this programme contains repetitive flashing images. tonight at ten, the prime minister unveils a 10—year plan for the nhs in england, but questions are asked about how realistic it is. theresa may says the plan would aim to save half a million lives, with the focus on prevention and early detection of disease. this is an historic moment. our vision is clear. our commitment is assured, so let's deliver the nhs of the future. the plan involves a shift in resources from hospital—based care to community facilities and mental health services, but critics say it's not realistic. the challenge is, how is this going to happen when the nhs is under a lot of pressure already and we are already short of staff? we'll have the detail and reaction after ministers promised extra funding for the nhs in england. also tonight... conservative mps, many opposed to theresa may's brexit plans,

are invited for drinks in downing street ahead of the big parliamentary vote a week tomorrow. the us actor kevin spacey appears in court over allegations that he sexually assaulted a teenager in 2016. a special report from vancouver, where deaths from abuse of opioid drugs are being classed as a public health emergency. the star of the favourite, olivia colman, is among several british winners at this year's golden globe awards. and coming up on sportsday and bbc news, after a weekend of shocks in the fa cup, ruben neves gave wolves the lead against liverpool at molineux, but could they hold on? this programme contains repetitive flashing images. good evening.

as mps returned to westminster after the christmas break, the prime minister unveiled a new long—term strategy for the nhs in england, with the focus on prevention and early detection of disease and a shift in resources from hospital—based care to community facilities and mental health services. ministers have announced a budget increase of £20 billion a year by 2023. but critics say the strategy has unrealistic goals based on the resources available, as our health editor, hugh pym, reports. good boy. this could be the nhs of the future. alex has a digestion problem. his mother's worried it could be something more serious. but she can see a consultant visiting the local gp surgery, so she doesn't have to go to hospital clinics with possibly long journeys. we don't have to go

and wait, and it was less time—consuming and it was very fast arrangement that we got an appointment instead of waiting in hospital for an appointment. the consultant came to us. we have really built this model around our dissatisfaction with outpatients, the frustration that patients were having to wait a long time and although the episode of care they got, i hope was good, it was done in a very disjointed way. this initiative is part of the new nhs plan for england. the aim is to reduce the number of daytime hospital appointments by up to a third, with more people monitored from home or close to it. that could save people trips to hospital, 30 million a year of them. it would also save the nhs £1 billion a year, which can be spent on other things. a new focus on treating people in local communities is the aim of the new plan, launched today in liverpool, caring for patients who are living longer. had we keep everything that is great about our national health service,

but how do we relieve the pressure on ourfront line staff, but how do we relieve the pressure on our front line staff, going the extra mile day in, day out for1 million patients a day? the plan also has pledges to detect cancer sooner also has pledges to detect cancer sooner and help vulnerable patients avoid strokes and heart attacks. half a million lives, we are told, could be saved in the next decade. with nhs england missing the key for oui’ with nhs england missing the key for our target the patients waiting to be treated or assessed in a&e, bosses now want to change it. they say different target is needed for serious a&e cases and minor injuries. won't you be accused of trying to change the target because you are missing it? we are going to listen to what the most senior doctors in the national health service say. if they say that the most important thing is, as well as keeping waits shall for everybody, that we set tougher standards for the big emergency conditions, that is advice we should pay careful attention to. so will the plan work? some health experts welcomed the

ambition, but question the delivery. this long—term plan is full of good, ambitious ideas that will improve ca re ambitious ideas that will improve care for patients. the challenge is, how is it going to happen when the nhs is undera how is it going to happen when the nhs is under a lot of pressure already and we are already short of staff? and it is that shortage of doctors and nurses which critics say is the underlying problem and mean the nhs's everyday stresses would be ha rd to the nhs's everyday stresses would be hard to relieve. and hugh is with me. given those challenges, how credible is the plan? with more than 100,000 vacancies in the nhs in england right now, it's hard to see how more stuff ca n right now, it's hard to see how more stuff can be easily taken on to fulfil these pledges. nhs england says a new workforce plan will be forthcoming later in the year, and they are waiting to see what money will come from the government to fund training. the government has allocated for five years in england 3.4% increases in real terms, more than in recent years but back to the long run average in the nhs. it will

only just be enough long run average in the nhs. it will onlyjust be enough to keep up with demand, never mind fund all these new treatments. simon stephen says he has it all costed. all it takes is more patients than expected coming through the doors, and it could all be thrown off course. 0ne more issue came out today, which is that the nhs in england wants new legislation. if they get it, they wa nt to legislation. if they get it, they want tojoin up nhs and social care organisations locally. they say there is too much competition in the nhs at present. if it happens, it is in effect drawing a line after those controversial health reforms in england in 2012. hugh pym, our health editor. the house of commons will vote on the prime minister's brexit deal a week tomorrow. the vote was cancelled last month but ministers say it won't be delayed again. more than 200 mps have signed a letter to mrs may, urging her to rule out leaving the european union without a formal deal. this report from our political editor laura kuenssberg contains some flash photography. go away, theresa may. go away... nothing's getting any easier for the prime minister. her welcoming committee in liverpool. when do we want it?

now. i think it's disgraceful that party is put before country, absolutely disgraceful. i'm appalled by it, yes. because? because i think we are european and we should stay in europe. parliament can't agree. i think the only thing is to put it back to the people. she swept in with promises about the nhs, paid for in part, she claims, by what's her bigger problem, her brexit deal. this commitment is possible because of our strong public finances and because, as we leave the eu and take back control of our money, we will no longer be sending vast, annual sums to brussels. number crunchers and plenty on her own side question that. before christmas, you realised your plan did not have the support to get through parliament. what evidence can you give us today that anything has really changed? yes, we did delay the vote before christmas and we're continuing to work on further assurances, on further undertakings from the european union

in relation to the concern that has been expressed by parliamentarians. but theresa may's bedside manner is not convincing dozens of mps on her own side and among her northern ireland allies. they won't back her plan without big changes for next week's vote. it may be 2019, but theresa may is still tangled in the boundaries and barriers of the referendum, when people and politicians were divided into two camps, jutting up against each other. in the walton constituency here in liverpool, voters wanted to leave the european union. just over the road in liverpool wavertree, the decision was to stay. and the prime minister is having to deal with that clash of arguments, trying to get a compromise in the middle. but politicians on all sides are so dug in, there's little sign that enough of them are willing to meet her there. nobody can detect anything new that's coming out now.

if she's planning on pulling a rabbit out of the hat, the prime minister, good luck to her. let's just hope it's not a dead rabbit, and that it's actually a live and kicking rabbit and that it means something. order. jeremy corbyn objects to the deal and to theresa may's no—show when she was called to the commons. the prime minister should be here updating mps on what progress she has achieved, if any. instead, she is continuing her approach as before christmas, of ducking scrutiny and dodging accountability. we will hold this government to account for their incompetence. and in number 10's own ranks, some tory mps are pushing number 10 to guarantee we won't leave without a deal. some are demanding a different arrangement altogether, some others another referendum. with so many divisions and a vote next week, it will take more than a few drinks in downing street to cobble together a majority, let alone bring the tory party and then parliament and the rest of us together. laura kuenssberg, bbc news.

0ur europe editor katya adler is in brussels. it seems the prime minister is still seeking new reassurances from the eu. are they any more likely than they were before christmas? well, from the point of view of eu leaders, the brexit divorce deal which they painfully negotiated with theresa may over so many months hasn't even been voted on yet in parliament. so they are not minded to offer anything new until that vote ta kes to offer anything new until that vote takes place next week. and if the deal is then voted down, then according to my contacts in brussels and across much of the rest of europe, they see the divisions amongst mps in westminster is very much a amongst mps in westminster is very mucha uk amongst mps in westminster is very much a uk domestic problem. theresa may says the uk is leaving the eu, that it may says the uk is leaving the eu, thatitis may says the uk is leaving the eu, that it is leaving the single market and the customs union, so the eu says unless that changes, then this

deal is the divorce deal. and what we also can't forget is that this new year, brexit is not the only story in town in the rest of europe. we have got european parliamentary elections coming up in may, with the far rightand elections coming up in may, with the far right and populists looking strong. all the top eu jobs are up for grabs this year in brussels. then there is vladimir putin, donald trump in the white house and china, and the eu wants to seem strong and determined in the face of all those challenges. so yes, getting a divorce deal with brexit uk is important to the eu, but not all important. katya adler, there for us in brussels. part of the government's planning for a possible no—deal brexit was on display today in kent. dozens of lorries took part in an exercise to measure the impact of extra congestion around the port of dover if britain leaves the eu without an agreement. a convoy of lorries made the 20—mile trip between dover and manston airport,

which could be used as a giant lorry park. but haulage groups dismissed the exercise as "too little, too late", as our transport correspondent tom burridge reports. more than 80 trucks, parked on a runway. a government—led no deal brexit drill in case we exit the european union injust 12 weeks without a deal. manston airfield, near britain's biggest port, will be a holding area for trucks if there are suddenly checks on goods at queues at the border. they're now despatching the lorries in a controlled fashion, trying to work out how the roads en route to dover will cope. truck drivers involved set off early. tony believes no deal really is on the cards. on march 29th, i think it's going to be a bit of a fiasco. there won't be much getting into the country and a lot not coming in. i think the motorways will be absolute chaos. learning how to mitigate chaos on kent's roads in the approach towards dover was the aim of today's exercise.

but it was small scale. more than 80 lorries involved, when 10,000 pass through the port each day. it's good to have a contingency and it's good to pressure test it but today it was done with far too few vehicles and it was done too close to brexit. this should have been done a year ago. the government says it has to plan for all eventualities. it ran today's rehearsal with the local council. do you accept that this can't replicate a no deal scenario? of course we can't replicate it because that would cause... well, we don't know what the scenario would be but what we need to know is actually to make sure we've got a flow and what impact it would have on the local network. are you worried about a no deal possibility? as a resident of kent, i'm worried, yes. today, at least, the roads were clear. 0n the face of it, today's exercise has gone pretty smoothly, but how much has the government really learned from ushering 80 lorries down a few roads? this is also about the government sending a warning.

it's the prime minister's deal, or no deal is a real option. the government's no deal planning for traffic flow around dover has a budget of £35 million. but if things grind to a halt the cost would be much higher. tom burridge, bbc news, in kent. police are to be handed extra powers to deal with drones after the disruption caused at gatwick airport in the run up to christmas, when a thousand flights were cancelled. the exclusion zone around airports is to be extended to three miles. police will be allowed to land and seize drones and issue on the spot fines. anyone operating a drone weighing over 250 grams will have to register it and take a competency test. a man accused of stabbing to death a passenger on a train in surrey has appeared in court charged with murder. lee pomeroy, who was 51, was travelling with his teenage son when the attack happened. darren pencille, who's 35, made two separate court appearances, charged with murder and possessing an offensive weapon. his partner was charged with assisting an offender,

as our correspondent, angus crawford, reports. lee pomeroy, who was 51, described as a devoted family man, stabbed nine times on a train travelling from guilford to london. he died in front of his 14—year—old son. this morning, darren pencille, who is 35 and from farnham in surrey, appeared at staines magistrates court charged with murder and possessing an offensive weapon. wearing a grey tracksuit, black glasses and with a small bandage on one hand, mr pencille crouched down in the dock so his head was barely visible. he said to the court, "innocent until proven guilty." he also said he was paranoid and hearing voices. he did stand briefly to confirm his name, his date of birth and nationality before being led away. also in court his partner, 26—year—old chelsea mitchell. she denies one charge

of assisting an offender. it is alleged she helped him to leave the scene and change his appearance. both were brought to guildford this afternoon and in a second hearing were remanded into custody to appear in court again early next month. angus crawford, bbc news, guildford. the us actor kevin spacey has appeared in court in massachusetts, charged with sexually assaulting an 18—year—old man in a bar. the incident is alleged to have happened in 2016. the 0scar—winner and star of house of cards said nothing in court and was granted bail. 0ur north america correspondent, nick bryant, reports from nantucket. this was a journey kevin spacey didn't want to make. touching down on this jet set island before completing a televised drive to his first appearance in court. clear the sidewalk, please. his legal team argued he shouldn't have to appear in person

because of the negative publicity that's already surrounded this case. but the actor who has spent so much of his life in front of the cameras found it impossible today to avoid them. there was even a live stream from the courtroom to record the charge levelled against him. this complaint charges that, in the town of nantucket onjuly the 8th, 2016, did commit indecent assault and battery on a person 1a or over. the 0scar—winning actor shared a joke with his lawyer but did not address the court. he has pleaded not guilty and agreed not to approach his accuser. stay away and no contact with the victim and the victim's family. thank you. nantucket is the playground of america's elite. in the summer of 2016, kevin spacey is alleged to have sexually assaulted an 18—year—old waiter. during a late night drinking session in this bar, he is accused of unzipping the man's trousers and groping his groin for about three minutes — an encounter that he claims was consensual. i will never cease... the actor was fired from the hit drama house of cards because

of multiple sexual assault allegations against him. and you trusted me even though you knew you shouldn't. but bizarrely he revived his character, president frank underwood, in a video posted online shortly after he was charged. you and i both know it's never that simple, not in politics and not in life. but you wouldn't believe the worst without evidence, would you? you wouldn't rush to judgments without facts, would you? 0utside court, he confronted another wall of lenses. what are your feelings today, mr spacey? but chose not to answer our questions. mr spacey... kevin spacey is already being concerned in the court of global opinion but now a legal process is under way. he flew out minutes afterwards on a private jet but a trial now is in the offing, where the public scrutiny will be intense. nick bryant, bbc news, nantucket. the speaker of the house of commons says he's concerned about threatening behaviour

towards female members of parliament after the conservative mp, anna soubry, was called a nazi and followed by protestors who disagree with her stance against brexit. the mp was being interviewed on the bbc when the accusations were shouted from a crowd nearby. anna soubry says she was jostled as she tried to re—enter parliament afterwards. a tottenham ladies footballer has claimed she was racially abused by an opposition player in yesterday's game against sheffield united ladies. renee hector says she heard monkey chants during the match and reported the matter to the referee. sheffield united and the fa are investigating her claims. in canada over the past two years, more than 8,000 people have died after overdosing on opioid drugs, ranging from heroin to some of the strongest painkillers, and the problem is being called canada's public health emergency. in vancouver, the downtown east side is the centre of the problem, with much of the area's drug supply including

the deadly opioid fentanyl. but the city has taken an unusual step, installing supervised injection sites which allow people to use illegal drugs with trained staff present. 0ur correspondentjeremy cooke has been to the east side to look at this novel approach. here's my best friend. downtown vancouver. a tragic street theatre. of the desperate... ..the dying... ..the addicted. the opioid crisis has swept north america, but the unique response here is to treat all of this as a public health epidemic. fentanyl, a powerful opioid has taken 1500 lives on these streets in the past year. take it easy, 0k? stay safe. my name is melissa. i've overdosed three times

and i didn't even know i overdosed. that's terrifying. yeah. yeah, it is. what saved you? what saved me ? probablyjust my own willing to live. are you going to be ok? i hope so. i hope so, too. i really do. it's all centred on these few city blocks, so many people here are living with their addictions and are openly injecting and smoking drugs out on the streets. but that very visibility is taken here to be a good thing. it's argued that if these people can be seen, they can also be saved. the cops mostly back off and there are few

arrests here for drug use. instead vancouver has these. safe injection sites. what are you using? this one was started illegally by the community. it was highly controversial but has become the prototype for the official public health programme. users bring their own street drugs. they take a seat and they take their hit. jamie is ex—army, an afghanistan vet. now battling the cycle of prison, homelessness and addiction. it's pretty wild. i've never seen so much death other than when i was in the military. i've overdosed probably eight times. do you think they've saved your life?

0h, totally. saved by the opioid antidote, narcan. vancouver policy is to make it freely available to everyone. including users themselves. and it works. 0verdose victims critical cases. what's his name? back from the dead. the vancouver model accepts that some will never beat their addiction. and so the argument goes just as those with diabetes are given insulin, at this cutting—edge clinic, opiod users are prescribed pure, medical grade heroin. the world being what it is some people say, have you gone crazy? you are giving heroin, giving heroin to people with addictions. when somebody is using opioids daily there is a huge cost to society.

in the criminaljustice system, court costs, policing costs, transmission of infectious diseases, and all of that can be reduced. patty and joey take heroin here three times a day. freed from the tyranny of finding and funding their next fix. what do you think your lowest moment was? um... being on the street selling whatever i could to get better. yeah. what were you selling? everything but my soul. for them, heroin on prescription means stability. a new apartment. plans for education. and work. you see a future, both of you, don't you? yeah. that's what is wonderful about this. a good future.

a bright future. a healthy future. never, ever let you go. never, ever. and so there is some success. but what's really needed across north america is to find a way to block the initial road to addiction. the road that leads here, to all of this. jeremy cooke, bbc news, downtown eastside, vancouver. and jeremy cooke, who's also been investigating drug addiction probems here in the uk, is standing by to answer your questions on twitter. and you can reach him using the hashtag bbc news ten. he is standing by now with answers hopefully to your questions. an 18 year—old saudi woman, who spent two days barricaded in a hotel room in thailand to avoid being sent back to her family, has avoided being deported for the time being. rahaf mohammed al-qunun said she wanted to seek asylum in australia and feared she'd be killed in saudi arabia.

from bangkok, our correspodnent jonathan head sent this report. i'm still in the room. i have no choice. more than a day after her arrival, 18—year—old rahaf mohammed alqunun was still barricading herself in her airport hotel room, sending out messages of defiance and pleas for help. i'm not leaving my room until i see the unhcr. i want asylum. she said her family would kill her for running away. she had also renounced islam, she said, which in saudi arabia is punishable by death. thai officials said it was a family matter and that they would deport her. yet the extraordinary blaze of publicity over her case forced a change of heart. the immigration chief came to her hotel, now telling me she would not be made to go back. "i'm using my authority

to let her into thailand", said general surachet hakpal, "and to put her under united nations supervision". that's unusual in thailand. a senior un official was quickly dispatched to the airport and given firm promises about her safety. i am confident in the reassurances provided by the commissioner for immigration and the thai government official. you're confident she won't be suddenly sent back? well, we have received assurances and guarantees that that will not happen. throughout the day, this hotel has been the scene of extraordinary comings and goings, with officials going in and out, trying to persuade the young saudi woman to come out of her room. at one point, we thought she would be deported. now we know that thailand has given her an entry permit. the un is involved, and her request for asylum, they say, will be properly assessed. it might have been a very different ending. another saudi woman deported

in similar circumstances has not been seen since she went back. rahaf‘s case is very symbolic of many, many women in saudi arabia who remain trapped in abusive situations. they cannot travel abroad, they cannot obtain a passport, they cannot marry or even exit prison without the consent of their own male guardians. this young woman has certainly been lucky, although her ultimate fate is still unclear. jonathan head, bbc news, bangkok. it was a remarkably good night in hollywood for british stars, winning no fewer than six awards at the golden globes — the first big awards event of the season. 0livia colman was awarded best actress in a comedy for her role as queen anne in the favourite and richard madden of the bbc series bodyguard won best actor in a drama. and as our arts editor, will gompertz, reports, this year is notable for films based on historical events. photographer: gaga, straight ahead!

and with back case, lady gaga signals the awards season (this is the golden globes. this moment is real. trust me, it is real because i see you and icu. all of these faces of change and now so will everyone else. and so we did. rami malek, an american actor with egyptian parents won best actorfor american actor with egyptian parents won best actor for his portrayal of freddie mercury in bohemian rhapsody. i have never had fried chicken in my life. you have a very narrow assessment of me, tony. green

book led to a best supporting actor win. the best director went in an all—male category. win. the best director went in an all-male category. female directors have dropped from 11% to 8%, surprised people in the wake of times up. it shows what is happening in the industry and it should be a wake—up call. in the industry and it should be a wake-up call. there was reason to celebrate for one woman, british actress olivia colman. this is amazing. look at you beautiful people, thank you so much. i am going now. ed and the kids, live. she won best actress for playing queen anne in the favourite. you look like a badger. what have we learned this year? hollywood does appear to