tonight at ten... the state of the nhs. with no nation of the uk hitting key waiting time targets for a year. one in five local hospital services have failed to hit any of their waiting time targets for cancer, accident and emergency and routine operations. the nhs blames rising demand. we are getting more complex patients coming into our emergency department with long—term conditions and that is all adding to the volume and also the workforce is not there to actually deal with the problem. we talk to one of many families badly affected by the pressures on the nhs across the uk. i am very, very frustrated that my mum has not got the quality of life. she cannot do anything and she is just suffering. we'll have the detail and reaction, as ministers insist the nhs is ready for the challenges of the winter months. also tonight... despite the murder of the saudi journalist, jamal khashoggi, president trump says the us will remain a steadfast partner of saudi arabia. it's now or never to remove theresa may as leader. the message from some leading brexit supporters, as the prime minister prepares to travel to brussels for more talks.

the prime minister is expected here but i am told that keith brexit documents are far from being finished. a nationwide survey of victims of terror attacks. they praise the emergency services but criticise a lack of ongoing support. and in search of tomorrow's female cricket stars, the new programme to get more girls into the sport. coming up on sportsday on bbc news... it's a must win match for scotland as they look to secure a play—off place for euro 2020 through the nations league at hampden park. good evening. no nation in the uk has hit any of the key nhs waiting time targets

for a whole year. according to bbc analysis, it's the first time this has happened since the performance measures were introduced more than a decade ago. there's a big variation between individual hospitals and boards. of the 157 across the uk, 29 have not hit a single target. those targets are a maxiumum a—hour waiting time at a&e and waiting times for routine operations and cancer treatments. the royal college of nursing says the nhs is going into the challenging winter months "on the back foot." but ministers disagree, as our health editor, hugh pym, explains. maria, who is 84, is in constant pain because of swollen feet and ankles. she's endured months of delayed nhs appointments. in august her daughter told me what they were going through. you just can't get through to people, it's answer phones, you're just banging your head against a brick wall most of the time. but now, after eight months,

it's still not resolved. one appointment was cancelled, apparently because of a lack of medical staff. i'm very, very frustrated that my mum has not got the quality of life. she can't do anything and she's just suffering. and i don't like to see... nobody likes to see anybody suffer, and i don't see why she should be suffering all this time. suman works in intensive care. he's also a representative of the royal college of nursing, which has done a report warning that the nhs has been so stretched in recent months, there could be serious problems ahead. we are really concerned that, because we've had quite a bad winter last year, and we've not really had much of a respite in the summer months, and we are now heading into winter, this is the concern that we have. and the reason is that the workforce is a key issue for nursing in particular. so, we have 42,000 nurses vacant posts in england, alone. on the three key waiting time targets — a&e, routine operations

and cancer treatment — 16 out of 131 trusts in england missed every one over the year. in northern ireland it was every one of five. in scotland, three out 01:14 boards missed the targets. in wales, five out of seven. so, how do some hospitals, like this one, the chelsea and westminster, hit all their targets? there is regular monitoring of the pressures in a&e around the clock. management say there is intense focus by staff on performance. for us, the a&e standard is actually the whole hospital standard. it is about how quickly we get patients through the entirety of the system so it's notjust an accident and emergency department responsibility, it's everybody that works here. so, is hitting the target achievable? at senior levels of the nhs in england, there is now a review under way to see if the targets might be rewritten to reflect the different ways patients are treated. ministers have said they will look seriously at any proposals nhs leaders come up with.

and some health experts agree it is sensible to look at how hospital performance is measured. i do see a case for revisiting some of these targets. medicine moves on. are we getting the best out of them? i think what i don't see a case for is simply saying, well, because hardly anybody is meeting these targets, we should abandon them. i think what we need is a proper analysis of why that is. the department of health covering england said more patients were being treated and there was a long—term funding plan. the scottish and welsh governments have launched plans to speed up progress. nhs leaders in northern ireland conceded waiting times were unacceptable. carol's mother is still waiting, after eight months, and theat means —— that means yet more pain and frustration that the system is letting her down. with so many targets being missed,

it is fair debate around the validity? targets are there to reassure patients they will be seen ina timely reassure patients they will be seen in a timely fashion and will not have to wait hours in a&e or months and months for an operation. patients have the rights to expect waiting times will be observed but they have not been on a national level around the uk over the last year and that is a problem. it may be an issue of previous underfunding by the government says it is now investing money for the future and many more patients are being seen by the nhs. at senior levels of the nhs in england there is review of the targets and maybe suggestions they should be adopted to reflect the way that people go through amd better. it may be difficult and may look like changing the goalposts. ministers will have to decide whether they go along with those suggestions or insist the existing targets a re suggestions or insist the existing targets are ad here to even though they look pretty unobtainable now. if you'd like to find out how your local services are performing, you can find out using the bbc‘s nhs

tracker at bbc.co.uk/nhs tracker. you can put in your details and see your local services there. president trump has said the united states intends to remain a "steadfast partner" of saudi arabia, despite his admission that the crown prince, mohammed bin salman, might have been linked to the murder of the saudi journalist, jamal khashoggi. he said the us intelligence agencies were continuing to assess the case, although the full story might never be known. our washington correspondent, chris buckler, has more details. the cia now believes it has a detailed picture of what happened when jamal khashoggi entered the saudi consulate. the names of the so—called saudi execution team who flew into istanbul to carry out the murder and an audio recording of the killing inside the consulate which president trump says he has refused to listen to because it was, in his words, "so violent, vicious and terrible." it has been claimed that the intelligence

agency believes that, despite his denials, the crown prince, mohammed bin salman, ordered the murder. today, in a statement, president trump seemed to dismiss that saying... i am not going to destroy the world economy and i am not going to destroy the economy for our country by being foolish with saudi arabia. what many people will find shocking is that, in this statement, president trump at one stage refers to the fact that some in saudi arabia regarded jamal khashoggi as an enemy of the state. he does go on to say that this was a terrible and indefensible crime. but nonetheless it gives you the sense that president trump intends to put american interests first over global concerns. the united states will continue to have a relationship with the kingdom of saudi arabia. they are an important partner of ours. we will do that with the kingdom of saudi arabia, its people,

that is the commitment that the president made today. thank you very much, everybody. today president trump was taking part in a presidential tradition, pardoning the turkey before thanksgiving. but away from the cameras, critics say he has been making excuses for saudi arabia, granting the country something approaching forgiveness. the washington post, which employed jamal khashoggi as a columnist, said president trump's response was a betrayal of american values and that surrendering to what they called a state—ordered murder only made this world more dangerous. chris buckler, bbc news, washington. our chief international correspondent, lyse doucet, is in the saudi capital, riyadh. what is your sense of the extent to which the president's latest words have significantly reduce the pressure on the saudis? well, for

saudis and especially the saudi leadership, there will be a huge sigh of relief tonight in some ways it was what they expected. it was an affirmation of what they said from day one of president trump's leadership, that he will be a loyal ally of the kingdom, a great friend no matter what. the american president clearly seems to want to draw a line under this he mentioned it, and the saudis know, there will be pressure coming from members of the us congress as well as from human rights groups and other countries he will continue to demand greater clarity. here in the kingdom, many saudis are asking and they say they do not believe their crown prince could himself have ordered such a despicable act. so many have said to me how upset they are that this murder and dark cloud and big question will hang over the

kingdom, hang over them as individuals for a very long time to come. the fact that president trump left a kernel of doubt saying, maybe he did, maybe he didn't involving the murder, means it will not go away for a very long time. the prime minister has chaired the first cabinet meeting since ministerial resignations last week, prompted by the publication of the government's brexit plans. but theresa may's critics in the conservative party, who so far have failed to mount a vote of no confidence in her leadership, have underlined their opposition to the plans. and mrs may's parliamentary allies in the democratic unionist party of northern ireland are warning that the prime minister can't count on their support either. tonight the government had to accept labour amendments to the budget bill because it couldn't rely on those dup votes. our political editor, laura kuenssberg, has this report. number 10 can probably just about rely on the cat. at least as long as he gets let back in out of the rain.

for a moment, it seemed even relations with the chief mouse catcher had broken down. beyond that, theresa may is certainly looking for friends right now. can you get this deal through? a restless cabinet, the chief whip though firmly onside. she'll get the deal done and then, in a few weeks' time, i've got a job to do in parliament. but hisjob, all theirjobs, is enormous in an atmosphere that's far from friendly. with the government's official allies, whose votes it desperately needs, now foes instead. we will be voting along with many others in the conservative party and the opposition parties against it. don't forget, this has united remainers and leavers in the conservative party. that's how bad this is. and it was hardly good morning to theresa may from this man. good morning. might get an umbrella. once he'd found his brolly, jacob rees—mogg, leader of the eurosceptics, had this to say. it is very hard to find anybody

who wishes to see theresa may remain leader of the party at the next general election. although while he was able to put together a press conference to talk about customs he has not so far been able to put together support to oust the pm. if you can't persuade 47 of your colleagues to write letters in the way you have to try to unseat the prime minister then why should the public think you've got the first idea of how to organise brexit? actually, what we're seeing from the government is a deliberate decision not to deliver a proper brexit. as for letters, patience is a virtue, virtue is a grace, etc. we shall see whether letters come in due time. five days though since they created a frenzy by calling for a vote of no—confidence. is the brexiteers' power now in doubt? you have a reputation as being a fearsome organiser. with respect, do you feel a bit daft? no, i don't feel daft at all. this group has a talent for causing a fuss but less ability it seems to sweep the prime ministerfrom office. they are not enthusiastic

about theresa may's deal but it is hard to find anyone who is. the first minister was in westminster‘s corridors of power today, trying to create a coalition of opposition. the snp, plaid, the lib dems and labour all hate the prime minister's deal. can they find common cause instead? we are fairly certain there is a majority against the deal, there is certainly a majority against no deal in the house of commons and that takes us so far but it only takes us so far. it's now really important that we work together to come up with an alternative. is there a building sense among the talks you have had of something you could gather round, another referendum, for example? i think it is possible and i think we are starting to see the momentum grow behind that. but mps wondering how to vote and the rest of us wondering what to think. we'll hear plenty of these warnings about no deal. this would be a large, negative shock to the economy. no deal, no transition. there should be no doubt about that.

the referendum itself was a shock to most of westminster‘s system. right now the prime minister can only hope her deal won't turn into a nasty surprise. laura kuenssberg, bbc news, westminster. our europe editor, katya adler, is in brussels. the prime minister will be there tomorrow to talk about the future relationship. what is this meeting likely to yield? one could ask, why is she coming here tomorrow when she is she coming here tomorrow when she is expected back here in brussels in a few days' time for the sealed the deal brexit summit with eu leaders? the prime minister wants to be seen to be fighting for the best deal possible, right up until the last minute, pushing for even closer trade ties with the eu after brexit without remaining a member of the single market, something along the lines of her checkers brexit plan

but things have got a lot more complicate his, which is why this future relationship text is not yet ready for her to pick over. it is not just a matter ready for her to pick over. it is notjust a matter now of the prime minister wanting more from the eu, there are eu countries like france overfishing and there are eu countries like france over fishing and spain there are eu countries like france overfishing and spain over gibraltar that now want a lot more from her and it seems unlikely she will get all of this resolved in just one meeting tomorrow with the president of the european commission. is this now all pointing toa high commission. is this now all pointing to a high drama showdown with eu leaders at the brexit summit on sunday? very possibly. do not forget we have said all along that it might be quite useful for the prime minister to engage in political fisticuffs with the eu so the resulting final brexit deal looks hard—fought resulting final brexit deal looks hard —fought and ha rd—won resulting final brexit deal looks hard—fought and hard—won and could help her face down hard—fought and hard—won and could help herface down her critics. thank you. more than 50 people have been killed by a suicide bomber

at a meeting of senior clerics in the afghan capital of kabul. the gathering was organised to mark the birthday of the prophet muhammad. more than 80 other people were injured in the blast. it is one of the deadliest attacks in kabul in recent months. no one has yet admitted responsibility for the attack. the government has confirmed that the uk won't support a russian official to become the new president of the global policing body, interpol. alexander prokopchuk, who's currently vice president of interpol, is a leading candidate for the post, which is due to be decided in a vote tomorrow. critics have warned that his election would allow russia to step up the targeting of political opponents. tomorrow, survivors of terror attacks will travel to downing street to hand over the results of the first ever nationwide survey of victims. it paints a picture of a strong first response from emergency services but a severe lack of support later on. out of almost 300 people who responded to the survey, only i6% said the immediate

response from emergency services needed improvement. but 76% said that, longer term, mental health services weren't good enough. our correspondent, judith moritz, has been to talking to some of the survivors. when terror strikes, there is a rush to rescue. attacks have killed, maimed and wounded but there are thousands whose injuries are invisible. people like darren, who used to enjoy going to the football with his son. but now i would be different because of the anxiety and anxiousness. darren went into the lobby at manchester arena when the bomb exploded. now he has post—traumatic stress disorder or ptsd. he says he's not had enough help. nobody can see any injuries on me because i physically don't have them. mentally, i've got hundreds. i get people saying, "come on, darren, it's 17 months ago, get over it."

what's been the lowest point for you? not wanting to be here. that's very bleak. yeah. in manchester, a special screening programme was set up to identify people who needed help but counselling treatment is offered by individual nhs trusts. there is no uk—wide arrangement for the mental health response to terror attacks. david foulkes was 22 when he was killed in the 7/7 london bombings. his father, graham, now campaigns for terror victims. he says guidelines on making help available quickly enough aren't being followed. i've been overwhelmed with stories of people from 7/7, bataclan, tunisia and london, who had been left feeling suicidal, isolated, and without support and help. we don't seem to have a national plan. learn anything from the previous attack. we don't seem to have a system that

says, "oh, my gosh, we've had an attack, this is what we do." bonfire night has been around. like the fireworks have been very, like, triggering. some of them sound exactly like the bomb sound on the night. 15—year—old natalie harrison was at manchester arena with her mum, valerie. they have both found it difficult to get enough nhs counselling. val‘s sessions were stopped after seven weeks and natalie is on a waiting list. i want to open up to someone and i'm feeling like i'm being stopped from doing that. i need it now rather than in eight months‘ time. please don't hesitate to call us again if you need us. with nhs services stretched, the charity sector is highly rated in the report. a helpline run by victim support was extended to 2a hours a day after last year's terror attacks. we were still taking calls for westminster when the manchester arena event happened. since then we've never really had the opportunity to pull back our hours and don't now intend to because we recognise the need for immediate, emotional support.

of the victims survey, a government spokesperson said... terror attacks leave a lasting effect. those who have already suffered say they don't want others to go through the same pain in future. judith moritz, bbc news. in america, a judge has blocked an order, issued by president trump, to deny the possibility of asylum to migrants crossing the southern us border. mr trump cited national security concerns when signing the order earlier this month, in response to thousands of migrants from different parts of central america, making their way northwards towards the us border. but the move was challenged by civil rights groups. in a moment we'll hear

from aleem maqbool at the otay mesa border crossing in san diego. but first our correspondent will grant who has been to the border city of tijuana in mexico. idyllic though the beach at tijuana looks, it is a fortress. only the birds free to come and go as they please. for everyone else, the us border patrol is on hand but the migrants already knew they were in hostile territory. the main migrant camp lies in the shadow of the border wall, the us almost within their grasp. to reach it, migrant rights groups are helping them register for the tangled asylum process. "president trump is keeping us out but all we want to do is work," says isabel, as she waits to add her name to the list.

a good work ethic alone will not get them into the us. they may have more chance of success if their lives are in danger. translation: my ex husband threatened to kill me every time he saw me on the street. he said he would take our son and i would never see him again. as they walked through mexico, battling through the heat, the migrants were aiming to reach here, san ysidro, the busiest land border crossing in the world. yet, such is the fear over these tired and dusty migrants, the us shut it for one morning this week. after a journey of over 2500 miles, it is the last few hundred metres that may prove the toughest for the migrants to complete. for those who have not turned back already, they face potentially months of legal limbo trying to gain asylum in the united states. some may choose to settle here in tijuana for now. others may try to cross the border illegally instead. well, here in the us,

the white house has called this massive movement of people an invasion, an assault on the southern border. as such, the president has asked that thousands of troops be deployed here. but these are not soldiers lined along the border with their weapons poised. the army refused to approve a combat role on home soil. so, most of the troops are just reinforcing the border fence, putting up barbed wire. we did catch a glimpse of border police clearly preparing to use force against the migrants if they felt it was necessary. but we also met someone taking matters into his own hands, driving slowly along the border, looking for illegal immigrants. you can see where that fence goes up the hill over there... ken leicester has two teardrops tattooed on his cheek. he said for the times barack obama was elected. he is determined that no immigrant would get past him. they are invaders right now. i can'tjudge whether they

are criminals or not. right now they are invaders, they're trying to come into the country illegally, trying to force their way into the country. and what if they present themselves and they claim asylum and go through the legal channels at the border? that is a means of doing it legal. i, however, disagree with it. i think it should be done away with. vigilantes have clearly been inspired to take action by rhetoric from the white house. across the border are migrants who have already shown they are prepared to take any risk to achieve their dream. aleem maqbool, bbc news, in san diego. disability campaigners say they fear the government is set to dilute the guidelines on teaching sex education to people with disabilities. a change in the law last year promised to make education about relationships and sex compulsory in all schools in england. but now some believe it'll be far too easy for schools to opt out of teaching it altogether. our disability news correspondent nikki fox reports.

i want you to think about the relationships you have in your life. who's in your family? mum. dad. a relationships and sex education class. an integral subject at this specialist school in nottingham. who's kayla? used to be my ex—girlfriend. so, she's your ex—girlfriend? right! yeah! so, your relationship with kayla will have changed, won't it? every week, students discuss a range of topics from puberty to anatomy to hygiene, but the socially awkward subject of sex is a serious one here. if this is a fundamental part of education, they have to know that their bodies are valuable. they have to know that they have to keep themselves safe, they have to know about dignity, they have to know about respect, they have to know that they can make choices in life and they have to know that it is ok to say no. current sex and relationship education is based on advice handed out nearly two decades ago.

now, following a consultation, a new version to be taught to all schools in england will be fully available by 2020, but there are concerns that disability is an afterthought. there's only one clear reference to disability and it's a possibility of exclusion from sex education. we were asking for all children to have sex and relationships education, regardless of where they are educated, regardless of where they live and regardless of disability. thank you for coming, everybody. i hope you will mix and mingle together so that everybody meets everybody else. for the adults at this dating lunch, sex and relationship education was pretty much nonexistent but they are here today to maybe find someone. have you got a partner at the moment? no, i haven't at the moment. she's had three, she's had three. you've had three? do you feel different because of that now?

ifeel more confident within myself, you know, making friends, meeting people. i think i've always thought, well, who would want me? most people assume that we are not capable of having sex. and that we are not sexual beings like everybody else. this is exactly the kind of attitude they have spent decades trying to change. what are the main problems when it comes to disability and sex and dating? basically, it's the people doing the educating don't get it, that disabled people are just like everybody else. most sex education doesn't actually consider disability. and one of our members said his sex education was worse than useless, in other words, it put him off and made him feel terrible.

the government says its proposals will strengthen what is currently taught in schools. it says it is still considering all the responses to the consultation to determine whether there are ways to improve the guidance further. of course, many disabled people have good sex and relationships but the concern is that if they are not taught sex education along with everyone else, it may impact their adult lives. nikki fox, bbc news. scotland have secured a spot in the play—offs for the 2020 european football championships with a victory over israel in the nations league. james forrest scored a hat—trick for scotland after israel took the lead early in the first half. the visitors to hampden park pulled another goal back for a final score of 3—2. english cricket announced today what it hopes will be a major step forward in inspiring a new generation of female players.

over £1 million of lottery funding will be used to recruit some 2,000 mentors. these female role models will work directly to take advantage of enthusiasm for cricket in asian communities across the uk. our correspondentjoe wilson was at the launch of the scheme. english cricket can't afford to miss an opportunity, nor a player. we get the bat and then get the ball and then try to run. well, lottery money will now fund 2000 new ecb mentors, specifically for female cricket in south asian communities like leicester's. even for me, if i had a female role model orfemale coaches whilst growing up, that would have made such a big difference. i could potentially still be playing cricket, you know.