a sharp rise in the number of prescriptions for diabetes is now costing the nhs in england more than £1 billion a year. this man lost his leg after developing type 2 diabetes. he says he ignored doctors advice on diet and exercise. this is nobody's fault but mine, i don't blame doctors, i don't blame surgeons, don't blame doctors, i don't blame surgeons, i don't blame anybody but myself. if i had done what i was told i would not be in this situation. the biggest rise in prescriptions is for type 2 diabetes. it's closely linked to obesity and lack of exercise. also tonight: accused of "meddling" in the past with his controversial views, now prince charles says he will keep his opinions to himself when he becomes king. twelve people are shot dead in a student bar in california, the gunman was a former us marine, his motive is unknown. i was right by the tables, and as sooi'i as we i was right by the tables, and as soon as we heard a shot, we dropped to the floor, my friend was like,

get down. and we were hiding. a japanese firm scraps plans to build a nuclear power station in cumbria. it would have created 20,000 jobs as well a significant amount of the uk's electricity. commentator: and, rooney -- commentator: and, —— commentator: and, rooney scores. england's most successful goalscorer of all time: he retired last year, so why‘s wayne rooney been selected to play against the us at wembley next week? and coming up on bbc news: a keatonjennings century puts england in command on day 3 of the first test against sri lanka. good evening and welcome to the bbc news at six. the number of prescriptions being written for people with diabetes has soared in the past decade and it's costing

the nhs in england more than a billion pounds a year. more than three—and—a—half million people in the uk have the condition, most of whom need prescribed medicine. ten years ago just under 31 million prescriptions were written, now it's more than 53 million, with the biggest recent increases in treatments for type 2 diabetes, that affects around 90% of patients and is closely linked to obesity. prescriptions and other medical is are now costing the nhs an estimated 10% of its total budget. 0ur health correspondent dominic hughes has more. steven richardson, 58 years old, and learning to walk again. this is where his type 2 diabetes has led him. imean, i mean, that is the actual wound there. the condition can lead

to circulation and nerve problems, so even a small foot infection can quickly become life—threatening. the consultant said, we're going to have to take it off this afternoon otherwise you will be dead tomorrow. for years, stephen ignored advice on diet and exercise. but now, he is part of a grim statistic — one of 170 people a week who end up having an amputation linked to diabetes. this is nobody's fault but mine — i don't blame doctors, i don't blame surgeons, i don't blame anybody but myself. if i had done what i was told, i would not be in this situation. the tragedy for stephen is that it did not need to come to this, lifestyle factors, the bct, a poor diet, and lack of exercise are strongly linked to type two diabetes, which accounts for 90% of all cases in the uk. —— obesity. and yet stephen's doctor says that many do not realise how serious a diagnoses it can be. the number of people who die

as i direct consequence of type two diabetes is higher, 30% of people with diabetes will have heart disease, heart attacks, strokes. complications of diabetes are devastating in terms of trying to continue with the life you have had before, and i think that is what people do not necessarily realise when they hear about type two diabetes. the tragedy for stephen is that it did not need to come to this. as well as the terrible personal loss, the convocations associated with diabetes and particularly type 2 diabetes are leading to a financial burden on the health service that could become unsustainable. the cost to the nhs is really considerable, about 10% of the nhs budget is committed to all diabetes care, so the cost of diabetes in the future still represents a really big risk to the nhs, absolutely no doubt about that. so, how to beat the challenge posed by diabetes? on a chilly saturday morning, park run in manchester, debbiejones is trying to do just that. she's a type 2 diabetic who has

been running for ten months, in that time she has reduced her medication and her blood sugar levels are under control. when you've finished, the five minutes after you finish, you feel fantastic. that is the bit that keeps me coming each time. if you can bottle that. i feel so good afterwards. and you just feel energised for the day. more than 12 million people in the uk are now thought to be at risk of developing type 2 diabetes. and that's why doing things like this, getting exercise, eating a good diet, living a healthy lifestyle, is so important, for all of us. taking control of how we live, making lifestyle changes, is the key to reducing the impact of diabetes. failing to do so could have serious consequences, for us and the health service. dominic hughes, bbc news. our health editor hugh pym is here. given the huge amounts of money spent on it, it must be hugely

frustrating for health care professional, so much of this is preve nta ble. professional, so much of this is preventable. more than half are preve nta ble preventable. more than half are preventable if there was changes in lifestyle linked to diet and exercise, a big challenge for individuals as well as the nhs and wider society. bit of context, it could well be that one of the reasons for the increase is that the nhs is better at diagnosing diabetes earlier and it could be that people are living longer with diabetes and the prescription rate has gone up because there is more items that can because there is more items that can be described. but a 60% increase in the number of cases in the uk in a decade has led to charities and campaign is saying that government must take urgent action. scotland has unveiled an obesity strategy in the summer and has unveiled an obesity strategy in the summerand a has unveiled an obesity strategy in the summer and a strategy was launched in england two years ago but widely condemned, that is being updated, we await the outcome of that. the uk is not totally out of line here, it is an international challenge for all health systems, uk is around the average for leading

european economies but some of the stats we see for child obesity in the uk .2 long—term challenges. —— in the uk point to long—term challenges. the prince of wales says he will keep his views on controversial issues to himself when he becomes king. in a bbc documentary to mark his 70th birthday being broadcast tonight, he says he recognises being heir to the throne and head of state are two different roles. in the past, the prince has campaigned strongly on issues such as the environment and architecture, sometimes accused of "meddling". 0ur royal correspondent nicholas witchell reports — a warning, his report does contain flash photography: charles in nigeria yesterday. a few days from his 70th birthday, representing britain and trying his hand at a little pidgin english. all i can say is that "god don butter my bread." laughter for nearly half a century now, charles has tried, as he puts it, to make a difference for the better. as prince of wales, he has campaigned on the environment, the inner cities, youth opportunities, architecture, to name just four of the causes he has pursued. but, as he approaches his 70th

birthday, charles knows better than anyone that a new role beckons. when he succeeds to the throne, his public interventions must stop. but can the passionate prince transition to a monarch who doesn't meddle? in tonight's bbc documentary, charles says he can and will. i think it's vital to remember there's only room for one sovereign at a time, not two. so, you can't be the same as the sovereign if you're the prince of wales or the heir. but the idea somehow that i'm going to go on in exactly the same way if i have to succeed is complete nonsense because the two situations are completely different. clearly, i won't be able to do the same things that i've done as heir so, of course, you operate within the constitutional parameters. that undertaking,

to abide by the constitutional parameters when he is king, is significant. it should mean and end the sometimes controversial interventions he has made over the years. for example, his opposition to genetically modified crops. and then there's his letter writing, his so—called black spider handwritten letters to ministers, asking questions about causes which have caught his eye. all of which means that charles' comments about the need to curb all such interventions as king have reassured constitutional experts. it is very welcome because some people have been worried that, when he becomes king, he might continue to send his famous spider memos to ministers and the like. but he has now come out and said he recognises that, as monarch, it's a very different role. but that's not to say that, as monarch, he will be without influence. itjust has to be exercised with care. the constitutional conventions are clear. a british monarch shouldn't make

public interventions, as charles has now explicitly accepted. but a king or queen can encourage or warn but that must be done privately to the prime minister. slowly but surely, the way is being prepared for the moment when the crown passes from a monarch noted for her discretion to a prince who, until now, has never been slow to speak out. nicholas witchell, bbc news, buckingham palace. "prince, son and heir — charles at 70", will be shown on bbc one at nine o'clock tonight. and it'll be avaliable afterwards on the bbc iplayer. at least 12 people — including a police officer — have died in a shooting at a bar outside los angeles in california. witnesses described scenes of panic when a gunman walked into a bar popular with students and opened fire.

the suspect has been identified as a 28—year—old former us marine who took his own life. 0ur correspondent, james cook is at the scene in the city of thousand oaks. an all scene here, in another american city, a scene which police described as something from hell, president trump has said that this was a terrible shooting, he has been fully briefed on it, and he praised the actions of police officers, bravery he says which may well have saved lives. keep moving down this way. for the united states, this is the nightmare that never ends. it could be las vegas, 0rlando, virginia tech or sandy hook. but this time it is thousand oaks, the borderline bar and grill. it was a college night and the place was packed with young people enjoying country music and dancing when the shooting started. i saw the gunman with his gun drawn at the front, where you pay, and i was really, really close to him. as soon as we heard a shot,

i dropped to the floor. i told all my friends to get down, we stayed behind the stage and got out, went through the kitchen and the back door. the shooting was on that side so our friends got the bar stools and started throwing them against the windows so we could get out. outside the bar, sergeant ron helus was on the phone to his wife. he told her he loved her and ran into the building. he was shot immediately. you know, it's very, very sad. he was out there fighting for us and for the public and the people of the community to try to protect them and unfortunately we lost somebody. speaking to people here, you get a sense of shock and a sense of despair but what is really striking is the absence of surprise. america has come to expect mass shootings.

the gunman was a local man, ian david long, a 28—year—old former marine. he had had run—ins with police before and they had concerns about his mental health. but although his handgun's extended magazine is illegal in california, he had bought the weapon itself lawfully. why do you think this keeps happening in the united states of america? i don't know. if i knew the answer to that, i would do something to stop it. this city is ranked as one of the safest communities in the nation but no corner of this country is immune from the american plague of gun violence. james cook, bbc news, thousand oaks in california. plans to build a new nuclear power station in cumbria, which would have created more than 20,000 jobs, have collapsed after the japanese firm, toshiba, said it was pulling out of the project. the £15 billion plant would have provided 7% of the uk's future electricity. it's a blow to government plans to replace the uk's coal—fired power stations. from cumbria, our correspondent colletta smith reports. this should have been the view of

the new power plant in just six yea rs' the new power plant in just six years' time, but because the japanese owner of nu gen, toshiba, have had big financial problems in the united states, they have pulled out, towns along the lake district's coastline depend upon the jobs provided by the nuclear industry. three quarters of my customers work for contractors working for sellafield or work for sellafield. if you lose a quarter of that, because of retirement, because the jobs are finished and they have moved, that is a massive impact on my one shop alone and the concern on this town and for the whole borough is how fast we can get it back on track. toshiba have been looking for a buyerfor their track. toshiba have been looking for a buyer for their uk track. toshiba have been looking for a buyerfor their uk firm y track. toshiba have been looking for a buyer for their uk firm y while, with no luck, unions say the government should have seen this coming. —— fora

government should have seen this coming. —— for a while. government should have seen this coming. -- for a while. at the end of the day, they had an obligation to make sure this goes ahead, cumbria is already geared up, we have some of the best facilities for nuclear training around and it feels like it is going to waste. whole community thrives on the nuclear industry and it is shocking how this has happened. this is the nuclear plant, it is being decommissioned, the hope was that they would move over the road, because this is the new plant that would have been built by toshiba, the fact that is now in question puts a lot of concern into this whole area for the future of those jobs. the this whole area for the future of thosejobs. the government this whole area for the future of those jobs. the government had planned for this site to deliver up to 7% of the uk energy in a decade, but with no one to fund the building of the plant, the future of the uk's power is far from clear. we know that renewables are now cheaper and quicker than building a nuclear plant is, so the government should be kick—starting its renewable

options, rather than trying to keep going down the old failed root of trying to build a clear power stations at public and taxpayer expense when there are better options. the government say that they are committed to nuclear power but depend upon private companies to build the sites, the same plan, that means that thousands ofjobs, and the uk energy future, can be buffeted by global headwinds of international companies. the time is 16 minutes past six. our top story this evening: a sharp rise in the number of prescriptions for diabetes is now costing nhs england more than £1 billion a year. and with the centenary of the end of world war one approaching — we hear one soldier's story of bravery. coming up in sportsday on bbc news... gareth southgate labels england a strange country for its reaction to wayne rooney's call—up, as the striker is named in the squad for the last time. when wayne rooney retired

from international football last year, he did so knowing he had scored more goals for england than any other player. but now he's coming back, for one game only, to play for england against the united states at wembley in a friendly next week and his reappearance is dividing opinion. but england manager gareth southgate has defended his selection, saying it is an "opportunity to pay tribute" to him. natalie pirks reports. wayne rooney burst onto the international scene 15 years ago. john motson: wayne rooney! england scored, it's wayne rooney! he's rarely been out of the headlines since. but he's retired and england have moved on, haven't they? it was you who effectively ended rooney's career, so can you see why there has been so much conjecture over this? not really. i'm not picking wayne to play in a qualifier or to play against croatia. we are acknowledging the part he's

played with english football. if anybody deserves one more cap, it is somebody that's had 119. fans will be able to give thanks to wayne rooney and give cash to his foundation to help vulnerable children. it is a friendly against a country where he now plies his trade. it's the perfect fit, just not for everyone. some former players have said it devalues caps and has turned the match into a testimonial. fans have mixed feelings. there are players that deserve a call up, and we see players, especially young players, working hard. in friendly games, it's their only chance to show their true potential. if we are honouring wayne rooney, there's other players to honour as well, who have also contributed just as much as wayne rooney house. just as much as wayne rooney has. he's the highest—scoring scorer, so he really is a legend. it does make a lot of sense.

what of rooney himself? well, he told me recently he was more than happy with the way his england career had ended. it was the right decision to let the team move on, instead they were honoured in different ways, but perhaps this move shows england can cherish its past while still looking to the future. natalie pirks, bbc news, wembley. now time for a look at some of the day's other stories. the family of a patient who died after a robotic heart operation said lessons had to be learned from a "catalogue of errors". stephen pettitt, who was 69, died of multiple organ failure. after the inquest, it emerged that newcastle hospitals nhs foundation trust dismissed the lead surgeon sukumaran nair for the procedure which was the first of its kind in the uk. the paraplegic athlete justin levene, who dragged himself through the arrivals terminal at luton airport after his

self—propelled wheelchair was left on a plane in august, says he's dropping his legal action after the airport improved its disabled facilities. an nhs trust has been put into special measures after regulators confirmed their concerns about maternity care and a&e at the shrewsbury and telford nhs trust. the organisation is already having to report weekly to the care quality commission following an unannounced inspection in august which raised concerns. the international trade secretary, liam fox, says the government must have the right to decide when to leave any brexit customs arrangement that might be put in place to avoid border checks between northern ireland and ireland. the so—called backstop would come into force if the uk can't agree a future trade deal with the eu, but both sides have a different view of how and when the uk should be able to leave the backstop. 0ur political correspondent vicki young reports. a deal is almost done and cabinet

ministers want to know exactly what they will be asked to sign up to. they have come to read details of progress so far, it is 95% done according to the prime minister but the remaining 5% is proving difficult. some worry the uk will be closely tied to the eu for years. we have an instruction from our voters to leave the european union, that cannot be subcontracted to someone else, it needs to be an issue for sovereign british government to determine. and this is the sticking point. both sides are committed to making sure there are no border checks between northern ireland and ireland. the backstop means staying in the eu until a trade deal is ready. we cannot as a sovereign country be trapped in legal arrangements relating to customs for

example, that could exist in perpetuity even if it was against the sovereign will of the british people at some stage in the future. the row over the slightly complicated technical issue there is a broader complaint from many brexiteers about theresa may's plans. for them, brexit brexiteers about theresa may's plans. forthem, brexit is brexiteers about theresa may's plans. for them, brexit is about uk seizing control of its destiny, not following eu rules for years with no say over them and no obvious way to escape them. getting the trading relationship right after brexit is crucial. brexiteers have been accused of glossing over the importance of existing trade routes with the continent. even that the brexit secretary admitted he had underestimated it. we want to bespoke arrangement on goods which recognises the peculiar geographic entity that is the united kingdom. i hadn't quite understood the full extent of this but if you look at the uk and how we trade in goods, we

are particularly reliant on the dover calais crossing. but before trade talks can start, ministers need to finalise the withdrawal agreement. it is an excellent document, we should be really proud of what the prime minister has achieved and i'm looking forward to supporting the final deal. and no one knows how long that will take. this sunday will mark exactly 100 years since the end of world war one. to mark the day the armistice, tens of thousands of shrouded figures have gone on public display at london's queen elizabeth olympic park. they're called shrouds of the somme — 72,396 tiny figures, each representing a british commonwealth serviceman who died in battle but who has no known grave. most british servicemen did survive the war. one man who returned home after fighting at the somme and was awarded the victoria cross for his bravery was lance—corporal harry weale of the royal welsh fusiliers. sian lloyd has been finding

out about his story. harry was very quiet, very unassuming. didn't really speak about his active service. he was injured with five lots of shrapnel in his neck, but two of them remained for the rest of his life, as did the leg injuries, which i can still remember as a child having to be dressed every day. cherished memories of her grandfather, harry weale, whose remarkable achievements on the battlefield earned him the victoria cross, the highest honour for valour. as we approach the centenary of the end of the first world war, a commemorative stone is being made to remember his bravery. his is one of the last names to be carved by masons in west yorkshire. over the past four years, the 627 victoria cross winners of the great war have been honoured in this way. his stone will be unveiled in his hometown of shotton on armistice day.

this is the victoria cross that harry weale won and it was awarded to him on the 1st of march 1919 by the king, so ratherfitting that it was st david's day. behind every medal is a story of sacrifice and bravery. in august 1918, the royal welsh fusiliers were part of the welsh division advancing across the somme in one of the final battles, "the last 100 days" as they were called. they came under sustained german machine—gun fire and harry engaged the first german position and neutralised that. as they advanced, his machine gun jammed and so he took up another weapon and advanced, and cleared another two positions. the company advanced, inspired by his actions, and took prisoner some 50 germans, so a pretty remarkable action. the human sacrifice of the first world war is being marked through many projects during the centenary year. this sunday, in shotton, as across the country, individual stories will be remembered. sian lloyd, bbc news. time for a look at the weather...

here's ben rich. what will the weather be like on remembrance sunday, particularly at the cenotaph? it is touch and go because it is a sunshine and showers date. it is all about where and when and we will keep you posted over the next couple of days. a lot of rain in some parts of days. a lot of rain in some parts of the country today, this is how it looks in the middle of glasgow earlier. we have seen some heavy bursts of rain as you can see from the radar picture across the south—west of england and into wales. we had thunder and lightning for a time. that extending into northern ireland, the far north—west of england and into scotland. 0vernight these areas will see rain, turning lighter and more patchy by the end of the night. elsewhere clear spells but enough of a breeze to stop temperatures dropping too far. into tomorrow we have this

stripe of cloud and patchy rain to contend with. that is sliding eastwards so dry weather to start the day but into the afternoon, northern ireland, wales and the south turning wet and windy summer but those winds are coming from the south so it will be a mild day, 11 — 13 degrees. a lot of rain to come, with that strong and gusty winds, the black wind arrows show the ghosts, up to 60 miles per hour in some sports. —— the gusts. there is potential for travel disruption, particularly during the latter part of friday. that rain will sweep through during friday night into saturday morning with wet and windy weather for everyone, then on saturday it is a mixture of sunshine and showers, but some of these showers will be heavy and thundery, particularly in the south. for

remembrance sunday it is that theme of sunshine and showers and that is the story to take us through this weekend. thank you. a reminder of our top story... a sharp rise in the number of prescriptions for diabetes over the past decade is now costing nhs england more than £1 billion a year. that's all from the bbc news at six so it's goodbye from me and on bbc one we nowjoin the bbc‘s news teams where you are. hello and welcome to sportsday. the headlines. a gunman who opened fire at the music part and california killing at least 12 people has been named as ian david long. he was a former us marine. he walked up to the scene and shot the security guard outside, he stepped inside, it appears that he turned to

the right and shot several of the other security and employees and then began opening fire inside. prince charles tells the bbc he will stop speaking out on topics he feels strongly about when he becomes king. you cannot be the same as the sovereign if you are prince of wales. but the idea i will somehow go on exactly the same way if i am to succeed is complete nonsense because the two situations are completely different. this man lost his leg after developing type two diabetes. he