this is bbc news i'm shaun ley. the headlines at 10: doctors‘ leaders say there is a ‘shocking' variation in the availability of gps in different parts of england. for the areas that are struggling the most, we need extra effort right now. we cannot wait for the doctors in training to come through the many yea rs in training to come through the many years it takes to train to be a gp. former prime minister sirjohn major urges the prime minister to lift some of her red lines on brexit ‘in the national interest‘. the cost of car insurance goes up for the first time in two years according to the aa, which says uncertainty over brexit is a factor. also coming up this hour: president trump says he will be making a major announcement about the government shutdown later today. meanwhile, the us president and kim jong—un will meet for a second summit on denuclearisation by the end of february. serena williams comforts her teenage opponent after powering past her into the australian open fourth round. and the travel show heads to taiwan to discover ancient chinese treasures and take part in a traditional dragon dance.

that's in half an hour. the bbc has found a postcode lottery in gp care which means doctors in some parts of england are struggling with three times as many patients as those in other parts of the country. the royal college of gps says it's the result of years of underinvestment, as our health correspondent nick triggle reports. there are 3a,000 gps in england — about one for every 1,700 patients — but these doctors are not evenly spread around the country. nhs england figures show that gps in some areas have to deal with three times as many patients as those in others. in rushcliffe in nottinghamshire, there are nearly 1,200

patients for every gp, but in swale in kent, there are over 3,300 patients for every gp. some variation is to be expected. an area with a high number of older patients and lots of young children is likely to need more doctors, but the royal college of gps said some areas are struggling with shortages, describing the differences as shocking, and a risk to patient care. for the areas that are really struggling the most, we need extra effort right now. we can't wait for the doctors in training to come through the many years of training that it takes to train to be a gp. we've had enhanced training schemes, which are great and which are helping, but we also need to look much more widely at the problem. in the short term, there are other health care professionals who can support and help out the gps. nhs england says 5,300 other health care professionals working alongside gps in primary care, and an extra £45 billion is being invested as part of the nhs's long—term plan. similar data is not available for scotland, wales and northern ireland,

but gp recruitment is known to be problematic across the uk. let's talk now to jaimie k'fash, the editor of pulse — a magazine for gps. what is the explanation for this?” think the biggest thing is the recruitment crisis that has been facing gp for years now. in 2015 jeremy hunt put a target of 5000 e gps by 2020, since then we have lost hundreds of gps. at the same time, patient demand is increasing. we have an ageing population, and there is more multiple morbidity, people with more than one conditions. this is putting more strain on gps at a time when we are not able to

recruit. i think the majority of this problem comes from that. i'm sure you and i have the same problem of having to wait to three weeks for an appointment, but this is frustrating for gps as well, they are having to work 11 hour days. and it is not attractive for the next generation. the government says a lot of these things are improving, the obvious thing being training, extra places created in recent yea rs, extra places created in recent years, that is an improvement, given the time it takes to train a gp, the effect will not be immediate. credit where it is due, they have done well in increasing training but in increasing training figures, but as you say it will take a while to come through, and we don't have how many stats about how many gps go on to —— how many training doctors go on to become gps. there are population changes, but overall the

government says it is 2015, a p pa re ntly government says it is 2015, apparently that is the earliest they have figures for, which is intriguing to itself, they say that actually the numbers have only fallen slightly but patient demand has risen and that is the real factor. it is twofold, it is on both sides. we are losing gps at the same time that he should demand is going up. the population is older and they require more services than younger patients. it is a crunch point here, because we have both factors together. does it matter, given the way other health services are changing? there are more services you can access, a pharmacist, the health visitor, the district nurse. ina health visitor, the district nurse. in a sense that might be taking some of the strain off gps and removing some of the things they don't have to do that have traditionally done in the past? we haven't seen the effects of that yet. we're moving

towards that. the long—term plan focuses on multidisciplinary teams, bringing in different professionals. but for gps on the ground, we haven't seen it yet. and appointment times are continuing to rise. this may benefit in the future, but we don't know yet. other are other factors, if you go to gp practice, you want to see the gp. you are the ones that can spot if i be a more serious problem. it is not to denigrate other health care professionals, but as a patient, i would want to see a gp. the question that will be raised by other people watching, not in england, to figures exist for other parts of the uk? 0r do we not have the data? there is some data, but we know there are some data, but we know there are some areas of real problem. north wales has perhaps the worst recruitment problems in the whole country. patients in north wales will be suffering more. we know it is not just will be suffering more. we know it is notjust in england. we know there are towns in scotland as well but are struggling, and northern ireland has real problems with

general practice at the moment. thank you. former prime minister sirjohn major has called for what are known as indicative votes in parliament, to see if a majority to be reached on theresa may's brexit deal. speaking to radio 4's today programme earlier, sirjohn outlined his concerns with the current process. my fear is that millions of people who do not deserve to be hurt, business this is —— both businesses and individuals, are going to be hurt. may make some suggestions as to what might happen? some will be more difficult for the prime minister to swallow than others. the first obvious one is that the prime minister lift some of her red lines which would put us in a completely different situation. there is no sign she's going to do that. that in the national interest is an option worth considering. but if she won't, i think there are only three other options. let me take them and

consider how likely they are. the first is that the cabinet decides the way ahead. frankly, i think that is now impossible, the cabinet is to split, and there are people in the cabinet who have made it clear they would prefer no deal. i don't think they would be movable. she cannot move with the united cabinet. i'm afraid she is trapped, and it's very unfortunate for her, but that is the position. the second is that parliament decides. parliament is also split. but i think there are signs that parliament may be able to reach consensus, signs that parliament may be able to reach consensus, and there is hope they are, we might come back to how to do that little later. and if neither of those produces a policy if the cabinet cannot agree, and parliament cannot agree, there is only one option left standing, and thatis only one option left standing, and that is a second referendum now that more facts are known than were known in 2016. joining me now is our political correspondent, nick eardley. sirjohn major does not do a lot of

interviews but has been doing an increasing number on this subject. did you get a sense of what he thinks theresa may's options are? yes, clearly he doesn't think the cabinet can't come up with a solution to the logjam we have seen in recent weeks. he doesn't think the prime minister's deal has any chance of getting through, saying it is dead and that tweaks will not be after change that. so he sees two options remaining. the one you can talk about there, taking over, and a series of what has become known as indicative votes on potential brexit options. the basic idea is that you would have a series of votes on all the things we have heard talked about over the last few weeks. things like a closer relationship with the european union, the so—called norway model. things like a customs union. that is what labour wa nts a customs union. that is what labour wants but the prime minister is

extremely cautious of. hats a new deal brexit, which would see us leaving without future terms sorted out. those votes would happen, and it would see whether there is a majority for anything in the commons right now. frankly some people think that whatever happens there was not a majority for any option. if none of that comes up with an answer, john major is saying, we need a second referendum. the idea of indicative votes is one that is picking up a bit of traction at westminster. as a potential way to try to find some way forward. the trouble with the idea of indicative votes is presumably there is no guarantee that any of these options would end up commanding a majority. they tried it before the house of lords reform, and ended up with votes that suggested none of the options had a consensus. this does seem to be a subject lacking consensus. exactly. the feeling just 110w consensus. exactly. the feeling just now is there is no option with a

clear majority in the commons. if you took part of whatjohn major is suggesting and have a free vote winner mps were not forced to vote along party lines, you might get some people moving away from a position that they feel they have to keep just now because they are mandated to buy a party, for example, conservative mps could give their views on a customs union, i think we would find some who are open to the idea. likewise, if labour mps have a free vote, with the some of them would be prepared to compromise with conservatives on that. but as you say, there is no guarantee this would lead to any sort of clear path forward. that is why sirjohn is also keeping on the table that idea of a second referendum. it's worth seeing this in the context of what has happened in the context of what has happened in the last few days, as the prime minister starts cross—party talks to try to achieve some sort of

consensus without those indicative votes. the key thing that is the run—up is that everybody is sticking to their gunsjust run—up is that everybody is sticking to their guns just now. everybody is saying, yes, we will take part, with the exception of the labour leadership, will take part in these talks but we want you to come round to our way of thinking. at the same time prime minister has to keep a run party together, and we heard a lily from the former brexit minister this morning that any move towards a customs union would be seen as a sell—out by large parts of the conservative party. her words this morning that it would make a mockery of democracy. in many ways the prime minister is walking a tightrope juggfing minister is walking a tightrope juggling plates at the moment. this is an extraordinarily hard issue to find any consensus on, and there is no guarantee that any solution will find one. thanks, nick. it is

conducted a subject and will get more conjugated this weekend. let's ta ke more conjugated this weekend. let's take a look at some pictures from a labour event at the moment. you might call this the traditional centre—right of the labour secretary sir eisr starrflsr " ’ ’ ” "' he will say that parliament should ta ke he will say that parliament should take control of these issues, and so the decisions will take control of these issues, and so the - decisions will have to made by mp5. me made by mp5. we will bring made by mp5. we will bring you be made by mps. we will bring you some of his speech when it comes up on bbc news. the cost of car insurance is going up for the first time in two years, according to a new report from the aa. it blames a number of factors, including uncertainty over brexit.

andy moore reports. the aa says the price of car insurance has been generally falling for the last two years, but figures for the last quarter show an increase for the first time since 2017. an annual comprehensive car insurance for someone who shops around stands at £610 — that's a 2.7% increase on the previous quarter — but it's still 5.9% less than a year ago. younger drivers face an average premium of £1317. there are several reasons premiums are reported to have risen, they include a delay in a new law on claims for whiplash and a higher price of imported car parts, which push up the cost of any repair. the aa also blames a general concern about brexit, saying the market has had to battle with a fall in the value of sterling. the association of british insurers say car insurance remains extremely competitive, insisting the cost of most premiums is falling. andy moore, bbc news. the nhs has told the high street

chemist superdrug it could do more to protect the mental health of customers who want botox and dermal fillers. the high street chain started offering the procedures last year, but the nhs said the injections risked fuelling mental health disorders about appearance — and it was being left to pick up the pieces. superdrug said it was "fully committed" to the issue and was now enhancing checks for customers. the headlines on bbc news... doctors' leaders say there is a ‘shocking' variation in the availability of gps in different parts of england. former prime minister sirjohn major urges the prime minister to lift some of her red lines on brexit ‘in the national interest‘. .:'",~"1: ..... : fa; éttfiffi'fifi $3 $523 33 l over brexit is a factor. sport, and for a full round up, from the bbc sport centre.

good morning. after crashing her teenage opponent, serena williams, there had to be an arm around the shoulder. he she shows no mercy during the 6—2, 6—1 tennis masterclass, but as soon as the manager had ended, as we can see now, the 23 time grand slam winner helped drive the tears of her 18—year—old opponent. but now that the match was over, who was not even born when williams won the first of her grandson titles, was comforted by the legend. the champion has been at the top throughout the ukrainianlife. serena said, don't cry, you're going to make it, and

said it reminded her of the days when she felt intimidated. she was quite upset, and i quite like that, should she was notjust to play a match for she was there to win, she wanted to win. but willie britz heart. she's a good talent, so to see that attitude. venus was beaten see that. atfitué? was serena in last 16 5 7 i f, f; ' last 16 clash. 57.7.7. 7 7 7.7. 7 last 16 clash. novak e mouthwatering last 16 clash. novak djokovic weathered a third set wobble to reach the second week in melbourne, chasing a seventh australian open title. he came through against a tricky teenage opponent, cruising through the fourth set 6—0. jamie murray and his partner bruno soa res fourth set 6—0. jamie murray and his partner bruno soares are entered the

next round of the men's doubles. liverpool have the chance to extend their lead at the top of the premier league this afternoon if they can beat crystal palace at anfield. they are likely to be without the injured england full back, but the 20 old has signed a new long—term contract with the club, coming just days after andrew robertson also put pen to paper on a five—year deal. man utd could make it seven wins out of seven in all competitions under ca reta ker seven in all competitions under caretaker boss 0le gunnar solskjaer. the attacking football that has been getting plaudits has been rightly done without romelu lukaku, jesse lingard and marcus rashford preferred. 0le gunnar solskjaer says the beljan still has a big role in the beljan still has a big role in the coming months. there is no one scoring as many goals as him in training. the three they have played the most, but then your romelu lukaku, the most, but then your romelu

lu ka ku, you the most, but then your romelu lukaku, you have a lexus, i have a front six i can rotate with. and romelu lu ka ku will definitely front six i can rotate with. and romelu lukaku will definitely be playing games. we'll so is less tired lunchtime, and 3pm relegation zone scrap between newcastle and cardiff, at 5:30 p:m., arsenal play chelsea. in rugby union, montpellier, one of the giants of european rugby, arrived in edinburgh with swagger, but their line of big names was brought down to earth by edinburgh, witha names was brought down to earth by edinburgh, with a seventh straight win in all competitions. edinburgh finished top of their pool, and that women also helps us to teams it through. newcastle were already out. l“;;‘“ having hifiifé 5 in africa for taking australia in tomorrow could be africa for taking australia in tomorrow - could be a london tomorrow in what could be a decider. coach tracey neville

series decider. coach tracey neville insists they're not getting ahead of themselves. the south africa game, we have to go away and do our work on that. they're tough cookies, anything is to play for in this series. the series is set up to really challenge people, like the world cup scenario, however i can only look at the south africa game because we want... taking one game ata time because we want... taking one game at a time is very important. that's all for now. us president donald trump and north korean leader kimjong un will meet for a second summit at the end of february, to try to build on their historic first meeting in singapore lastjune. the white house said they would discuss the denuclearisation of the korean peninsula. our correspondent barbara plett usher has the details. the white house said the summit would take place at the end of february, but it didn't say where, although vietnam seems to be at the top of the list of possible occasions according to a series of multiple media reports. the announcement was made

after series of meetings with the north korean envoy, kim yong—chol. beginning with the secretary of state mike pompeo and then moving onto the white house, where the president met for 90 minutes with mr kim, who is said to be carrying a personal message from the north korean leader, kim jong—un. so, they agreed to hold this summit, but there's no indication how that summit tttigi‘lt'i‘fiéfi'k'ti‘ié‘fiifid‘l’ffllk'"' 5 sanctions is one of the main issues of disagreement. the united states says that they should be lifted only 55 5 55 5555 . 55 ..55.5 555 the president was sending, so perhaps that is why he wants to speak to the man at the top himself. as for mr trump, he may also welcome the chance to have a made for television moment with the north korean leader to distract from his troubles at home. meanwhile, president trump has said

he'll make what he's called "a major announcement" about the current us government shutdown during an address to the nation this afternoon. the president is expected to make concessions to the democrats in an attempt to end the deadlock. hundreds of thousands of government workers have been on unpaid leave, or working without pay, since he refused to agree a funding deal with congress unless it included $5 billion for his controversial border wall with mexico. in a tweet the president said: "i will be "making a major announcement concerning the humanitarian crisis "on our southern border, and the shutdown, tomorrow afternoon "at 3 p.m., live from the @whitehouse." and in another development concerning the president —

a report by the buzzfeed news agency alleging that president trump had ordered his former lawyer michael cohen to lie to congress has been called inaccurate by the legal team probing the president's links with russia. 0ur washington correspondent david willis has more. another roller—coaster week for the president ended with claims that he may have sought to obstruct justice — an impeachable offence if true, but true it may not be. the allegations centred on attempts the trump 0rganization was making to build a trump tower in moscow just before the election. the president's lawyer, michael cohen, told congress that plan was scrapped injanuary 2016, which wasn't true, and, according to a report by buzzfeed: the white house flatly denied the claim. and later it emerged that the special counsel

who was investigating allegations of collusion between the trump campaign and russia didn't buy it either. buzzfeed, for its part, is standing by its story and calling on the special counsel's team to identify which parts of that story it disputes. michael cohen has already pleaded guilty to lying to congress, but before he undertakes a three—year prison sentence, he's due to testify before a congressional committee. must—see tv for many people here. that come speech will be at eight o'clock tonight and will be covering

that. we can cross over to a conference held by the left of centre fabian society in central london now where the shadow brexit secretary sir kier starmer is delivering a speech. it reminds me that we need to tackle the causes of that fracture in 2016. inequality, low pay, a broken housing market, and the growing dislocation between our political system and the people who elect us. but it seems the more parliament has talked about brexit in the last two yea rs, talked about brexit in the last two years, the less it is cut through to the public. that's whyjeremy corbyn hit the nail on the head last week when he talked about the common ground and the common grievances between the leave voter in mansfield and the remaining butterfrom totte n ha m. and the remaining butterfrom tottenham. —— the remain voter. united in being shutout of a system thatis united in being shutout of a system that is not working for them. that

is the wider task that labour has to confront, rebuilding britain, as well as finding a brexit deal that protects jobs and the economy. that brings me to last week. even by recent standards, and extraordinary week. it was the week the government proved it was incapable of delivering a brexit deal that can unite the country, that can unite parliament, or unite its own party. the prime minister suffered the largest defeat of any government in history. and she did so on the defining issue of this parliament. in normal times that would mean a new prime minister, a new government. the convention for decades has been that if a government loses a confidence vote, a really important vote, and you don't get much more important than

tuesday, they go to the country. they recognise the time has come to go to the country. but the fixed term parliament act dictated otherwise, and these are not normal times. we have a government that cannot govern, it brexit deal that has no chance of going through parliament, and the prime minister who even now refuses to drop the red lines that led to the crisis. people often praised the prime ministerfor her resilience. but what the prime minister is doing now is not resilient. it is reckless. ploughing on without a plan while the country lurches from one crisis to another. and, this is crucial, reducing the time for credible alternatives to emerge. i'm sure many of you watched proceedings just after seven o'clock on tuesday in parliament. and you will have seen that when the result was read out, mps across the house

we re was read out, mps across the house were stunned. they have been told all day but the numbers would be, would it be double digits or possibly triple digits, but a government losing a vote by 230 votes is unprecedented. it is most inconceivable. no wonder there are just stunned faces. but i wasn't surprised by what happened. i wasn't surprised by what happened. i wasn't surprised that the deal was rejected. because the seeds of tuesday's vote were sown over the past two years, and it's important that we recognise that. it started with the red lines but the prime minister laid out in 2016 conference speech. many people remember that speech. many people remember that speech with the stage falling down and the p a5, and the cough, but it is the 2016 one that was really important, that is the defining speech with a prime minister set out a red line. 0ut

speech with a prime minister set out a red line. out of the customs union, out of the single market, no rule for the european court, and the sentence, if you remember, if you area sentence, if you remember, if you are a citizen of the world, you are are a citizen of the world, you are a citizen of nowhere. shame. quite right. make no mistake, these were political choices. that was the prime minister's interpretation of what has happened in the referendum. she didn't consult on that with parliament. she didn't consult more widely. this was her narrow, personal interpretation. her red lines. political choices made by her. not necessities. they sent the government down a very bad path. got the negotiations after a very bad beginning. i remember going to brussels just a few weeks after that speech. and our eu 27 partners were

really shocked that the uk a p pa re ntly really shocked that the uk a ppa re ntly wa nted really shocked that the uk apparently wanted such a rupture from these esteemed arrangements. they said the government on a path, and it is no surprise when they have now ended. as michel barnier said only last week, we have always said that if the uk chooses to shift its red lines in the future, then the eu will immediately be ready to go hand—in—hand and give a favourable response. but it is no point in the last two yea rs has but it is no point in the last two years has the prime minister been prepared to bring parliament into the process, and to help shape the deal that parliament will be asked to approve. the prime minister has set out her brexit policy through a series of speeches, not votes.