and that is what she is doing. she suffers every single day. and really hard for you as well. yes, it is heartbreaking as a parent, you are helpless. all i am doing is trying to keep her safe. she is here tomorrow and tomorrow we fight a new battle and we believe tomorrow is going to be a better

day. do you have any idea when this bed in the specialist unit might be available? no, i am being told soon, but i have been hearing that for quite a long time. there were 20 beds on the specialist unit and there are now 18. i do not know where that funding is going, we hear about all this funding come into mental health, because my daughter is not seeing it. my heart goes out to you, leanne. what a terrible story to hear. i wish i could be positive and say that since we have beenin positive and say that since we have been in the service things have improved, but they have not, they have deteriorated. the government comes up have deteriorated. the government comes up with all these millions, but it is meaningless. if this money was enough, it would be getting through. they are spending more and putting these big figures out, but they are not spending enough, we do not have enough people in the

workforce , not have enough people in the workforce, we do not have enough psychiatrists. what upsets me is the psychiatrists. what upsets me is the psychiatrists spend time getting to know you and hear your story and give you a diagnosis, but they have got nothing in their tool box. if somebody mentioned ptsd and if that is diagnosed in some parts of the country he will not be able to get one of the recommended treatments. your daughter lucy began experiencing anorexia at the age of 13. how long did it take? it was not anorexia initially. she struggled with eating, she was anxious at school and wanted to do well in her exams. the pressure did not come from us, it is this obsession with grades. she took some exams early. but there was not a treatment path. there was no dietician that saw her. i look back at her records and it

was march 2013 and a bmi of her weight, it breaks my heart to look back and think she was that ill. a year later her weight was still the same. it was a lost opportunity. if we had had a fully resourced service at that time and she had seen a dietician, we could have thrown everything at her, which is what i expected. sorry to interrupt. iwant to ask about the effect on one of your other daughters as well will stop it had a massive effect on us all, it made me ill. when she was away from home and kept on going and when she came out, i hit a wall and was very poorly. how old was she? she had just turned 15. it was a four—month wait for a bed. it was awful. each time it happens to you you think it will be better this

time. eventually they will not send her home and not give her more? but they do and it is not the fault of they do and it is not the fault of the clinicians and the psychiatrists. they are all really hard—working, passionate people. nobody works in the nhs for the money, they want to transform lives. but those people are on their knees. ca re but those people are on their knees. care coordinators said to us, i am oi'i care coordinators said to us, i am on my knees, i have not got time to go to the toilet and eat my lunch. my middle daughter was diagnosed with anxiety quite soon after and was taking depressants aged 13. i did not want her to go on them, by husband and i were against it, it terrified me. but we were reassured she would have the right therapy for that period, but she did not. almost two years before she had any therapy and it was a time—limited thing, filling in worksheets and filling in pictures. it was terrible. a month

ago we finally got a diagnosis of ptsd that has come from what has happened to our family. four years oi'i happened to our family. four years on medication and she is now getting the treatment. kerean, you waited a year from the treatment. kerean, you waited a yearfrom a the treatment. kerean, you waited a year from a referral from your gp aged 13 to getting treatment for what? i went to see my gp because i was experiencing quite severe feelings of depression and anxiety. i was turned away from the gp quite a few times, which had a massive toll on me. it made me feel like the feelings i was experiencing and the issues i was having why my fault. it was not worth bothering other people for, it was not worth seeking help for. it took a year before i was

able to see somebody in mental health services and it was a few months further down the line before i was able to start getting regular treatment. i knowl i was able to start getting regular treatment. i know i am one of the lucky ones. we saw the case of a man who had to wait 13 years. it comes from the fact that whatever the government says, they are putting all this money in, they are not putting it into psychiatrists and staff. this is a statement we have received from them. mental health is a key priority. we are transforming services with record amounts of funding with the nhs spending almost £12 billion on mental health last year. we have introduced access and waiting times standards, expanded talking therapies. we are revitalising crisis care services and we are on track to help 70,000

more children and young people with their mental health every year by 2021. we know there is more to do, which is why our long—term plan sets out how many more patients will get better access to mental health services. rachel, iwant better access to mental health services. rachel, i want to bring you in. sorry, kate. doctor kate lovitt from the royal college of psychiatrists. it is your survey today. it is not huge, 500 people, but it suggests a lot of people are waiting a very long time. this research was a poll of 500 people are representative of the population of the uk, and it showed 2a% of people are waiting three months or more for the treatment they need for diagnosed mental health condition. why are they waiting? it is complicated, but one of the key things is we simply do not have enough staff. we know we have a

national shortage of psychiatrists, co nsulta nt national shortage of psychiatrists, consultant psychiatrists, about 13% short. we have 13% vacancies currently. we know historically we have not only failed to produce enough doctors in this country to start our nhs adequately, to provide enough gps, but out of that pool we have and are produced psychiatrists. in the last five years the number of co nsulta nts in the last five years the number of consultants in the nhs went up 21%, but in psychiatry only rose by 3%. the number of child psychiatrists actually fell. yes. it is a serious problem and we have been doing a lot of work to try and understand the reasons why and to do something about that. that is why we are launching our campaign to try and encourage more medical students to come into the profession. i think i have got the bestjob in the world.

there is nothing more satisfying than seeing somebody who is really suffering and going through dark times get better and get back to their job, times get better and get back to theirjob, get back to their family. we have seen from this survey the devastating impact that waiting can have on people's lives. this person says, i waited over nine months for treatment to do with my sleep disorder, anxiety and depression. good luck to those waiting. my son had a serious catatonic breakdown which lasted a year. 18 months later and still no therapy is offered. he has autism, but no one has experience in this field. maria says, there are psychology and counselling students and trainees stu d e nts counselling students and trainees students out here being told we are not needed while we watch many people being left on a waiting list. we are trained at a university degree level and are ready to do the necessary training and help people out there, why not give us the job? it isa

it is a really good point, we need people keen to work on mental health and we know that young people particularly have a burning interest in the subject. would you be happy with trainee students? yes. to distinguish, psychiatrists are medical doctors who then go on to specialise in mental health, it is like if you had a heart problem you would probably want to see a co nsulta nt would probably want to see a consultant cardiologist. but these people have said they would have the psychology counselling students. people have said they would have the psychology counselling studentslj think psychology counselling students.” think the psychology would be part of the package that is being referred to, so psychotherapists, people qualified unchanged, while the government cutting back on nursing bursaries, why are they making it so hard for people to go into training? jamie had not told me ——jeremy hunt into training? jamie had not told me —— jeremy hunt did not tell me when i met —— jeremy hunt did not tell me when imet him —— jeremy hunt did not tell me when i met him injanuary that there were 500 psychiatrists, that had gone down to 250. i would like to ask

where are those psychiatrists at jeremy hunt as health secretary told me about, i think the college would agree they are not there. we are working very hard to increase the numbers, there have been green shoots. we have increased the number of young doctors coming into the specialty by 30% over the last 12 months, we are working very hard but we wa nt months, we are working very hard but we want to get the message out for everybody about working in the field of mental health. but the government needs you to reassess and dream look at why there is mental health and physical health? —— the government needs to reassess. there should not be eight is —— divide, mental health isa be eight is —— divide, mental health is a disease. theresa may and david cameron and his then deputy nick clegg before her talked about this ambition of parity between mental and physical health. simon says i had a breakdown nearly five years ago, i lost myjob. i have been on a waiting list for counselling for 13

months, six weeks later i had my first appointment and was passed between different therapists for another six months. i eventually gave up after my counsellor said she knew i needed more support but my time was up and i could ask for a further referral. just before i had another breakdown i fortunately found a private therapist who turned my life around. i am back working full—time and can enjoy my life but iam sick full—time and can enjoy my life but i am sick of successive governments claiming things will get better, they are pointless sound bites. thank you all for your time, and keep your experiences coming in of how long you have waited to receive treatments for mental health issues. still to come... on this programme we've highlighted how thousands of women have been left with chronic pain after having vaginal mesh surgery. health officials have now published new guidelines saying that women should only be offered the implants as a last resort. we will talk about those and speak

to nice. and we hear the remarkable story of a 22—year—old woman who, last year, became the youngest person in america to receive a full face transplant. time for the latest news — here's annita. the headlines on bbc news... the second suspect in the salisbury nerve agent attack has been named. the investigative website bellingcat says the man who called himself alexander petrov and claimed to be a tourist is in fact a military doctor, employed by the russian intelligence service the gru. donald trump has hosted a ceremony at the white house after the swearing—in of brett kavanaugh as a justice of the us supreme court. he had been accused of sexual assault and the us president apologised to him, saying he'd endured terrible pain and suffering. a convicted british paedophile is being sued for damages by five filipino boys who say they were sexually exploited by him overseas. they'll give evidence via video link about alleged abuse by douglas slade while he was living in the philippines. mr slade says the claims against him are a total fabrication.

he was jailed for 2a years in 2016, for abusing five boys in the uk. the international monetary fund has warned that a trade war between the us and china risks making the world a poorer and more dangerous place in its latest assessment of the global economy. the imf has lowered its forecast for global growth this year and next. it said that a full—blown trade war between the two superpowers would put a significant dent in economic recovery. prison officers in england and wales are to be issued with canisters of a synthetic pepper spray to help deal with violence and disorder. the announcement came as the president of the prison governors association, andrea albutt, accused the government of failing to react in a timely manner to the crisis in jails. prisons minister rory stewart said prison officers' ability to keep control of prisons, and the chaotic individuals within them, is vital to ensuring everyone's safety. rebecca humphries, the former girlfriend of strictly come dancing

contestant seann walsh, has said she is not a victim after he admitted kissing his dance partner. comedian walsh and katya jones, who is married to fellow strictly professional neiljones, apologised after they were pictured kissing on a night out. actor rebecca humphries tweeted that she's not a victim and is now free. that's a summary of the latest bbc news. here's some sport now with holly. eden hazard says he is torn between signing a new deal at chelsea and fulfilling his childhood dream of joining real madrid. he admits he keeps changing his mind and hazard is one of the players nominated for the ballon d'or award, with lucy bronze fran kirby of england is among the nominees for the women's prize, which will be awarded for the first time this year. manchester united manager jose mourinho is under fa investigation

after allegedly making offensive remarks to a tv camera after saturday's win against newcastle. st helens full—back ben barba has won by helens full—back ben barba has won rugby league's man of steel ward after scoring 28 tries in 23 super league games this season. george roesch of castleford, only 17, won the first ever women of steel award. more sport after 10am. thank you. you'll know that for many months we've reported on the scandal over vaginal mesh implants, which has left thousands of women with problems including constant pain and incontinence. i'm somebody‘s partner and i'm somebody‘s mum, somebody‘s sister, and all these people are impacted. did you... can i ask, did you have any suicidal thoughts? you did? yeah. gosh. i planned it. i mapped it out. the burning is so intense, that's how it feels, to the point at which i couldn't even use a tampon during my period because the burning...

that would exacerbate the burning, but also that would then send shooting pains down my legs. and then, interestingly, once i'd had the mesh removed, within three days of removal, all that burning had gone. i'm on as many tramadol as i'm allowed to take. i have steroid injections for the pain and i'm on a waiting list to have this barbaric torture item removed. i can't walk properly, i've lost myjob, i've lost my house, i've lost my partner. wow. i've lost everything through mesh. got back in my car, and i phone my husband and i said "i can't... ijust can't... i can't live any more, i can't go through this. i actually do think it's..." i'm believing the doctors, i think it's in my head. today health officials from nice — the body that issues guidance and advice to improve health care — says, from now on, vaginal mesh should only be offered to women who have explored every other option. should only be offered to women who have explored every other option.

the implants have been used to treat pelvic organ prolapse and incontinence after childbirth. let's talk now to professor gillian leng, deputy chief executive of nice, to one of the leading surgeons when it comes to mesh removal dr sohier elneil, and to kath sansom from the campaign sling the mesh. welcome to you all. professor leng the draft guidance says that women should be fit a raft of the techniques before mesh is considered. but for those women who have had mesh, it is devastating for them to hear it? i understand if you have had a procedure which has left you in pain, you might think why didn'ti you in pain, you might think why didn't i receive that advice at the time? of course, when a procedure is new, it takes time to gather data

around appropriate use and what the side effects and risks are. what the committee has had available has been a whole range of information from registers of side effects, listening to patients, hearing the experts perspective as well as published research. so we are urging much more caution in the use of mesh and making sure women are absolutely informed about the risks and side effects. which they should have been previously, of course? your guidance means vagina mesh implants can still be used? the committee looked very carefully at whether there were any benefits at all and concluded that there are some indications where it might remain the best option, and did not want to completely remove it from perhaps in cases where the symptoms are so severe or there might be something particular about

the woman's problems that mean it is the woman's problems that mean it is the best option. but of course it should not be agreed that that is the best option without the woman being fully informed, and alongside the guidelines nice is providing what we call a decision aid so women can see what the benefits and risks are of all procedures. dr sohier elneil, your reaction to this new guidance? the guidance has gone back to basics and is focusing much more on what we should have always been doing, looking at conservative methods and approaches, particularly physiotherapy, from the very outset as part of our therapeutic pathway. 0ne as part of our therapeutic pathway. one of the issues, however, there is slightly bitter conflict with the guidance in that it is suggesting that mesh should still be available, which is true, it can still be

available, but not really as perhaps available, but not really as perhaps a second—line therapy but much more as the very, very last thing where everything else has been tried, including non—mesh surgical procedures. it has not quite got that point through and i think there may be a slight conflict in that it is sort of going slightly against the nice interventional procedures and advisory committee guidance which had said things like prolapse mesh should not be used at all and the journal pro lab smash in particular. where i can see —— and vaginal prolapse mesh in particular. ican see vaginal prolapse mesh in particular. i can see this is good, let's bring things back to basics and do proper evaluation and looking after our patients well, but we need to think about the next step. kath, how do you respond? about the next step. kath, how do you respond ? there about the next step. kath, how do you respond? there has been an effective ban on vaginal mesh implants after an inquiry or did earlier this year by then health secretaryjeremy earlier this year by then health secretary jeremy hunt, earlier this year by then health secretaryjeremy hunt, but now vaginal mesh can be used again? this

is too little, too late, and i find it absolutely outrageous that nice have said today in a roundabout way that it has been 0k today in a roundabout way that it has been ok that many women have been harmed for 20 years because they were waiting to get the evidence. the evidence is in women complaining since 2007, and they ignored them. my second point is these guidelines are not strong enough to protect women. they had in a very good pr spinjob on the press release to say mesh can only be used asa release to say mesh can only be used as a last resort, but they are pushing conservative methods first, thatis pushing conservative methods first, that is really good, but if that fails women can be offered non—mesh surgery or mesh surgery, it is still the second option. as campaign as we say if you must keep mesh, obviously we want to ban it, but if you must keep it, first physio, second non—mesh surgery, third and only when it has failed, offer mesh, that

is the only way we will have proper level protection. it really is the la st level protection. it really is the last chance saloon. it isa last chance saloon. it is a draft guideline, if anybody has any feedback we would very much welcome it. secondly, indeed mesh may remain a second—line option, correct, but only once there has been a specialist opinion through a regional centre with specially trained surgeons, with the woman fully informed about the pros and cons of mesh versus other procedures. it is not a decision ever taken procedures. it is not a decision ever ta ken lightly. procedures. it is not a decision ever taken lightly. i can see kath shaking her head in disagreement?m is not good enough, i'm third. mesh needs to be the third line option. 0n needs to be the third line option. on my facebook group of nearly 7000 members, people are so upset that it is still not last chance saloon.

another point, last year nice suggested that vaginal prolapse mesh should be banned. these new draft guidelines say it can be used again as long as everything else has failed. it is like everything, it is not strong enough, that is the main message, it needs to toughen up to protect women. i think the advice is very cautious, it provides clear steer that women should have information and there should have information and there should be other options for women, absolutely. is its draft guidance, is there a chance it could be toughened up? that is the whole point. if women want in the procedure which is not available, the guidance says they should be referred elsewhere where they can have the procedure they wish to have. i absolutely feel that the guidelines will not be... sorry,

kath, and there will be a database where surgeons will have to do what? with the woman's consent, register information about the procedure carried out on to collect any information about anything that goes wrong. over what period of time? these things can affect women three, six, nine years later? it will be an ongoing register of information. we didn't have this information earlier. women were saying it, the information was there but, with respect... with respect, it was ignored. do you think the database should collect outcomes for hernia mesh as well? that is not the subject of this guideline, it is

very much focused on women's conditions, incontinence and prolapse, but i'm aware there are concerns about the wider use of mesh. my personal opinion is it would be logical. might that happen in the future? certainly the review around why we don't know about adverse events, it will inform that in the future. it will be routinely collected, anything that relies on entering information will potentially risk that. thank you all so much. claire says i have u nfortu nately had so much. claire says i have unfortunately had a mesh and bladder sling. iam unfortunately had a mesh and bladder sling. i am 36,1 unfortunately had a mesh and bladder sling. i am 36, i can barely sit, walk or sleep due to the pain. i have no feelings in my size or abdomen due to nerve damage, i am bladder and bowel incontinence. the mesh was sold to surgeons as a quick

fix money saver, a great way to make targets set by somebody sitting in an office, but what a false economy when so many women and men need removal surgery. there should be a total ban on using mesh. this text says mesh implants are another case of people only knowing what they are told. the doctor says houthis, this, people blindly do it without a thought, but not me. thank you all for coming on the programme, i appreciate your time. coming up... in a landmark case, five alleged victims of notorious british paedophile are suing him for the abuse they say he inflicted on them in the philippines after he moved there in 1985. next — the story a 22—year—old woman from the states who suffered devastating damage when she shot herself in the face and who has now become the youngest person in the us to undergo a full face transplant. katie stubblefield tried to take her own life four years ago. she had a 31—hour operation in may last year. this is her story.

and, as you would expect, this film contains some upsetting and very graphic images throughout — and if you find that kind of thing too upsetting to watch it will last around eight minutes — but it really is worth the watch. katie's always been a deep soul. katie was a deep soul when she was a young kid. she started playing soccer when she was about four years old, and she was a very aggressive soccer player. it would take a while for her to warm up to people, but once she did, they were best buddies. it's probably very difficult for you to think about and talk about, but bring me back to when you were 18, what was life like? when i got to robert's house, she was sitting in a big fluffy chair with her legs overwritten she was

texting, i went over to her and said, how are you doing? shejust shrugged her shoulders like a teenager sometimes will. i didn't feel an alarm, teenager sometimes will. i didn't feelan alarm, i teenager sometimes will. i didn't feel an alarm, ijust teenager sometimes will. i didn't feel an alarm, i just felt like teenager sometimes will. i didn't feel an alarm, ijust felt like my girl had got hurt. i remember we i remember we were i remember we were walking up and we heard this loud bang, then i walked m, heard this loud bang, then i walked in, i looked in the chair and she was not in the chav. didn't get alarms then. walk to the kitchen, went on his back patio, little porch, i saw the bathroom door shut. i twisted the door and said, katie, are you 0k? she didn't answer. my son picks me up and takes me through the living room, outside in the yard, and just stands me there and

says, mum, katie got my garden and i don't know, she's hurt. —— katie got my gun. she'll never eat, drink, bathe herself, converts, she'll be a vegetable, she'll be in a skilled facility for the rest of her life. i said, i'm not ready to let go of my daughter, i'm just not. said, i'm not ready to let go of my daughter, i'mjust not. in that moment, you think you will have great courage and stamina, but you're just as feeble as a feather in the winter. your heart is in your throat. yet out of the depths of your gut, your soul, your heart, no, we're not going to let it go. was that a big decision to make? i think ithinki i think i was trying to look for old characteristics, if i could see anything from the pre—accident katie, the pre—injury. and i don't

think i did. it was very surreal. i remember thinking, where is katie? you know? at the same time, so grateful that she is alive and so grateful that she is alive and so grateful that she didn't have to walk around the rest of her life without a face. but it was hard. i grieved her old face are lots, i have to be honest. katie, do you still think about and long for the things that you wanted when you are 18, like to meet someone orfall in when you are 18, like to meet someone or fall in love? when you are 18, like to meet someone orfall in love? i can see you smiling now. of course, this is not the story i

would have written for her, but i feel that there is a reason. she is here. there is a lot to learn. there isa here. there is a lot to learn. there is a lot, this whole story with katie. but i don't think her life is over. the remarkable katie stubblefield and her family. everyone the remarkable katie stubblefield and herfamily. everyone is talking about seann walsh from strictly come dancing and the fact he has admitted

kissing his fellow professional dancer katya jones. last night his former partner rebecca humphries said she was not depict him on twitter. we have her statement, just her side of the story. "hello there. my name is rebecca humphries and i am not a victim. i wasn't sure whether to respond to events from the past week, but i feel the narrative has missed a couple of crucial elements that i would like to clear up. it's incredibly good of seann and katya to apologise in the media. i have received nothing other than the support of my family, friends, and a host of strangers on the internet who all wanted to make sure i was ok. what i have also kindly received are many offers to sell my side of the story, but i would prefer for it to be on my own terms. those pictures were taken on october 3rd. it was my birthday. i was alone at home when sean texted at 10pm saying the two of them were going for one innocent drink. we spoke and i told him, not for the first time, that his actions over the past three weeks had led me

to believe something inappropriate was going on. he aggressively, and repeatedly, called me a psycho/nuts/mental. as he has done countless times throughout our relationship when i've questioned his inappropriate, hurtful behaviour. but this whole business has served to remind me that i am a strong, capable person who is now free, and no victim. i have a voice and will use it by saying this to any woman out there who deep down feels worthless and trapped with a man they love: believe in yourself and your instincts. it's more than lying. it's controlling. tell some very close friends who, if they're anything like my wonderful network, will swoop in and take care of the logistics and of you. it's important also to recognise that in these situations those who hold power over you are insecure and fragile, and their need for control comes from a place of vulnerability. i think it certainly does in seann's case. despite everything, i hope he gets what he wants from this. i'm not sorry i took the cat, though. love, rebecca." neither seann walsh, nor the bbc have commented about the allegations after we approached them. thank you for your messages about

what you think should happen. this text says the producer should act and sack them both, especially as katya is married to a fellow performer. it is humiliating for their respective partners at all concerned. gray a strictly such a family show that the producers have no excuse but to let him go. he does not represent the values. karl says i want seann to stay. the answers i have strong views, he won't be the first man whose head has been turned bya first man whose head has been turned by a beautiful dancer, but katya jones should know better. she is married and i feel empathy towards her husband. i don't think seann should be asked to leave the show, though, because it is about his ability to dance. thank you for those and keep them coming in. contact details are on screen. news and sports on the way after the

weather with simon. it will turn really quite warm for many tomorrow before a bit ofa quite warm for many tomorrow before a bit of a deep area of pressure, a storm, moves in by the end of the week. quite heavy rain through this morning until the last 36 hours across western areas of scotland. the rain has been relentless, moving in from the atlantic and affecting parts of northern ireland. it is really heavy at the moment across the west of scotland, the downpours, and it will continue through the course of today. 0utbreaks course of today. outbreaks of rain across the north and west of northern ireland but the rain eventually clears towards the north, something drier towards eastern scotland and southern scotla nd eastern scotland and southern scotland and for england and wales, plenty of dry weather, increasing sunshine developing through the afternoon and a tad warmer than yesterday with temperatures up to around 15 to 18 degrees.

21 celsius further south—east. tonight we pick up a southerly wind and this will gradually move the cloud and rain further north and west across scotland. clear skies for many overnight tonight, those are the overnight temperatures, down to about seven or 11. it is the southerly winds which we can trace back to northern parts of africa, moving across the uk, giving up this warm feed of 0uter, temperatures on wednesday way above the average for the time of year. we lose that rain across scotland's anders dreyer day. temperatures really quite responsive. temperatures up to 23 in london, 19 or 21 further north. there will be similarly, clear

spells, such eric was areas on thursday. feeling quite warm but more rain spreads into eastern areas and will feel fresher, temperatures down to about into friday, this area of low pressure spends in the atlantic, it will move for friday. the isobars are really quite close together, so expect quite a windy speu together, so expect quite a windy spell of weather on friday, heavy rain moving across the country. widespread gales but the strongest winds will always be towards the north—west, where we could see gusts of 17 or 18 mph. stay tuned to the forecast. hello, it's 10 o'clock, i'm victoria derbyshire. this morning we're looking at austerity. last week, of course, the pm theresa may said this. a decade after the financial crash people need to know that austerity

is over and that their hard work has paid off. is over and that their hard work has paid off. but according to new research the effects of austerity, public spending cuts, are not being felt equally around the country. we'll hear from people whose lives have been changed by austerity,. we speak to the mum who has resorted to wearing a sandwich board in an attempt to help track down her son's alleged killer. tracey hanson's 21—year—old sonjosh was stabbed to death in an unprovoked bar attack three years ago this week. we'll hear from tracey and josh's sister brooke about their search for the man who allegedly killed him, and also hear from the detective inspector who's leading the case. and it's been called the curse of strictly, and it seems it's struck again. one of ths yea r‘s contestants, seann walsh, was photographed kissing his dancing partner, katya jones, on a night out in london. last night his now ex—girlfriend rebecca humphries tweeted a statement alleging that walsh accused her of being a "psycho" when she suggested the two might

be getting together. what do you think? should he be thrown off? 0r what do you think? should he be thrown off? or is itjust a dancing competition and your private life has got nothing to do with it? good morning it's 10 o'clock. here's annita is in the bbc newsroom with a summary of the days news. the second suspect in the salisbury nerve agent attack has been named. the investigative website bellingcat says the man who called himself alexander petrov and claimed to be a tourist is in fact a military doctor, employed by the russian intelligence service the gru. donald trump has hosted a ceremony at the white house after the swearing—in of brett kavanaugh as a justice of the us supreme court. he had been accused of sexual assault and the us president apologised to him, saying he'd endured "terrible pain and suffering". a convicted british paedophile is being sued for damages

by five filipino boys, who say they were sexually exploited by him overseas. they'll give evidence via video link about alleged abuse by douglas slade while he was living in the philippines. mr slade says the claims against him are a "total fabrication". he was jailed for 2a years in 2016, for abusing five boys in the uk. the international monetary fund has warned that a trade war between the us and china risks making the world a "poorer and more dangerous place" in its latest assessment of the global economy. the imf has lowered its forecast for global growth this year and next. it said that a full—blown trade war between the two superpowers would put a significant dent in economic recovery. 0n the last day of the scottish national party conference, the first minister, nicola sturgeon will make her keynote speech. it is thought she will renew calls for independence. and she is expected to say that scotland needs to offer people "optimism and hope" to contrast with what she'll call the "unfolding calamity"

of a westminster government. women who need treatment for urinary incontinence should only be offered mesh surgery as a last resort, according to new draft guidelines for the nhs. the national institute for health and care excellence — or nice — says non—surgical options, like pelvic muscle exercises, should be the first choice. the nhs in england has already put restrictions on mesh operations after safety concerns. professor gillian leng, deputy chief executive of nice, explained the move to victoria derbyshire on this programme. when a procedure is new it takes time to gather data around appropriate use and what the side effects and risks are. now what our committee has had available to them has been a whole range of information from side effects, from listening to patients, from hearing

the expert perspective as well as published research. based on all of that information we have available we are urging much more caution in the use of mesh and making sure women are absolutely informed about the risks and side effects. morrisons is appealing against a ruling that it must compensate thousands of staff whose personal details were leaked online. the case, which is the first of its kind, goes before the court of appeal today. a ruling last year allowed a compensation claim by thousands of morrisons staff after their personal details had been posted online by a disgruntled employee. prison officers in england and wales are to be issued with canisters of a synthetic pepper spray to help deal with violence and disorder. the announcement came as the president of the prison governors association, andrea albutt, accused the government of failing to react in a "timely manner" to the "crisis" in jails. prisons minister rory stewart said prison officers' ability to keep control of prisons and the "chaotic" individuals within them is vital to ensuring everyone's safety. rebecca humphries, the former

girlfriend of strictly come dancing co ntesta nt sea nn walsh has said she is "not a victim" after he admitted kissing his dance partner. comedian walsh and katya jones, who is married to fellow strictly professional neiljones, apologised after they were pictured kissing on a night out. actor rebecca humphries tweeted that "she's not a victim and is now free". that's a summary of the latest bbc news, more at 10.30. a couple of messages about strictly. neil says, it is a dance competition, not a judgment on morals. another says they will have regretted their behaviour, but the statement released by his former girlfriend is one of anger and i do not understand why she needed to release one. if people stop voting for them and they like their

dancing, that is ridiculous. luke says, i will not be voting for them on the dancing, but there is every chance they will go home this weekend. get in touch with us on facebook and twitter. now some spot with holly. chelsea forward eden hazard says he's torn between signing a new deal with chelsea and making a "dream" move to real madrid. the belgian forward, who has less than two years left on his contract, admitted, "i don't want to say yes, i am signing a new contract and then in the end i don't end up signing." he says chelsea have given him everything and sometimes he wakes up thinking he wants to go, and sometimes thinking he wants to stay. hazard is one of 11 premier league players nominated for this year's ballon d'or award — that's a record number. england captain and tottenham striker harry kane has made the 30—man shortlist, along with liverpool's mo salah and kevin de bruyne and sergio aguero of manchester city. lionel messi and cristiano ronaldo are also included, of course. ronaldo won the award

for the fifth time last year. and this year there'll be a women's award for the first time. england's lucy bronze and fran kirby are among the 15 players nominated. bronze was part of the lyon side that won last season's champions league, while kirby won the league and cup double with chelsea. the ceremony will be in paris on the 3rd of december. england's women play tonight — they take on australia at craven cottage. australia are ranked sixth in the world, against england's third, so they'll offer another good test as the lionesses continue their preparations for next year's world cup. it is gonna be a real physical game, this one, where australia i think are similar to usa in terms of the physicality. they have real running power and strength in the team. regardless of who they have brought or not, you know, they have got players that can play in any league in the world, on any stage, and our players are going to have to show all their quality.

the fa are investigating comments made by manchester united managerjose mourinho to a television camera after saturday's win over newcastle. mourinho's remarks were made in portuguese and have been interpreted as being offensive. the fa will get an official translation before deciding what course of action to take. after winning rugby league's man of steel award last night, ben barba thanked his club st helens for helping him to enjoy playing the game again. barba joined saints last year after a spell with rugby union side toulon and he's now heading back to his native australia to join north queensland cowboys. he was instrumental in st helens winning the league leaders' shield this season. and the first—ever woman of steel award went to georgia roche of castleford. atjust17, she's one of the youngest players in the professional game and she's in the england squad to face france later this month. british number one kyle edmund has

made it through to the second round of the shanghai masters. he was given a stern test by the world number 35, filip krajinovic of serbia, who broke serve in the first set. but edmund recovered to win in straight sets and earn a meeting with andreas seppi. that's all the sport for now. more at half past ten. the identity of the second man suspected of using a nerve agent to poison a former russian spy in salisbury has been revealed. the bbc understands his name is alexander mishkin, a military doctor in russia's military intelligence, also know as gru. the name of the agent was uncovered much like the name of the first salisbury agent was confirmed by investigative website bellingcat. sarah rainsford is our correspondent in moscow. how is the news going down there? deafening silence so far from the kremlin and that is to be expected. they have given us to understand that they will not

comment any further on anything they call rumours and speculation coming from the press. they say unless there is hard evidence sent to the releva nt there is hard evidence sent to the relevant institutions in moscow from the government in the uk or the police, they will not comment. but thatis police, they will not comment. but that is a sign of how an comfortable this is becoming for the russian authorities. they have been denying all along any role in the attempted poisoning of sergei skripal and his daughter. they say it is the work of the british special services. we can expect denial to continue, but there will be no substantial comment on this latest revelation. if it is true, why would this man have been put on russian state television? ayr thatis put on russian state television? ayr that is the huge question. at the time, before it happened, when president putin basically called on

them to appear on state television, i spoke to a former spy, not gru, and he said he did not believe they would appear because it seemed too risky and two strange for the kremlin to do that. some in the west have been commentating and saying this is the kremlin, a defiant message from the kremlin, here they are and we do not care. i am not sure it was that. it was a slightly risky step, and unusual step. perhaps the kremlin thought their real identities would not be disclosed. there are investigative journalists in russia and they have been digging hard and pulling up all sorts of details. the bellingcat details came out last night when the russian service at the bbc has spoken to somebody who knew alexander mishkin and he confirmed the photograph of alexander mishkin is the same man as alexander petrov, said this is the same man. he said this was a young man who was really

into computer games and music and used to run the school disco in his village and he left to join the military and medical academy in saint petersburg. details are coming out, so it makes it quite hard to understand why exactly these two men we re understand why exactly these two men were paraded on state television. there is one theory that perhaps it was president putin trying to humiliate them because he was not impressed with their attempted assassination in salisbury. yes, but ido assassination in salisbury. yes, but i do not think many people here would agree with that. why wash your dirty laundry in public? it seems a strange thing for the president in this country to do. the gru answer to him, they are part of the defence ministry, a military intelligence agency, and the line of command goes straight to vladimir putin. it would be odd of him to humiliate his own people in front of the nation and the world. russia believes it is

that war and the world. russia believes it is that warand in the world. russia believes it is that war and in that war these people are its soldiers, so that would be slightly unusual for an explanation as to what happened. thank you very much. i'm joined now by mark galeotti. he's an expert on russia's security apperatus and used to be an adviser at the foreign office. he's also written several books on the russian mafia and on the country'special forces. how credible do you think the naming of this doctor is? it is pretty credible. bellingcat have an exceedingly good record and as sarah said, already there is corroborating information coming out. with a few usual academic caveats we can be pretty confident. what will this mean for president putin and the gru, the russian military service? we have to distinguish between optics and substance. at the moment it means a few more news cycles of embarrassment, of being caught out. it is not that other spies have

uncovered russian secrets, it is a collection of independent journalists and suchlike. but in substance it probably does not mean very much. we may see a purge in the gru, that has already been mooted. but the point is that is not because putin is angry that they had been spying on the west, but they have not been spying well enough. we may see some heads roll, but only to make sure that this war is prosecuted more effectively. thank you very much. i russian expert. next we are talking to angus cropper about the landmark case at the high court this morning. five victims of a notorious british paedophile are suing the suspect for the abuse they say he inflicted on them in the philippines. the five boys from manila will give evidence via video

link. the man was convicted of sexual offences against children in the uk. what is happening today? douglas lage is notorious. he was one of the founder members of what is called the paedophile information exchange in the 19705 and 805 and he campaigned for the legalisation of sex between adults and children. in 1985 he went to the philippines and bought a house in a poorer neighbourhoods and there were complaints from parents that he would entice boys into his home and seduce them there. there were several attempts a prosecution by the philippine authorities, but they failed. three years ago he was extradited back to the uk. two years ago he was prosecuted and convicted and sent to prison for 2a years for the non—recent abuse of children in britain. that brings us to today. it

isa britain. that brings us to today. it is a first. his alleged victims are foreign nationals, filipinos, they claimed they were young boys when he sexually abused them in the philippines. they are now bringing an action to sue him for damages for the abuse they say they suffered at his hands. thank you very much. what are we expecting today? i don't know if you can still hear me, what are we expecting today? what we are expecting in the next half an hour by video link is these young men, some are still children, some are still in their late teens, and they will give evidence by video link from manila, which is seven hours ahead of london. that is a first. they are expected to give evidence about what they say is the sexual abuse they suffered at his hands for

abuse they suffered at his hands for a number of years. they will talk about the effect it has had on their lives. slade is in prison on the isle of wight and has not taken part in any of the pre—trial proceedings. he has claimed these claims against him area he has claimed these claims against him are a complete fabrication. we wait to see whether he will come out of his cell and appear by video link and take any part in today's proceedings. thank you very much, angus. last week the prime minister announced what she said was the end of austerity. according to new research the effects of austerity — public spending cuts — have not been felt equally around the country. a report from cambridge university has looked into the impact of austerity, a policy introduced by the previous

prime minister david cameron to reduce the amount of money the government borrowed and spent. many say the result has been lost and damaged local services. let's talk to four people whose lives have been changed by austerity. becky reynolds was a frontline social worker until a couple of months ago. councilor tracey dixon is from south tyneside council, which has had the third biggest reduction in spending according to researchers. corrie warburton from bury who says that she now pays for a private bin collection because non—recyclable waste is only collected once every three weeks, in part to save £800,000 a year. and andrew lilico, an economist considered one of the architects of austerity. thank you all for coming on the programme. tell us about why you have taken the decision to pay for a private bin collection?” have taken the decision to pay for a private bin collection? i do not have any other choice to be honest.

i have got three children. we have quite a lot of waste and i don't drive, so i can't go to the tip. i have no other option but to pay for a private company to come round and collect my rubbish. how do you feel about spending money on top of your council tax for your bin collection? it is not idealfor me council tax for your bin collection? it is not ideal for me to council tax for your bin collection? it is not idealfor me to do, especially as a family, but i do not see any other option that i have got. i pay quite a big council tax bill as it is and i cannot actually see what we get for our money nowadays. bury council says this policy has increased recycling and they are saving money which can be spent on other services.” they are saving money which can be spent on other services. i cannot see the other services that they are spending the money on. we still have potholes in the road. the state of the roads are still the same. i

agree they probably are saving on recycling because we are doing the recycling because we are doing the recycling for them. becky, you were a social worker for recycling for them. becky, you were a social workerfor more recycling for them. becky, you were a social worker for more than ten yea rs. a social worker for more than ten years. how did thejob a social worker for more than ten years. how did the job change after austerity? it is fair to say from when i first qualified to ten years ago were blows have increased across social care will stop why? many reasons. partly because of the cuts to services, preventative services that support individuals, children, families, to stay at home without coming into the adult social care system. those services have produced and it pushes situations into crisis and it pushes situations into crisis and increases pressures in statutory social work services. we did a survey last year of 1500 social workers and 52% were planning on leaving their positions because of the pressures of the work load, the increase in the role because of austerity. tracy, south tyneside

councillors have had the third biggest reduction in the money, so what has that meant that the services in your area? the services i provide through my portfolio is aduu i provide through my portfolio is adult social care and we have seen a huge reduction in the budget given to us. since 2010 we have had to make efficiency savings of £156 million. we have lost a third of our workforce. we have had to look at different ways of delivering our aduu different ways of delivering our adult care social services. cuts to households nationally is around £3aa. in south tyneside is of £7a6 annually per household. it has had a huge impact on how we have delivered our services and how we look to deliver them the future. was it all necessary? absolutely. first of all we chose 2008 to bail out the banks

and when we bailed out the banks that left us vulnerable to the risk if the economy did not grow fast enough, the banks would go bust, dragging down the government and we saw in ireland and spain which have quite similar economies. secondly, we we re quite similar economies. secondly, we were running an extremely large deficit, 10% of gdp. some of you may rememberthe deficit, 10% of gdp. some of you may remember the maastricht convergence criteria from decades ago. the normal level of deficit to gdp is 3%. in 2010 it was 10% and 8% of that was structural. it would not have gone away as the economy started to recover. it was crucial we got that down. even as things were, the level of debt went to about ao% before the crisis of 286% of gdp now. that means actually that although we can call austerity is having a pause for now, we will make

more in the future because we need that 86% to get back down to ao% so if we have another recession we could use the same sort of cushioning effect of running deficits for many years in a row. do you accept the country's overdraft had to come down according to politicians in power at the time? we can listen to statistics and figures, but that does not recognise the impact this is having on people day—to—day. the impact this is having on people day-to-day. fair point. this was a period in which all across the economy there were problems. people in the private sector had low salary rises for an extended period of time, in fact they had salary cuts. the public sector participated in that as well. we were all in it together, so people in the public sector struggled and people in the private sector struggled as well. do you think different decisions could have been made by politicians that could have brought the country's

overdraft down that might not have impacted on as many people as it did? you can always suggest a few ways in which things should have been different. i wish the cuts could have been more even, we could have had cuts in departments that had the largest spending rises running up to the crisis, like health and education. but if you suggest cuts in health and education budgets, there would have been complained about that as well. nothing was straightforward. i would have done things slightly differently, but overall the programme we have implemented has been very successful, we have had an extended period in which the economy has grown at a reasonably steady rate. we have had low unemployment. you only have to look across to the continent to see a large number of of economies that did worse than the uk and we acted early and we have been successful as a consequence. tracy, what would you say? we need

to look at nationally the settle m e nts to look at nationally the settlements these governments are settling in various local authorities. do you agree with the way andrew has described the way austerity was needed? wye i am differing a little bit. austerity is something that has happened and we need to put it right. and the prime minister's statement that the austerity is over is premature. we do not know where we are going in the next 18 months. we never know what funding is going to be coming to us. everything we see through from this temporary settlements we are getting we are up in the air and we do not know what is coming forward. talking about settlements, it frustrates me that settlements nationally are not fair. we do not getafair nationally are not fair. we do not get a fair bite of the cherry. we have a very small minority of self... doesn't be like austerity is

over to you? to be fair i don't actually see where most of it gets spent, it does not seem to get spent on the right areas. i am not up completely with all the politics, but even if you are in politics, you don't know where it is spent either. housing communities spokesperson said, we have made billions available to cancel up to 2020 for services and we are working closely with them based on need in different areas. what did you think when you heard theresa may say that the end is in sight for austerity. people have suffered because of austerity and that will not go away. the negative effect it has had on people over the last few years, the availability of services and the availability of services and the availability to meet people's nice, it will continue. do you agree some

conservative politicians are weary of austerity? we are all weary of austerity, it has gone on for a long time. we need more in the 20 20s as well. the reality is that at 86% debt to gdp, if we were to have another as% added to that, a similar rise from 2010 until now, that would ta ke rise from 2010 until now, that would take us to levels of debt similar to italy today or greece in 2011. we do not want to go there, we need to get the debt down and in order to do that we will have to have an extended period in the 2020s of running another balance. there is a long haul to go yet with this. holly has the sport. chelsea forward

eden hazard says he is torn between signing a new deal with chelsea and making a dream move to real madrid. the belgian forward, who has less than two years left on his contract, admitted i do not want to say yes, i am signing a new contract, then in the ad not end up signing. he said chelsea have given him everything and sometimes he wakes up thinking he wants to go, others saying he wants to stay. hazard was one of 11 premier league players nominated for the ballon d'0r this year, a record number. england captain and tottenham striker harry kane has made the 30 man shortlist, including mo salah, de bruyne and sergio aguero. lionel messi and cristiano ronaldo are included in the list. reynaldo won for the fifth time last year. this year there will be a women's award the very first time. lucy women's award the very first time. lu cy bro nze women's award the very first time. lucy bronze of england, and her compatriot fran kirby, are

nominated. bronze was part of the lyon said he won the champions league last year, fran kirby won the league and cup double with chelsea. the ceremony is on paris on december three. england's women play tonight, taking on australia at craven cottage. australia are ranked sixth in the world against england's third. they will offer another test of the cut lionesses continue their preparations for the world cup next year. it will be a really physical game, i think australia are similar to the usa in terms of physicality, they have real running power and strength in the team. regardless of who they have brought or not, they have players that can play in any league, on any stage. 0ur players will have to show their quality. the fa is investigating comments made by manchester united manager jose mourinho to a television camera after saturday's win over newcastle. mourinho's remarks were in

portuguese and have been interpreted as offensive. the fa will get an official translation before deciding what course of action to take. after winning rugby league's man of steel last night, ben barba has thanked st helens for allowing him to enjoy playing the club again. he joined saints last year after a speu joined saints last year after a spell with rugby union side toulon and is heading back to his native australia to play for north queensland cowboys. he was instrumental in st helens winning the league leaders shields. ajer17, eight castleford player has won woman of steel, she is one of the youngest players to be kept for her country. kyle edmund's opponent broke serve

in the first set, but edmund recovered and has progressed to the next round. i will have more on the news channel throughout the rest of the day. "i am not a victim" — the words of seann walsh's former partner in a statment saying their relationship is over — after he was photographed kissing dance strictly dance partner katya jones on a night out in london. rebecca humphries says she suspected something was going on but was allegedly labelled a ‘psycho' for suggesting it. she now says she feels free and has called on other women to trust their instincts. with me now is emma bullimore, entertainment reporter for the tv times, and sara wallis — who's the daily mirror's tv critic. first of all, your reaction to rebecca humphries' quite detailed statement. what a statement, it has gone to being a case which could have been overlooked to basically an

accusation of emotional abuse, which will not be so easy to overlook. at first we were saying that they will ride it out, seann and katya, and be there on saturday night, now i'm not so sure. there has been a statement from seann walsh and his representatives, we have tried to get a statement from them. what statement would you accept? to say they do not want to be in the show any more, it will overshadow the whole thing. nobody is bigger than strictly, if they go we will move on and enjoy it, but i think it will be difficult for them to rehearse a routine and get ready to perform when they are trying to sort out their respective relationships. when they are trying to sort out their respective relationshipsm that happens, would you expect it to be them voluntarily saying we are out of here? i would expect so. i am sure there will be meetings with strictly but it is difficult to see how they can go on. strictly is an

escapist, glamorous, wonderful place. going in there with this nightmare going on field is difficult. one person on text says i don't think seann and katya should leave strictly, it was a silly, drunken snog, i am gobsmacked at the speed at which his partner responder and social media. if there was something wrong in their relationship they should have discussed months and years ago. this text says i think seann and katya should leave, they have brought the show into disrepute. katya should leave, they have brought the show into disreputem is not the first affair on strictly but it is quite rare that they have such a clear photograph that they have to comment on it and did become conversation. i think you can enjoy strictly and read about that stuff in the tabloids and see it as separate, others disagree. james said that people who think strictly is about dancing wannabe think that top gear is about cars and the x factor is about singing. they are about entertainment. but i

do not see how seann walsh can continue. alan says he should not be kicked up strictly because of a case, it is about his ability to dance. in the end, is adjusted tv dancing competition? yes, but i think it is difficult for him to be the happy—go—lucky, funny guy. he was taking it seriously, he was not a joke act, but it will be difficult not to be distracted by the tabloid noise. there was a suggestion yesterday that there might be a public apology, i know that both katya jones and seann walsh have apologised on twitter, but a public apology on it takes two later this week, but you think rebecca humphries' statement changes that? yes, it will be interesting if they stay in the competition, on it takes two, they talk about their week, they cannot ignore this. if they will carry on they will need to decide that we will do this

interview with zoe ball and address it. what do you think, sara?” it. what do you think, sara? i agree with emma, it has taken a similar tone. what they said was a snob and a bit of fun, they could have drawn a bit of fun, they could have drawn a line under it but they had to address it now. this is not big brother, it is strictly, everybody wa nts brother, it is strictly, everybody wants the fun of it and i think there will be crisis talks in strictly maghera headquarters. seann needs to give his side of the story. evenif needs to give his side of the story. even if they returned on saturday, the public would not be behind him. i think he has signed his own death warrant. if they return on saturday, it will be incredibly awkward, will it will be incredibly awkward, will it not? absolutely. before rebecca's statement it was a very different beast. we talk about the strictly occurs, that is different. private lives are fine. this is very different, she said he was

aggressive, hurtful, controlling, we have heard the term gas lighting, manipulating somebody. this is a very big issue, a very important issue and see ruse allegation. seann needs to step forward and do it soon. they are allegations, claims, as yet seann walsh has not responded, despite us acts going for a statement. what is it like, let me bring you back in, emma, for professional dancers and the celebrities thrown together in this way? there is always talk about how intense it is, you spend a lot of time with somebody of the opposite six, you had to pretend to be in love with them in the dancing and it can get confusing, that is why we see lots of romances. but more people do not have a romance. see lots of romances. but more people do not have a romancem illuminates everything, exposes cracks and fault lines in a relationship. sometimes i think

strictly gives people back their confidence and self—esteem and they are saying i am not happy in this stage in my life or relationship, so it prompted an existential crisis, maybe. do you think this is a crisis for strictly, sara? it depends on how they deal with it. in terms of publicity and ratings i don't think it would make a difference. it is a juggernaut of a show, everybody loves it. seann is not bigger than strictly. however, cliquey needs to be careful, they lead to deal with it, they understand a big issue has been raised. i am hopeful something will come out today and as emma said, nobody wants that to be the big deal, we want to focus on the done thing. imagine if they are dancing on saturday night, how many more people will tune injust

dancing on saturday night, how many more people will tune in just to watch? they would probably get the biggest ratings they have had, certainly for this series, on saturday. people who don't normally watch strictly have been commenting on this, they have been on twitter and social media voicing their opinions, it is a big issue. it will do the ratings any harm, but after that the dedicated fans will take issue he remains in the show —— it will not do the ratings any harm. as i have made clear number of times, seann walsh has not responded, nor has the bbc issued a statement. this e—mail says with the success the dancers had, they were in a state of high excitement, as you could see, with katya jumping up and down like an excited child. it could be easy to get lost in the moment, not an expression of love but success. it was an exchange between two successful competitors, i think too

much has been loaded, particularly by broadcasting competitors who would like to see the end of strictly ‘s success. thank you for coming on the show, sara and emma. next, the story a 22—year—old woman from the states who suffered devastating damage when she shot herself in the face and who has now become the youngest person in the us to undergo a full face transplant. katie stubblefield tried to take her own life four years ago. she had a 31—hour operation in may last year. this is her story. and, as you would expect, this film contains some upsetting and very graphic images throughout — and if you find that kind of thing too upsetting to watch it will last around eight minutes. katie's always been a deep soul. katie was a deep soul when she was a young kid. she started playing soccer when she was about four years old, and she was a very aggressive soccer player. it would take a while for her to warm up to people, but once she did, they were best buddies. it's probably very difficult

for you to think about and talk about, but bring me back to when you were 18, what was life like? when i got to robert's house, she was sitting in a big, fluffy i remember we were walking up and we heard this loud bang, then i walked in, i looked in the chair and she was not in the chair. i didn't get alarmed then. i walked to the kitchen, went on the back patio, little porch, i saw the bathroom door shut. i twisted the door and said, katie, are you 0k? she didn't answer. my son picks me up and takes me through the living room, outside in the yard, and just stands me there and says, "mom, katie got my gun and i don't know, she's hurt." she'll never eat, drink, bathe herself, converse, she'll be a vegetable,

she'll be in a facility for the rest of her life. i said, i'm not ready to let go of my daughter, i'm just not. i think i was trying to look for old characteristics, if i could see anything from the pre—accident katie, the pre—injury. and i don't think i did. it was very surreal. i remember thinking, "where is katie? " you know? at the same time, so grateful that she is alive and so grateful that she didn't have to walk around the rest of her life without a face. but it was hard. i grieved her old face a lot, i have to be honest. it's three years to the week since tracey hanson's 21—year—old

sonjosh was stabbed to death in an unprovoked bar attack. she's so desperate to track the suspect down she's taken new measures to try and find him. tracey has been targeting commuters wearing a sandwich board and handing out leaflets for people to photograph and share — all in the hope of finding the prime suspect in his killing, 30—year—old shane 0'brien. he left the country on a private jet in the hours after the killing and has been on the run, evading police on multiple occasions. we can talk tojosh‘s mum tracey and sister brooke about their search for the man who allegedly killed him. and also with us is detective chief inspector noel mchugh, who's the lead officer from the met police.

for this particular case. thank you all for coming onto the programme. tell us why you are doing this with a sandwich board? i have been campaigning since the very beginning, really, not right at the very beginning, because the police obviously took charge of that and still run the whole investigation, but when i started to speak to people i started to realise they had not even heard about what happened tojosh, despite the fact not even heard about what happened to josh, despite the fact thousands of posters were being printed and sent out and members of the public asking, i appeal to the public across social media all the time. being caught up in this in the very beginning, being consumed with grief, not thinking too clearly, i just presumed everybody in the world knew about it. it is not the case. the media, as fantastic as it is, this appeal needs to be out there all the time and coming up with the ways to make sure this happens, i

think what might work and look to other countries which have adopted different principles. the latest one is the sandwich board, it means it gets the attention of the commuter walking past and they can see it from a distance before they might ta ke from a distance before they might take a leaflet, it is not fair everybody, not everybody wants to see the word murder on a poster. whilst we give out these we give out a picture ofjosh, just so they know who we are talking about and to let them see there is a person behind this poster who did exist, who should be here. police need to speak to the man in connection with my son's murder. handicap posters i going back to the old—fashioned way, leafleti ng going back to the old—fashioned way, leafleting and posters, more and more people are engaging, we are getting more and more poster requests, the public have been fully supported... supported from day one.

without them and the press and everybody else who has come on board, ido everybody else who has come on board, i do not know where we would be. let me bring in detective chief inspector mchugh, what happened on the night ofjosh's death? inspector mchugh, what happened on the night of josh's death? he was out with his girlfriend, by chance, he should not have gotten, the bouncers initially refused entry but he was referenced in, he had had several pints that evening and in a com pletely several pints that evening and in a completely unprovoked attack, josh wood lose his life. the person we seek with regard to that murder is shane 0'brien, who would leave the bar, trouble in a car to camber sands where he would stay in a caravan, go to ashford shopping centre, purchase new clothes and was taken to biggin hill. from there he got on a private plane, flew out of the uk and landed in the netherlands. he was refused entry, flew on to germany and disappeared.

he obviously has some decent criminal connections to get on a private plane? it is fair to say he is very well—connected unsupported and those individuals are looking after him. we have seen a photograph of him with their huge tartu, which you have also got here. is that an owl? yes, holding a skull. that is very significant, it takes us back to february 2017, he was arrested in the czech republic. his fingerprints we re the czech republic. his fingerprints were not checked, they were subsequently checked, they took these photographs and his appearance has dramatically changed, he has tattooed over a name on his back, shannon, and a date of birth. brooke, what do you think of what your mum is doing? it is amazing, her strength keeps me going every single day. josh is with us every day and i know how proud he is of

mum, she is absolutely amazing. she is loved by so many people and is doing josh so proud, she keeps us going. no matter what she's going through, losing her own child, she keeps us going is a family every single day, josh's friends, everybody, it is absolutely amazing and i'm very proud of her. where do you get your strength from? al be really honest, i don't believe that most of the time. fighting for justice, it is almost likejosh is still here and i'm doing something for him. to be honest, it is really the only thing i can do right now. we have set up a charity and josh's name and are looking to help youths and disadvantaged young adults to turn away from crime, particularly knife crime. iamjust knife crime. i am just not going to let him down. i have never let my children down, i will not start now. as hard as it is

to get it every day and do this, because it is extremely difficult, we need justice forjosh. we need to say tojosh, 0k, we need justice forjosh. we need to say tojosh, ok, that part of what has happened is, this awfuljourney that we have been on has come to an end? there is a £50,000 reward for information leading to a prosecution? yes. thank you all for coming on the programme. people diagnosed with mental health illnesses are waiting months — and sometimes even years — for specialist treatment, according to research by the royal college of psychiatrists out today. in one case — astonishingly — a man waited 13 years from initially being referred, to getting the right treatment. the royal college says it's a "scandal", that's being caused by lack of workforce in mental health. the government says it's "transforming services with record amounts of funding", with the nhs spending almost £12 billion on mental health last year. so what's going wrong? earlier we spoke to rachel

bannister, whose daughter has anorexia but had to wait 18 months for treatment. i wish i could be positive and say that things had improved since we have been the service, but they have deteriorated. the government wow as with millions and billions, but it is meaningless, because if this money was enough, it would be getting through. spending more and putting these big figures out there does not equate to spending enough, they are not spending enough. we do not have enough people in the workforce, and psychiatrists. that is what really upsets me, if they are are lucky, they spend time getting to know you would hear your story i give you a diagnosis, but they have nothing in a mental health tool box, it is a postcode lottery. that somebody is diagnosed with ptsd, in some parts of the country you can get the mdr, one of the recommended treatments. —— you can't get. recommended treatments. -- you can't get. your daughter lucy began experiencing anorexia at 13,

how long did it take?” began experiencing anorexia at 13, how long did it take? i don't think it was initially anorexic, she was very underweight, struggling with eating, anxious at school, wanted to do well in her exams. the pressure had not come from us, i think it is just the obsession these days with a*s and she was taking some exams early. the gp referred her, body dysmorphic disorder was mentioned but there was no treatment pathway, no treatment for bdd. no dietician saw her. in march 2013, her bmi and weight, it breaks my heart to think she was that ill. 18 months later, her weight was still the same. it was a lost opportunity. if we had had a fully resourced service at that time, she had seen a dietician, we could have thrown everything at her. sorry to interrupt, i want to ask about the effect on one of your

other daughters? it caused a lot of strain? it had a massive effect on us all, it made me ill. when she was first sent away and she was 50 miles from home, i kept on going, when she came out i hit a wall and was very poorly. how old was she when she was and 50 miles away? i think 15, that was a four month wait for that bed. it was just awful. each time it happens to you, it you think it will be better, surely they will not send her into the community and not give her into the community and not give her more? but they do, and it is not the fault of the lovely clinicians, the fault of the lovely clinicians, the psychiatrists and those looking after her. they are really hard—working, passionate after her. they are really ha rd—working, passionate people. nobody works in the nhs for the money, you want to transform lives. those people are on their knees. we had a care coordinator who said i am on my knees, i do not have time to go to the toilet and eat lunch. and

my middle daughter was diagnosed with anxiety quite soon after and put on antidepressants age 13. my husband and i were completely against the antidepressants, it terrified me, but she was very ill and we were reassured she would have and we were reassured she would have a nice recommended concurrent therapy, and she did not. on the drugs, almost two years before she had any therapy and then it was a six—week time—limited cbt, filling in worksheets and colouring pictures, it was horrific. rachel bannister. ehmer says i had a full breakdown two years ago, severe depression and anxiety. it has taken me 18 months to get cbt treatment after being dealt with by the crisis team. the last two years have been the hardest of my life. thank you for watching and getting in touch. bbc newsroom live this next, have a good day. good morning. we have got lots of

sunshine developing across many southern parts of england, it is gradually extending further north and west, some lovely blue skies and sunshine in great centre in kent. it is not nice and sunny everywhere, some rain still across northern ireland, through northern and particularly western areas of scotland. this rain has been relentless over the past few days and will continue through today as well. for england and wales, try with sunshine increasing, temperatures getting up to around 20 or21, temperatures getting up to around 20 or 21, feeling quite warm and pleasa nt or 21, feeling quite warm and pleasant in the south—east. 15 or 16 further north. tonight this rain will eventually move further north, a southerly wind developing across the uk. those are your overnight temperatures, as we start off on wednesday there will be lots off on wednesday there will be lots of sunshine, with the southerly winds bringing much warmer air temperatures really developing. 23 2ath for parts of central and southern areas, even in northern

areas it is try with sunshine and temperatures just about getting the 205. —— temperatures just about getting the 205. -- it temperatures just about getting the 205. —— it is dry with sunshine. you're watching bbc newsroom live, it's11am and these are the main stories right now: as mps return to parliament after the party conferences, a former brexit minister warns theresa may that ‘at least a0' conservative mps are poised to vote against any deal based on her current approach. representatives of northern ireland's two main unionist parties are meeting the eu's chief brexit negotiator, michel barnier, in brussels. a leading cabinet brexit supporter says she supports the prime minister

but repeatedly refuses to publicly back her chakras plan. chakras plan. the second suspect in the salisbury nerve agent attack is identified as a military doctor working for the russian intelligence service. five alleged victimsof notorious british paedophile