bbc news. the headlines today. a police officer's recovering in hospital after being stabbed with a machete in a frenzied attack in east london. eating less meat to help save the planet the un says switching to a plant based diet could help slow down global warming. switching to a plant —based step to six you'll make the difference in broccoli and ribs on your plate actually has a real difference to the level of global warming. the prime minister promises to fast track visas for top scientists coming to britain as he says he's confident a deal can be done with the eu. there is every possibility that the you can show flexibility and there is bags of time and i'm confident they will. the number of patients waiting more

than four hours to be admitted to a&e is up a third in a year and is at a record high. it is not for everyone, that is why iam it is not for everyone, that is why i am here. manchester united sell romelu lukaku inter milan for 7h million pounds, as football's transfer window closes. a police officer was stabbed in a frenzied machete attack last night as he tried to stop a van in east london. the officer managed to taser his attacker while being stabbed in the head and body. he is in hospital with multiple injuries but is expected to recover. a 56 year old man was arrested at the scene. our special correspondent lucy manning reports. blood pouring from stab wounds,

this police officer has just been attacked by a man with a machete. officers bandage his head in east london in the early hours of the morning. the weapon can be seen carried by another officer. is it a machete, then? a man in his 50s is pinned to the ground. he is alleged to have stabbed the policeman a number of times, but the officer managed to taser him. muhammad faisal saw what happened from his window. the officer was lying on the floor facing upwards, all his clothes were torn apart next to him, the taser gun was next to him as well, and someone sitting on his head side was actually trying to stop the bleeding because there was a lot of blood on the street over there. the guyjust came at him and attacked the police officer, very terrifying. there was another officer who was crying, holding the machete.

everyone is carrying knives, and things like this is getting out of hand. the injured officer is recovering in hospital. he is seriously injured but stable. a routine attempt to stop a van turned into a vicious attack. frenzied, unprovoked, shocking. a violent struggle ensues where he produces a weapon and stabs our officer in the head and around the body and also during the struggle the officer has managed to get his taser and deploy it, which stops the incident. officers are not only having to tackle the rise in the knife crime but facing more attacks themselves. obviously what this underscores for me is the bravery of our police, people who actually go towards danger to keep us safe. our sympathies obviously are with the officer and his family. but also it shows to me the vital importance of investing in policing. blood is still visible

on the pavement. the officer lucky that he is one of the ones equipped with a taser and was able to use it. the law has been tightened so that anyone assaulting a police officer is nowjailed for a year rather than six months, but this was a much more serious attack the police are facing more frequently. 30,000 officers were attacked in england and wales last year, 4000 more than the previous one — the reality of the danger of the police face. we're all being urged to eat less meat and make our diets more plant based in a bid to help tackle climate change. united nations experts say we're consuming too many meat and diary products in the west and it's helping to fuel global warming. but their new report stops short of saying people should become vegetarian or vegan. here's our science editor david shukman. a wall of dust smothers the parched fields of oklahoma. the planet is heating up, which may make it harder to grow the food we need,

just as the world's population keeps increasing. there'll be two billion more of us by the middle of the century. and at the same time, up to a third of all food is wasted. and as it rots, it releases gases that raise temperatures even more. and this exacerbates climate change... the un climate panel highlights these challenges in a major new report into how we're damaging the land we depend on — and what that means for the future. we see very high risks, and that becomes incredibly scary not just for the public, but for us as individuals and scientists, and the question is, what can we do to avoid those risks and build a betterfuture? the first step, the scientists say, would be to see an end to clearing forests like the amazon. as we reported last month, the trees store huge amounts of carbon, but they're being felled to make way for cattle. and because the animals generate

a lot of methane, a warming gas, the report says that eating less meat and more plants would really help. so what we choose to put an our plate helps define what the carbon footprint on the level of greenhouse gases in the atmosphere, so that choice between broccoli and ribs on your plate actually has a real link to the level of global warming that we're likely to see. the report suggest that we have to come up with clever new ways of producing food of using land if we're to have any chance of avoiding the most dangerous impacts of climate change. and it's very clear that switching to renewables on their own won't be enough. at this research farm in the netherlands, a glimpse of a possible future — with a robot working a field. this is the view from the machine, spotting weeds in the crop. and planting everything in strips limits the spread of pests and the need to spray.

up the road, a dairy farm that's floating in rotterdam. cows produce milk where consumers live, cutting the need for transport. the same in nigeria — this food is grown in the city where it's eaten. and in tokyo, a paddy field on a rooftop. urban farming can be more environmentally friendly. the teenage campaigner greta thunberg was in geneva to thank the climate scientists. she says she's a vegan and that attitudes depend on age. it feels like many older people feel like, "why should i care about this?" "this is not going to affect me as much." but young people feel more like it is going to affect them. wind tears away precious soil from the fields of norfolk. the more the land is degraded, the less it can absorb carbon from the air, and the more temperatures will rise.

so will these warnings from the united nations have any effect on what people put in their baskets 7 our correspondent sima kotecha has spent the day with one family who have been persuaded by the argument. this delivers every week. collecting oui’ this delivers every week. collecting our vegetables. a vegetarian for most of her life, for her family, fighting climate change is a daily priority. we drive a few miles to get our vegetables and rather than eating food that's come from china or america. i also think that it is important to build localfood production. is this something that people should really be worried about? because there are people out there who generally believe that

there who generally believe that there are more important things in there are more important things in the world than climate change.|j cannot think of in the more important. we are talking about in the near future, not important. we are talking about in the nearfuture, not being important. we are talking about in the near future, not being able to produce enough food for the planet. a music enthusiast says he's doing his bit to help the world. if climate change did not exist, i would eat more meat probably. but yeah, probably. what see you're not going to give up sausages altogether? maybe. let's speak to brighton based vegan blogger natalie arney. you made this decision a few years back now, what prompted it?l you made this decision a few years

back now, what prompted it? a lot of reasons. and mainly to do with the environment and obviously health. it isa environment and obviously health. it is a massive impact. there is so much we can do with regards to cutting down to make consumption, dairy consumption to combat climate change. but yeah, those are the main reasons why i did go vegan at that time. and continue to be today. and what impact do you hope is having. obviously was an individual decision but collectively, the numbers of people are starting to make the choice that you made. for example, there is a massive impact on the beef industry, on the amount of water that is used in the un have said that the world will only have about 60% of the water it needs by the year 2030, which is crazy and it ta kes the year 2030, which is crazy and it takes about 15 thousand litres of water to produce just

takes about 15 thousand litres of water to producejust one kilo of beef compared to 180 tonnes were a kilo of tomatoes or 250 tonnes for a kilo of tomatoes or 250 tonnes for a kilo of tomatoes or 250 tonnes for a kilo of potatoes. so it makes sense to me to be able to do that. a lot of people argue that soy production isa of people argue that soy production is a massive thing for the environment. it is, howeverthe majority of the soy that is currently being farmed and the forests, the deforestation that we are losing in brazil are mainly down to feeding that livestockm are losing in brazil are mainly down to feeding that livestock it is all a question of balance. there is no benefit in saying to people that we all do one thing at one time, focus and you can create potentially new problems so it is about getting the balance right. it is fine to do this, but in some ways, it is better

to eat locally sourced meat that is locally produced than to have the carbon miles that come from importing exotic fruit and vegeta bles importing exotic fruit and vegetables from far parts the planets. affordability is a massive problem. the amount in the population of the world that is growing in the amount of people of that would be able to afford locally produced, organic produce is far smaller than, i cannot say 100% remove it meat and dairy consumption. it is that red meat that we are always pushing about because beef is a massive problem throughout the world. so in terms of other meat, not necessarily beef because there are other animals that can produce less pressure on the planet. there could be, however

agriculture takes up so much water, that it agriculture takes up so much water, thatitis agriculture takes up so much water, that it is not the most sensible way to do it. we have places like flint michigan that are struggling to have clea n water michigan that are struggling to have clean water and when livestock farming actually happens, there is a lot more impact than just the soy and the grass that's being taken up actually to feed the animals. obviously there's a lot of methane and there's also a lot of nitrous acid, there is a lot of slurry that produces water around factories and produces water around factories and produces high levels of nitrogen that goes into rivers, pollutes and kills animals and endangers wildlife and that is the bigger picture. so if you cannot remove all meat, and all dairy from your diet, reducing and going more locally would be the

first step. did you miss it was yellow i do not think so. i did at the start, but how things have progressed things got better, and the demand for these kinds of products is growing, so a10% of people search for vegan food since 2015 and now. so it is a massive impact. and it is now, it is real and people are starting to change. at head of the curve. thank you for being with us —— ahead of the curve. a 14—year—old girl has died after being pulled out from the water near clacton pier in essex. three teenagers got into difficulty in the water and were rescued this afternoon. police say an 18—year—old man is in a critical but stable condition. our correspondent debby tubby has more from clacton pier.

at about 130 this afternoon the emergency services were all called here after reports that three teenagers all related had gotten into difficulty and the waterjust behind me. beach patrol which is run by the council were the first on the scene by the council were the first on the scene and they pulled the three onto the beach here and spend lots of time treating with the emergency services and resuscitating them. i have spoken to several people who said that two of the teenagers were fully clothed and i've also spoken to another man who said he spent a long time resuscitating and treating the 18—year—old man, the eldest one out of the three. they have confirmed that the 18—year—old is in a critical but stable condition and they have also confirmed that the 14—year—old girl has sadly died and the third and final teenager, the 15—year—old girl will hopefully make a full recovery from this incident. there with the family, supporting

them as much as they can in this difficult time. police in malaysia say they still believe an irish teenager who went missing at the weekend, is likely to be somewhere in the vicinity of the resort where she was staying with her family. search teams plan to play a recording of one of herfamily members on speakers to try to locate 15—year—old nora qeer in, who has a learning disability. the headlines on bbc news. a police officer's recovering in hospital after being stabbed with a machete in a frenzied attack in east london. eating less meat to help save the planet the un says switching to a plant based diet could help slow down global warming. the prime minister promises to fast track visas for top scientists coming to britain as he says he's confident a deal can be done with the eu. sport and for a full round up, from the bbc sport centre, here's jane dougall.

yes, it is been a pretty busy day with last—minute deals going under the wire, who was widely expected to leave manchester united and it was he hasjoined leave manchester united and it was he has joined milan leave manchester united and it was he hasjoined milan for a cloud record deal a £74 million on a five year contract. and fans of the club greeted him earlier,. luis has left chelsea to join arsenal for £8 million on two—year contract. he passed his medical it was announced today, spending six and a half years and has made 160 premier league appearances and scored 11 goals. alex will be leaving arsenal to go to everton for £35 million and nigeria international has been with arsenal since eight, play more than 50 games last season. meanwhile, the

england under 21 ryan has left for totte n ha m england under 21 ryan has left for tottenham for £25 million. the 19—year—old scored two goals. returning to newcastle united after he left, the 30—year—old was released this summer, pulling the six—year spell, plagued by injury. a one—year contract that he signed. in the qualifying action today, assured of his spot in the playoffs in the group stages, they beat fc by four goals— zero. have time they were rarely troubled and they completed the stoppage time from the penalty spot. plenty of games going on

including aberdeen, welsh champions have just kicked off their weight at the bulgarian side, they are in denmark to play and leading 3—0. in the top two are meeting tonight is the top two are meeting tonight is the welcome st. helens. taking the lead in the early stages of this game, the former england rugby union international is making his fresh start as a league player and they are missing eight from the side and involved in that ill tempered match at the weekend. four—time olympic gold medal that he make medallist over its handling of sexual abuse cases. she said they failed to protect her, it follows the conviction of someone who admitted to sexually assaulting athletes it

was committed to jail. the chance to become the first two when six us all—around titles and half a century at the national championships. all—around titles and half a century at the national championshipslj don't at the national championships.” don't mean to cry but it's just, it's hard coming here and having that happen to you so many times and we had one goal and we have done everything that they asked us for, even when we didn't want to and they could not do one job. even when we didn't want to and they could not do onejob. they even when we didn't want to and they could not do one job. they literally had onejob could not do one job. they literally had one job and they could not protect us! it is just really sad because every time i go to the doctor or training, it's like i don't want to get worked on. my body hurts and i'm 22 and at the end of the day, that is my fifth rotation and it is just hard the day, that is my fifth rotation and it isjust hard and we the day, that is my fifth rotation and it is just hard and we try to work through it, but, it will take some time. i'm strong, i will get through it. that is all for the

sport now but i'll have more at half past ten. the prime minister has warned mps to get on and deliver brexit by the end of october and he called on the eu to "show common sense" and compromise on a brexit deal, suggesting there was still "bags of time" to reach an agreement. speaking to the bbc, borisjohnson also announced plans to develop a new fast track visa system to attract top scientists from across the world. our political correspondent ben wright reports from oxfordshire. oh, i've got it. trying to grapple with something very complicated — brexit will bring a shake—up of the immigration system, and visiting labs inventing energies of the future, borisjohnson said visas for the sharpest science and engineering minds would be fast—tracked. we're going to turn the uk, as it were, into a kind of supercharged magnet, drawing scientists, like iron filings, from around the world to help push forward projects like this, in which we can not only take a scientific lead

but a commercial lead as well. this sort of research is expensive. the eu has funded a lot of it, and there have been warnings from within the sector a no—deal brexit would be damaging. obviously, we don't want a no—deal brexit, we're working for a deal, but be in no doubt that the uk will continue under any circumstances to collaborate in great scientific projects. the circumstances of britain's departure from the eu remain totally uncertain. if borisjohnson decides to go for a no—deal brexit, many mps here are determined to try and stop him. what you have is the rather absurd sight of a prime minister who, in 2016, posed as a champion of parliamentary democracy, turn, in 2019, into some kind of dictator. parliament will not stand for it, we have the mechanisms available to stop no—deal from happening. every mp should work to make sure that happens. borisjohnson wants to get a new brexit deal agreed with the eu but is braced for an autumn battle

with parliament if he can't and the government tries to leave the eu without any agreement. can you guarantee that you will not seek to bypass parliament to get a no—deal brexit through? what mps should do is honour the mandate of the people and leave the eu on october the 31st, and that is what... but, mrjohnson, you know that mps do not want a no—deal brexit, there will be a confidence vote, they may well try and force you to resign, orforce you to hold a general election. do you simply plan to dig into number ten? colleagues in the house of commons can see that if we are to restore trust in our democracy, faith in politics, faith in the ability of politicians to deliver on their promises, then we have to leave the eu on october the 31st. a few weeks ago, you said the chance of a no—deal brexit was a million to one — do you still think that? i think that if there is common sense and if there is goodwill on the part of our friends and partners, which i assume that there is, then that's absolutely right. your strategy is to wait for the eu to blink,

and if they don't, it's a no—deal? there is every possibility for the eu to show flexibility, there's bags of time for them to do it, and i'm confident they will. so we're another day closer to brexit, there is no new deal, little sense from the prime minister here in oxfordshire that he's urgently trying to negotiate one, and the stand—off with the eu continues. joining me now from westminster is our political correspondentjessica parker. hello to you. typically combative performance from the prime minister there just performance from the prime minister therejust on this performance from the prime minister there just on this question of the visa scheme. it kind of came out of the blue. it is looking like highly skilled migrants, the ideas to lift the cap which is around 2000 at the moment on those visa entries into this to alleviate the concerns in

the community that they could lose out as a result of brexit particularly, and no—deal brexit. because a lot of people who staff our science facilities are from the eu currently. i think around half and so we heard warnings from the science community over the past few yea rs science community over the past few years that they are worried about dipping into the talent pool of the eu and it can become harder in the event of a brexit, so borisjohnson is just trying to say, look, we want to attract scientific talent to the uk and that's why we are going to lift the cap on highly skilled migrants and it has been welcomed by people in the science community, but also warnings that they file no—deal brexit would still be particularly damaging for the sector and labour tonight have actually described it asa tonight have actually described it as a mere sticking plaster. custom of the prime minister had to say about what mps should do in regard to brexit, he did not tell us what he was going to do. i know there's

been an awful lot of speculation about how things could shape up in westminster in september and october when mps return, could there be a no—confidence vote in borisjohnson? could see in that eventuality refused to resign and see up the two week period and try and call the election after the 31st and in some peoples view, bypassing parliament in order to see through that no—deal brexit. the government of national unity be formed by mps want to prevent a no—deal brexit comic to give you a bit of a headache thinking about all the possibilities that their are being discussed, but borisjohnson not that their are being discussed, but boris johnson not being that their are being discussed, but borisjohnson not being drawn in terms of what he might do in the event of a no—confidence vote, he probably does not really want to go there at the moment, merely trying to suggest that mps need to get on with it and deliver the mandate that he says the british people gave parliament back in the 2016 referendum. i think it will raise a few eyebrows at the suggestion that

there are bags of time to do a deal and october the 31st, that is the current deadline, presumably he will get a deal in the bag some way before that in order to get through parliament to know the rest, but i think you would be sceptical of that claim, but there's this optimism that he's been trying to put out since he is in charge. well, on that visit to the culham science centre in oxfordshire this afternoon, the prime minister unveiled his plans for the new fast track visa route for foreign scientists saying he wanted to ensure the country's immigration system attracted "the very best minds from around the world". let's speak now to vivienne stern, director of universities uk international, which describes itself as the collective voice of 136 universities in the uk. thank you for being with us on the bc does this evening. the prime minister said he wants the uk to act asa

minister said he wants the uk to act as a supercharged iron filing from around the world. as a going to be that easy? it is a highly competitive business at our universities are pretty good. there are probably among the best in the world and that's partly because we are lucky enough to attract some really outstanding people from all over the world and one in five of the academics working in our universities come from somewhere else. it really is very important that we are open and attracting people and they want to come work with us. and the government would suggest this has nothing to do with brexit but presumably the context of brexit but presumably the context of brexit at least is one of the things that has been unsettling the scientific community. and that we mightfind it scientific community. and that we might find it more difficult to attract european researchers is a particular worried because that 20% i talked about, that comes months of the world and outside the uk, about 60% from the eu, so it is really important that if we move outside of

the european union, it would make it as easy as possible for them still to come here. they have the right to travel freely and they can work here and geta travel freely and they can work here and get a job here if they meet the qualifications. butjust on the question, have you seen any evidence, apart from the concern, any evidence that is affecting the choices that some of these people are making about what they take up? we have seen some examples of individuals who have basically been lured away from french or german universities in highly prestigious researchers in holding portable gra nts researchers in holding portable grants because the european research grants because the european research grant can be taken with you when you leave it so we do have to fight quite hard to remain attractive and places for those people to work and thatis places for those people to work and that is why one of the things announced today was the way that european research council grants are going to be treated if we crash out

on the 31st of october and is really important that the government, saying that they're going to step in and find people who have applied for those grants. in those grants would run up to when at the moment if they have five grants now, that would keep them on for a couple of... they could last of the end of 2021. they've been talking about the threat of a no—deal brexit and they said look, there are quite a lot of scientific projects that we will be involved in regardless of the eu. the obvious one is geneva which is not an the obvious one is geneva which is notan eu the obvious one is geneva which is not an eu project. diffusion project which is based in france, we would still be part of that, it is not all bleak, there are prospects. of the things will be able to participate in whether we are in the eu or not, but it is staying in the framework

programmes, even there, even outside of the eu, we could buy our way back in. you could associate as they say, but our big worry is that the conditions will not be right. it is important to the scientific community that we do stay a part of those programmes but we do need our government to come up very clearly and say that is the goal and boris johnson, as new prime minister, we need the conditions to be rights of the eu can say, yes, under the conditions that we can let you back in. if they are not, he's going to be that hard hat. —— need that hard hat. let's look at the weather. now it's time for a look at the weather with ben rich. if you have any travel plans of the next few days or you are off to any outdoor events, with staying in touch with the weather forecast, because the weather looks quite turbulent. strong winds which could cause some disruption. this is how things shape up tonight, we see

heavy rain pushing its way northwards across england, wales or northern ireland and getting into some in scotland, some hefty showers chasing behind and it is going to be really warm and muggy as well, 17 or 18 degrees across central and southern parts of the uk. heavy and persistent rain pushes northwards across scotland to tomorrow morning with a mixture of sunshine and heavy thunder is squarely showers chasing him behind, the winds increasingly becoming a feature of our weather and heights of 15 to 25 degrees, and and heights of 15 to 25 degrees, and an exceptionally windy day for the time of year across england and wales and there'll be some heavy foundry downpours further north. hello, this is bbc news. the headlines... a police officer's recovering in hospital after being stabbed with a machete in a frenzied attack in east london. eating less meat to help save the planet the un says

switching to a plant based diet could help slow down global warming. the prime minister promises to fast track visas for top scientists coming to britain as he says he's confident a deal can be done with the eu. the number of patients waiting more than four hours to be admitted to a&e is up a third in a year and is at a record high. three police officers have been injured during an anti—interment both cash fire. they moved in this morning as part of an operation to dismantle the bonfire, this afternoon opposites with police commander in charge of the operations that may be deficient in the interest of public safety. police were hit with bottles. watch

on the left as an officer goes down. he has taken to on the left as an officer goes down. he has ta ken to safety by on the left as an officer goes down. he has taken to safety by his colleagues. here it is. from another angle. the trouble began around ten a:m.. police had surrounded the bonfire from early morning. it seemed the plan was to allow contractors and protection as they moved into remove it. two young people climbed on top of the bonfire and could not be dismantled. a number of different people tried to persuade them to come down. one of the mother is there as well and it's quite difficult, whatever anyone thinks, they are too young people who have to be bring down safely so that's the difficulty we have right now. number of sinn fein representatives were on the ground trying to find a solution. it did

not work. the standup continued all morning, and into the middle of the afternoon. then just after three o'clock, the police sadly decided to leave. they left quickly. why the sudden change of tactics? tonight, the police explain their actions. two people had been on top of the buyerfor a two people had been on top of the buyer for a significant period of time, when it eventually came down and then another to preach to the police line and got on top. i reg retta bly police line and got on top. i regrettably had had to take the position today that the risk of continuing the operation to remove a bonfire were outweighed by the risks of the operation presented a wide community. in totaltoday, almost 200 police officers were involved in the operation. i have had three officers injured today, mostly by attacks carried by young people but it's clear to me that those young people have been orchestrated in the

background by letterheads, related to this right now. however there are a number of people who chaired it when the officer fell to the ground, that's reprehensible they need to reflect on that. it's understood although the officer didn't require hospital treatment, he has since been released and is now recovering. after the police left this afternoon, there was some trouble. once they had done, signed —— some young people put up a barrier on the main road into the street the bonfire is on. although the young —— the area is not relatively calm, the housing executive advised people living in the two nearby tower blocks to move out for the night. india's prime minister, narendra modi, has addressed the nation to explain the government's decision to revoke indian administered kashmir‘s special status. he said the provision had exposed the territory to terror and separatism, resulting in the loss of thousands of lives. in retaliation, pakistan has suspended all bilateral trade with india.

kashmir, which is majority muslim, is claimed by both countries, and has proved a flash point for the nuclear armed neighbours over several decades. naomi grimley has the latest. communications have been cut in india administered kashmir. but these images show how tensions have risen in the days since new delhi revoked this region's special constitutional status. the security services patrol the area, enforcing curfews in the eerie quiet. but stones and masonry scattered across the street are a tell—tale sign that angry protesters are making their voices heard when they can. this was already one of the world's most militarised areas, and now, since the sudden influx of more indian troops, things are at breaking point.

translation: people of kashmir are angry, they're like a volcano which will eventually erupt, and india is unaware of the consequences. as well as anger, there's uncertainty. jammu train station is rammed with migrant labourers who've got out of the kashmir valley, fearing serious violence is on the way. translation: we've come from the kashmir valley. we don't have any money and my wallet is empty. we don't know how we will travel further as they are asking for tickets. translation: the situation is very bad, a curfew is being imposed. our work has been disrupted. in the hindu part of this region, day—to—day life is continuing. later today, the indian prime minister will make a tv address, —— radio address, arguing kashmir‘s status had to change to ensure the region kept pace with the rest of india on issues such as women's rights.

rights and responsibilities of all citizens are the same. i hardly congratulate all citizens of jammu, kashmir, i like that and the rest of india. but many kashmiris feel it's part of a hindu nationalist plan to change the demographics of the country's only muslim majority state. all of this when kashmir has already witnessed decades of violence and insurgency, trapped between the rival territorial claims of two nuclear powers. naomi grimley, bbc news. more people than ever before are waiting for routine operations in england like hip and knee replacements. there were more than four million people on a waiting list injune that's a record. figures also show that accident and emergency attendances last month were the highest they've been

since records began. nhs england says the heatwave was one factor but overall demand has also increased. our health editor hugh pym reports. les has been running pet is mrs in devon but work got more and more difficult as he struggled with pain from his hip which needed a replacement. that should have happened in months but he waited for more than a year before finally he managed to get it done on the nhs. the date kept getting put back and put back and that was unacceptable to me and i'm sure it is to many other people as well. operations like that can be delayed because beds are taken up by patients needing urgent care. at this london hospital, the chief executive has an overview of the pressures across the system. hospitals are very full which is remarkable forjuly and august. altogether i think it is a reflection of a system that is under severe pressure, where demand is much higher

than available capacity. the stifling heat in many areas last month contributed to record numbers going to a&e departments in england, nearly 2.3 million. emergency department consuls loads argue there are many factors behind the increase. —— consultants argue there are many factors behind the increase. overall, if you look at the trends, they clearly show that unfortunately we seem to be going backwards in terms of being able to maintain decent levels of system performance, and that is a real cause of concern. the four—hour target for patients being treated was missed again. there has been a series of government health announcements for england this week and a spokesperson highlighted the latest funding commitment for hospital buildings and equipment, but in some senses the latest figures are a reality check on the state of the nhs.

as you can see, it can be quite strenuous. i wouldn't have been able to do this previously. for les, having the hip operation has made a big difference to his work and every day life. the change it has made is inestimable and if i hadn't had it done, i would still be waiting now. more than half a million people in england are enduring long waits for surgery and the number is rising month by month. hugh pym, bbc news. joining me are dr karen forshaw, a gp who works at a surgery in doncaster and dr nick scriven in leeds he's a consultant in acute medicine at halifax hospital and the president of the society for acute medicine. thank you both forjoining us this

evening. let me start with you, i make because in a sense what we are talking about is what happens in hospitals although i appreciate what happened earlier in the process involving peace —— gps as part of this. did these figures chime with what you have experienced in the last two months? undoubtedly, they represent exactly how we felt for about 18 months at least. the staff, people, everyone working in hospital, they have realised how stress and pack —— pressure we have and it's been going up for 18 months now. the figures are not surprised at all. what is driving this, and your factors would you say? at the moment, we havejust got rising demand, it's about four every month compared to last year. there are many factors. we have a population who need our help in hospital. they are generally a bit frail and older. have many treatments that are often now people need them, and the

hospital capacity cannot cope with that. karen, is this knowledge affecting the decisions you make as agp, are you conscious of how you make those referrals for patients to hospital? clearly it's a different problem in a&e, but still the referral question. yeah, absolutely. we get messages all the time to tell us we get messages all the time to tell us what's happening in local hospitals, and whether they are under pressure and sometimes it is like a red and green system. sabato let us know if the pressure is rising. i agree with nick, we have an older population, we have an increase in demand for frail or people, but also i think that maybe some people are using services and appropriately, and we have lots of people in the system who actually should be in primary care being seen

by gps. it's a difficult one, because on the one hand you're trying to tell people make the right call here, and on the other hand the whole system is acutely conscious of the fact that if you get that call wrong, so you ring the nonemergency line and if you got it they play go to hospital. lots of people if they go to hospital because you never know, and there are places where you go to hospital because they say they can geta go to hospital because they say they can get a appointment quicker. and i think he really they say they can't get agpa think he really they say they can't get agp a gp appointment actually majority at the gp has good systems for access to patients and we are very conscious of our next and the other routine appointment and the next available urgent appointment. i think sometimes we fall into unfortunately, a position where what people want is not necessarily what they need. nick, looking at the

options then available it to try and reduce this pressure, i mean, what would you say to people when they come in and you kind of look at them and say actually, you really don't need to be here. i depict that apart because they are there there is no point in criticising that choice, you don't want them to be frightened for the future, the heidi get them to understand that may be what they think is an emergency event? it's a ha rd think is an emergency event? it's a hard job sometimes some people feel poorly, but you have to try and explain to them they may think poorly but they do need to hospital ca re poorly but they do need to hospital care as an equally good range of alternatives for them. pharmacies and gps. and they don't necessarily need to come to hospital. i think the scary thing for us as we are looking at all these figures, it's not that the attendant is going up and up at the number of people needing hospital are going up faster. there are a lot of sick people out there who need to come in

regardless of the alternatives. there are some very shocking figures in this. injuly, 436 patients waited more than 12 hours to be seen when they were admitted to a&e. that's 192% when they were admitted to a&e. that's192% rise on the year before. imean, it that's192% rise on the year before. i mean, it could be a preconfigured because of things like that intent at seat. but if that turns into a trend, you really would see that as being something where something is wrong there. is already a trend. maybe this july wrong there. is already a trend. maybe thisjuly especially, but going back to june maybe thisjuly especially, but going back tojune march and april, a trend has been there. they are slowly getting bigger and it's alarming the number of patients that need to wait more than 12 hours to get into a bed. karen, what are your patients thank you about their experience at amp, did they dread going to the hospital? definitely,

yes. i think i'm seeing more going to the hospital? definitely, yes. ithink i'm seeing more in primary care been really you should be in a&e, this is something that i would be concerned about, where people don't want to go, we even had people don't want to go, we even had people are funny saying i think i may have broken my ankle, but they don't want to wait and —— anb. they wa nt don't want to wait and —— anb. they want them to go to an x—ray but is not safe because actually he could get messed up it doesn't get looked at bya get messed up it doesn't get looked at by a clinical person and that day. so, they have to educate people i think that's the key thing, so big education programmes that have primary and secondary care as a people know the things they should be going to gps for and things they should go to a&e four. would you echo that sentiment? it also means that if you go to hospital doesn't he stay overnight because there is a growing trying to get people out of hospital at all possible. doctor

nick joining hospital at all possible. doctor nickjoining us from leeds, based in halifax and karen thank you both for joining us. a brain damaged teenager who was in local authority care almost died of starvation, a bbc scotland investigation has found. we can't identify him for legal reasons, so some names have been changed. a warning that some viewers may find the images of the teenager upsetting. our social affairs correspondent lucy adams has this exclusive report. this is not come after a few weeks in care. weighing just three and half stone, dehydrated and suffering from sepsis. this photo was taken just after his 18th birthday. he had lost around half his body weight. his father was told he would die.

his father was told he would die. his words, voiced by an actor. the doctor said he would not sit through the night. and he lost a hail of a lot of weight and could not hold his head up. when you look at the photographs and you seed the state of him, he should have been taken to hospital right away. what they should have done was come clean. malcolm is severely rain damaged and cannot walk or feed himself. his father used to care for him full—time. he became seriously u nwell full—time. he became seriously unwell and with no one else to look after him, malcolm was taken into care. his father's help has since improved and he wants to look after his sun at home, by counsel apply to the court for long—term guardianship. earlierthis the court for long—term guardianship. earlier this year, the court for long—term guardianship. earlierthis year, it was granted. that share of judgements that malcolm had suffered previously while in the care of north lanarkshire council and in the opinion at the doctor treating them he exhibited signs of having been punched or deliberately struck. the sheriff also said his father had

been aggressive and abusive towards karis and social work staff and was not a suitable guardian. the sheriff said he believed malcolm's health improved ina said he believed malcolm's health improved in a new care home. and that his father would not co—operate with the social worker carries and health care professionals, potentially putting a sign at risk. in february, he appointed that council malcolm long—term guardians. not the ‘s and xp has been involved in this case for 12 years.” not the ‘s and xp has been involved in this case for 12 years. i think we need to look for other options. for example, in this case, there we re for example, in this case, there were some numbers at the extended family who in my view would have been far better looking after this individual, rather a the council. the at the council did not want to be interviewed and cannot discuss confidential information about someone in their care. in a statement they told us to utterly reject any suggestion of the individual was in any way mistreated while in our care. the sheriff had

all access to relevant background information. he determined that counsel should replace the father as appropriate while her guardian. we will continue to provide every person place in our care with high standards of support and attention. in the past, council and nhs staff have raised concerns about the way his father has handled and fed his sun. not about‘s except the only time he's mistreated though is when he's cared for by counsel. he denies being abusive to the carries in social work staff. this case raises questions about who cares for some of the most vulnerable people and our community and how. malcolm's guardianship will be reviewed in a few years and his father helps her future together. very disturbing exclusive story there from the bbc. thanks to them

for that. right now it is approaching seven minutes until nine. the headlines on bbc news... please help us is recovering in hospital after being stabbed light —— last night with a machete. eating less meat maybe save the planet you switching to a plant —based diet could slow down global warming. the prime minister promises to fast track to fast—track abuses so for top site is coming to the bread and because he's confident idea can be done with you. we're used to seeing helter skelters at the fair or in the playground. but how about inside a cathedral? norwich cathedral has become the first in the country to install one in its nave. it's more than 70 years old and it's 55 feet high. the first person to slide down it was the very reverend jane hedges who admitted she'd been slightly nervous at the prospect. mike liggins has the story.

this is the norwich cut three till we've come to know and love. historic beautiful and traditional, but now the cathedral is letting it tear down a bit. and having some fun. the cathedral is helping the helter—skelter will help people see the building and a new light. a gimmick perhaps, according to the dead being pressed on today, the a nswer dead being pressed on today, the answer is probably now. it's not a gimmick. it really is a very serious, it's fine, but it's about serious, it's fine, but it's about serious matters and trying to get people to think about the meaning of life and think about that place in the wild and how they relate to other people stop it took two days

to assemble, 55 feet high, 36 steps to assemble, 55 feet high, 36 steps to the top, six seconds to get down. there are lots of people who don't coming to look at the just because they think it's too big or posh and not for them. we help people will see actual it's here for everyone. it was a lot of fun at. i enjoy that. tricky but i held on tight, so yeahit that. tricky but i held on tight, so yeah it was fine. that help his people and take care to look up and see the cathedral‘s 1000 people and take care to look up and see the cathedral‘s1000 may be able roof boxes, and when it comes to seeing things differently, how about this. that helped her back helter—skelter lit up at night. quite a sight. praise be, i wonder if jane will make quite a sight. praise be, i wonder ifjane will make an quite a sight. praise be, i wonder if jane will make an entrance morning service that way. i weighed wa ke morning service that way. i weighed wake them up. the duke and duchess of cambridge went head to head in the kings cup yachting regatta today,

but were beaten at the event off the isle of wight by adventurer bear grylls. kate was handed a wooden spoon for coming last in the event which she took in good spirit. princess charlotte made the cloud erupt with laughter when she stuck her tongue out at the photographers and prince george was all smiles for the occasion. looks like he may have lost his front teeth though. still a very engaging smile and said now let's look at the weather. the evening, after travelling the next two days or planning to head to do any outdoor events, you'll want to stay in touch with the weather forecast because that looks a very turbulent and b. heavy rain at times but also unseasonably strong wind and it's all because of this, beautiful swell of cloud —— cloud here. this is the sort of a satellite picture we expect to see any item or winter.

not really in the summer, but here it is area blood pressure, which is hiding in our direction. the first effect we will feel it will be heavy rain pushing its way north as the go through the rest of the evening and early hours of friday, then across england and wales and going into southern scotland by the end of the night. we are —— really messy and persistent rain to the north of that, at large start today. windy picking up. some of the rain clinging onto northern ireland and northeast england, as we go through the morning and behind that rain tonight to the southeast he spells of sunshine, but you see splotches on the chart. scattering at hadi and thunder downpours, which will continue to race and from the southwest as a go through the day. this band of its persistent rain pushes north to go into the afternoon and we see that mixture of sunny spells and heavy and thundershowers gusty winds, wind and

becoming increased feature of the wet after the afternoon, got a 50 mph or more across the far southwest. temperature is 50 degrees for aberdeen and 25 for london. moving into saturday and sunday low pressure in control of the latter, and on the southern flight especially, white lines and isobars splashing together. saturday is very windy, and land seeing 50 mph wind and 60 on the coast. that could cause problems for outdoor events and also for travelling. there will be some really heavy downpours for central and northern portions of the uk. signed a kind down and we see a band of shower and rain pushing southeast, wind is like you're coming from northwest so it appealed cool indeed especially in the north.

hello, i'm nuala mcgovern, this is outside source. the un says we must change our diets to help stop climate change. a new report warns that intensive farming to produce meat and dairy products is having a devastating impact on the planet. the choice between broccoli and ribs on your plate actually has a real link to the level of global warming that we are likely to see. india's prime minister defends his decision to revoke kashmir‘s special status. narendra modi says a new era has begun, and the region will be freed from separatism. almost seven hundred factory workers are arrested in mississippi in what's believed to be america's largest immigration raid. we'll be outside an equinox gym in new york as the chain battles