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tv   BBC News  BBC News  February 6, 2021 3:00pm-3:31pm GMT

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this is bbc news. i'm rebecca jones with the latest headlines. a leaked document appears to reveal plans to reverse reforms made to the nhs in england by the coalition government in 2012, which saw the private sector given a greater role. the chairman of the vaccines taskforce says he's confident the uk will be able to offer coronavirus jabs to everyone over 50 by may. thousands of people take to the streets in myanmar to protest against the military coup and to demand the release of aung san suu kyi. president biden says donald trump is "dangerous" and wants him to lose access to intelligence briefings normally given to former presidents. i just think that there is no need
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to have that intelligence briefing. what value is giving him an intelligence briefing? what impact does he have at all, other than the fact he might slip and say something? and tens of thousands of farmers block major highways across india as they continue their protests against new agricultural laws. good afternoon. a leaked document has revealed that borisjohnson is planning to sweep away david cameron's reforms of the nhs in england — that could see a reduced role for the private sector. nhs commissioners would no longer be required to invite private companies to bid to run services, and there would be more focus on hospitals and social care services working together to improve patient care. our health correspondent
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katharine de costa reports. an ageing population brings with it extra challenges. elderly patients often require more complex care and hospital treatment that can cause pressure on the treatment, when they're fit enough to leave but there isn't capacity in the social care system to support them. new proposals suggest sweeping changes to current contracts, that would allow closer working between the nhs and local authorities to keep older patients out of hospital and provide more care in the community. we need a lot morejoined up care. it's notjust going into hospital to have your hip replaced, having that sorted out and then going home again, it's people who have lots of things that need to be sorted out, who are using the health service many times during the course of a year. and the structures need to be improved to make that possible. in 2012, under the cameron government, lord lansley handed the control and finances of the nhs
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to nhs england, with an annual strategy set by the government. it meant that nhs services were bought for patients by gp groups, including from private providers. the new proposals roll back on much of this and will allow ministers to more tightly control how the nhs works, as well as deliver public health and social care plans. but campaign groups are sceptical. this government has been more dependent than ever before on the private sector during a pandemic. we've had the private sector brought in to test and trace, we've had private sector brought in to run laboratories, parallel to the nhs. we've got a four—year plan now to use private hospitals, while nhs beds in large numbers remain closed and out of use. so this isn't a government that's been looking to marginalise the private sector. the department of health and social care said it was rightly considering where changes needed to be made, and that full details would be set out in due course. but labour's questioned the timing of plans to reorganise health and care services in the middle
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of a pandemic. nhs reorganisations rarely go smoothly, and, at a time when services are at breaking point, it may prove difficult to push through these reforms. katharine da costa, bbc news. with me is our political correspondent, ben wright. this is a leak of a proposed white paper, but from what we know what other changes coming down the line? this is very much in line with the direction of travel the government had signalled over the last couple of years ever since it published its long—term plan for the nhs. which in marked quite a break with how government has approached the health service. over the last three decades really. at right back to ken clarke in the 90s when he introduced the internal market into the health service for the controversial andrew lansley service for the controversial andrew la nsley reforms of service for the controversial andrew lansley reforms of 2012, which cemented the idea of gp commissioning groups, competition being the key driver for improved
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services. now it's about bringing back the power of local authorities to work with hospitals, delivering health care far more locally for patients, and it seems increasing the power of ministers and whitehall to try and pull levers, a more simplified version of nhs structure that we have not seen for a while. that's what the draft white paper that has been leaked points towards, and eventually we will get legislation which really does unpick many of those coalition government reforms that were put in place to try and rewire the way the nhs works. try and rewire the way the nhs works, , ., , try and rewire the way the nhs works. , .,, ., works. some people might wonder about the timing. _ works. some people might wonder about the timing. the _ works. some people might wonder about the timing. the nhs - works. some people might wonder about the timing. the nhs is - works. some people might wonder| about the timing. the nhs is under such intense pressure at the moment, is this the right time to be introducing radical reforms? labour have certainly— introducing radical reforms? labour have certainly said, _ introducing radical reforms? labour have certainly said, why _ introducing radical reforms? labour have certainly said, why now? - introducing radical reforms? labour have certainly said, why now? why| have certainly said, why now? why prioritise a restructuring just as the nhs is dealing with a pandemic? the nhs faces a huge number of challenges right now, notjust dealing with covid but there is a
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massive backlog of health care that that has stored up because people can't get the treatments for all sorts of things they are waiting for, to see their doctors and clinicians, so they have to deal with that, there is a workforce shortage, there are long—term funding challenges facing the health care system. restructuring alone will not solve any of those. but the government would argue that the fact that the nhs has had to respond so quickly to the pandemic showed how bureaucracy can be cut out, how sort of various silos can be destroyed, how it can just work more efficiently when it needs to. i think that has probably galvanised thinking in the department of health to crack on with this sort of restructuring now.- to crack on with this sort of restructuring now. and some of course might — restructuring now. and some of course might say _ restructuring now. and some of course might say that _ restructuring now. and some of course might say that the - restructuring now. and some of. course might say that the success restructuring now. and some of- course might say that the success of the vaccination programme demonstrates that, doesn't it? in terms of that and when lockdown might be lifted, we know that there is a small number of conservative mps who are keen for lockdown restrictions to be lifted sooner rather than later but others are
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much more cautious, so how difficult a balancing act is it for boris johnson?— a balancing act is it for boris johnson? �*, , n ., johnson? it's been tricky all the way through. — johnson? it's been tricky all the way through. of— johnson? it's been tricky all the way through, of course, - johnson? it's been tricky all the l way through, of course, rebecca. johnson? it's been tricky all the - way through, of course, rebecca. the rebellion by tory mps injanuary to the current lockdown restrictions was very small, only a dozen tory mps oppose them and yet there have been grumblings from them over the last five or six weeks. they are increasing, certainly, as the vaccination programme rolls out at speed. they want these restrictions lifted as quickly as possible. they are saying may should be the moment they have all gone once all the over 50s are vaccinated. the watchword in no 10 seems to be the caution. when mps return the half term break after the 22nd of every they were set up the 22nd of every they were set up the plan and schools will go back on march the 8th partially. this remains a fairly tentative timetable for borisjohnson because in many ways the course of the virus remains
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out of their hands. ben ways the course of the virus remains out of their hands.— out of their hands. ben wright, olitical out of their hands. ben wright, political correspondent, - out of their hands. ben wright, political correspondent, thanks j out of their hands. ben wright, i political correspondent, thanks so much for that. sir norman lamb is a former liberal democrat mp, and was the care minister during the coalition government. he is now chair of the south london and maudsley nhs foundation trust. hejoins us now. he joins us now. good afternoon. good afternoon _ he joins us now. good afternoon. good afternoon to _ he joins us now. good afternoon. good afternoon to you. _ he joins us now. good afternoon. good afternoon to you. if - he joins us now. good afternoon. good afternoon to you. if these l good afternoon to you. if these leaks are correct, and they are leaks are correct, and they are leaks of a white paper at the moment, how big a change would this be and how in favour of it would you be? , ., ., . ., be? first of all i welcome the changes. _ be? first of all i welcome the changes. i — be? first of all i welcome the changes, i have _ be? first of all i welcome the changes, i have argued - be? first of all i welcome the changes, i have argued for i be? first of all i welcome the i changes, i have argued for many years that we should move towards integrating care, joining up care and the needs of the patient. many patients these days live with a range of chronic conditions, often a mixture of physical and mental health problems, it might be diabetes, together with depression and anxiety. and so it makes sense to sort ofjoin up care around that individual�*s needs. so i think this
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is in moving right direction. it does mark, i think, a significant and a decisive shift away, notjust from the 2012 reforms, but going back through new labour, just as ben wright were saying, the markets in the nhs has been present for a long time now under labour we had patient choice, the right to choose, and you could go to a private sector hospital or an nhs hospital. this is a significant move away from that, there is no doubt. and i think there are risks. you want to avoid local complacent monopolies and you need innovation. i really strongly believe that you have to collaborate with third—sector organisations, absolutely definitely with local government. and sometimes with the private sector, on digital, for example. we have to get the best of health care for our population. but
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i think it makes sense to build now the right structures for the post—covid world. i the right structures for the post-covid world.- the right structures for the post-covid world. i want to come back to that _ post-covid world. i want to come back to that. but _ post-covid world. i want to come back to that. but you _ post-covid world. i want to come back to that. but you did - post-covid world. i want to come back to that. but you did say i post-covid world. i want to come back to that. but you did say you | back to that. but you did say you welcome the changes and of course you are part of the coalition government. i know you were not social care minister when andrew lansley introduced the changes but you were in 2012 whenjeremy hunt took over. so is this an admission that these so—called reforms from the government about which you were a part were wrong? i the government about which you were a part were wrong?— a part were wrong? i don't think, and i've never— a part were wrong? i don't think, and i've never thought _ a part were wrong? i don't think, and i've never thought that i a part were wrong? i don't think, and i've never thought that the i and i've never thought that the health and social care act was the coalition's finest hour. i actually spoke out publicly, it was somewhat unusual, i was a government whip at the time, during the passage of the bill through parliament to raise my concerns. i spoke to bbc news at the time. and i called for changes to the legislation. i don't think it was a good reform. it didn't have a clear intellectual base for it and
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it delivered confused accountability. so i was never a fan. ultimately i made a judgment to go along with it after some changes were made that i think improved it, but with the benefit of hindsight they didn't improve it sufficiently. but as i say, it is in many ways built on reforms that had happened under the new labour government introducing choice into the nhs, introducing choice into the nhs, introducing a greater role for the private sector and actually the backdrop is competition rules from the eu. and although i was a remainer and i think that brexit in many ways was a mistake, leaving the eu does allow us to move away from those competition rules and allows us to make our own judgments about whether we should allow competition in any part of our public services. can i ask you about timing? there
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will be some who say the nhs is so busy, we are in the middle of a pandemic, does it really need reorganisation now. i suppose the flip side of that is the health service has responded magnificently to the pandemic. huge stress test, it is capable of managing as it is, so actually does it really need reform? �* . ., , so actually does it really need reform? �* . . , , , so actually does it really need reform? a . , , reform? actually, it builds on what's happening _ reform? actually, it builds on what's happening in - reform? actually, it builds on what's happening in the i reform? actually, it builds on what's happening in the nhs| reform? actually, it builds on - what's happening in the nhs already. you said in your introduction that the chair of the mental health trust in london, and already we have become part of what's called the south—east london integrated care system. every part of the country now has an integrated care system and there has been a whole load of consultation over the last few weeks in response to an nhs england document which sets out some of the proposals that are now going to be contained in the legislation. so this sort of builds on a direction of travel already taken by the nhs.
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i think what we have seen during the pandemic is a greater sense of cooperation and collaboration between different parts of the nhs, which absolutely is welcome. but also closer cooperation with local government, getting people out of hospital more quickly so that we can free up beds for people that need them, for example. and we must do far more to prevent ill health in the first place. i would go further than these proposals. i would devolve more power to the locality for local government to work out plans alongside the nhs. and i think there are dangers if the secretary of state sort of tries to grow manage the nhs in every locality across the country. that has never worked and it will not work in the future. so that is a sort of cautionary note for the government. unfortunately we are out of time but so norman lamb, thank you very much.
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—— sarah norman the new chair of the vaccine taskforce — dr clive dix — says he is "very optimistic" the uk will meet its target of offering a first coronavirus jab to all over 50s by may. almost 11 million people have now received their firstjab — but some — particularly those in ethnic minority communities — remain hesitant. our community affairs correspondent adina campbell reports on how some are tackling the issue. this vaccination hub, at the royal london hospital, has been up and running for almost six weeks and it's non—stop, with staff putting jabs into hundreds of arms each day. any history of problems with bleeding or bruising at all? any history or problems with bleeding or bruising at all? one of them is martin griffiths, a consultant surgeon, whose dayjob normally involves treating trauma victims with severe wounds, but now he's part of the vaccination effort. he's seen, first—hand, the disproportionate impact of coronavirus on people from black, asian and other ethnic minority groups. there's a lot of anxiety out in the community about coronavirus and the vaccination,
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about its speed, about whether it works or not and a lot of misinformation on, particularly on social media about that. i think it's important that people take the opportunity to ask questions and have their concerns answered by trusted individuals. this government video is one way of spreading the vaccination message on social media. people from these communities are up to four times more likely to die from coronavirus than white people, but there's growing evidence and research which shows they're more reluctant to be vaccinated. we have to trust that, you know, the scientists have done what they should be doing, government and everybody has done theirjob correctly and they've put this out there. they've had a lot of misconception, especially within the bangladeshi community. it's more to do with not getting the information in the language that they need it or if they've got the misconceptions, where they come from. nhs staff are giving jabs from more than 1,500 sites across the country.
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this is one of the busiest vaccination hubs in london and, at the moment, it's running twice a week, where up to 700 people a day are given a jab here. and for those still in doubt... we are not authority, we are people as well. we want to help our community get better. so, yes, please, ask questions. we'll give you the answer and tell you the truth and we can move forward from there. in an effort to get more people vaccinated, the government has now started to publish ethnicity data and it's hoped these clinics will end up attracting the most hard—to—reach hesitant communities. adina campbell, bbc news. the headlines on bbc news. a leaked document appears to reveal plans to reverse reforms made to the nhs in england by the coalition government in 2012, which saw the private sector given a greater role. the chairman of the vaccines taskforce says he's confident the uk
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will be able to offer coronavirus jabs to everyone over 50 by may. thousands of people take to the streets in myanmar to protest against the military coup and to demand the release of aung san suu kyi. sport and for a full round—up, from the bbc sport centre, here's katherine downes. busy day. hi, reveco. good afternoon. it is a busy day. we start with the action that happened this morning, england in a strong position in their first test against india in chennai after captainjoe root test against india in chennai after captain joe root scored a test against india in chennai after captainjoe root scored a second double century in three matches, eventually out for 218, with england on 555—8 at the close on day two. adam wild looks back at the action. smiles and celebration, site at which england cricket fans will never tire, a site they are now getting rather used to. joe root had
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already passed 100 when this morning's master class began, a study and can't control. if that was the foundation, ben stokes brought the foundation, ben stokes brought the strokes. those big empty chennai stamps make an inviting target. still, how big a score where england actually aiming for? india running out of ideas. well, almost. tempt stokes into another mighty heave, india clinging onjust about. with his partner falling short, india clinging onjust about. with his partnerfalling short, the captain wasn't about to follow. this brought up his 200. in his 100th test match, the first player ever to do that. root reached 218 before he finally faltered, congratulations from opposition and team—mates. all knew they had seen something special. fora moment knew they had seen something special. for a moment it looked like india's bowlers had finally hit their stride. jos buttler... but then jofra archer their stride. jos buttler... but thenjofra archer misjudging successive deliveries. but having found their fortune, they then lost
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their luck. dom bess here surviving and unforgivable dropped catch. england batted out the day, now firmly in command. joe root even tidying up after. their inspirational captain setting the standard till the very end. adam wild, bbc news. the waiting is over, the six nations is under way. england and scotland clash later at twickenham in the calcutta cup, but dylan cretin of france has scored the first try of this year's tournament. there were less than six minutes on the clock when cretin broke through for the french against italy in rome. more of the same followed from gael ficou and then arthur vincent and france finished the first half with a 24—3 lead. italy are heading for a 28th consecutive six nations defeat. that is quite a stat. in the first premier league game of the day, aston villa have bounced back from their midweek defeat against west ham by
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beating arsenal 1—0. some quick thinking by bertrand traore set up the goal, pouncing on a loose backpass to set up ollie watkins to put villa ahead with just 7a seconds gone. it's the first time they've done the double over arsenal since the early �*90s. these players like to make history, as we have seen over the last couple of years. but it was a hard—working performance, i thought we got away from that on wednesday. people talking about us being a good team, you've still got to work hard and work hard for each other. we got the quality to score goals within this team, as people have seen, but that was more like us. it was a really doggy display against a really good offensive team. there are four more matches today. two of those are already under way. burnley 0—0 brighton, and newcastle 1—0 southampton, joe willock with a goal on his debut. later on fulham take on west ham at 5.30pm, and then second—place manchester united host everton
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at 8pm at old trafford. five matches also in the scottish premiership — all of them kicked off at 3pm. these are the latest scores. celtic are playing the first of their two games in hand on leaders rangers. they're at home to motherwell, and they start today a huge 23 points behind leaders rangers who play tomorrow. finally, horse racing and there was a huge win for the 2018 gold cup winner — native river at sandown park today. the old campiagner saw off fellow jumps stars like bristol de mai and santini to win the cotswold chase — re—arranged from last week's cancelled cheltenham trials meeting. finally a welcome win for trainer colin tizzard who's only had one win since december. native river bringing it home for him. that's all the sport for now. the six nations across the bbc. we will keep you updated on bbc news as well. thank you. a murder investigation has been launched after a 22—year—old
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man was stabbed to death in croydon yesterday evening. it was one of five stabbing incidents across south london reported injust over two hours on friday night — which saw nine people injured. officers don't believe all the attacks were linked and have appealed for information. our correspondent, jon donnison sent us this update from the scene. police were called to this block of flats in croydon around about 8pm yesterday evening after reports that two people had been stabbed. despite the efforts of paramedics, a 22—year—old man died at the scene and a second man was taken to hospital. forensic teams have been here this afternoon, and we have seen friends and family members coming to pay their respects and lay flowers. overall on friday evening, police said they were called out to reports of five separate stabbing incidents in the croydon area and nine people have been injured with stab and slash wounds, although police say none of them
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are in a life—threatening condition in hospital. police at the moment say they do not believe these incidents were all linked, but stop and search powers have been increased in the area and police say on saturday night there will be an increased police presence on the street. detective superintendent nicky arrowsmith described the violence as needless and abhorrent. so far we understand two people have been arrested in connection with these incidents. jon donnison reporting. small businesses that took out government loans to help them survive the coronavirus lockdown are being given ten years rather than six to repay them. about £16 billion has been borrowed by more than 1.4 million companies under the bounce back loan scheme. chancellor rishi sunak said the move was to give companies "breathing
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space to get back on their feet". myanmar�*s military rulers have shut down the country's internet as thousands of people joined the largest rally yet against monday's coup. police with riot shields have blocked the main roads into country's largest city, yangon. the internet shutdown happened hours after the military had blocked access to twitter and instagram to stop people mobilising for protest. tens of thousands of indian farmers have blocked major highways across the country as they continue their protests against new agricultural laws. the three—hour blockade has disrupted traffic in many parts of india but the movement of ambulances and essential services is being allowed. police have detained dozens of protesters. us presidentjoe biden believes donald trump should no longer have access to intelligence briefings because of his "erratic behaviour." former us presidents traditionally receive some briefings after they leave office.
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but mr biden told cbs evening news he was worried about mr trump's access. this was mr biden's first broadcast interview since becoming president. he also spoke about the upcoming impeachment trial — and was asked if he was a senator, would he have voted to convict mr trump? look, i ran like hell to defeat him because i thought he was unfit to be president. i watched what everybody else watched. what happened when that crew invaded the united states congress. but i am not in the senate now. i will let the senate make that decision. let me ask you something you do have oversight of as president. should former president trump still receive intelligence briefings? i think not. why not? because of his erratic behaviour unrelated to the insurrection. you've called him an existential threat, you've called him dangerous, you've called him reckless.
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i have, and i believe it. what's your worst fear if he continues to get these intelligence briefings? what value is giving him an intelligence briefing? what impact does he have at all, other than the fact he might slip and say something? saturdays may be a time to relax for many — but at one school in derby — the pupils are working hard today. the foundation trust there has been awarded £84,000 from the government to run a saturday school for those teenagers who have fallen behind at home. sian lloyd has been hearing from some of the pupils taking part. i come to saturday school, because i want to improve my maths and english, to be a social worker. hi, my name is vanessa, i'm year 11, and i came into school on saturday . to catch up with my english lessons. empty benches and deserted classrooms.
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the new familiar, in these times. but, at the bemrose school in derby, they are opening up during lockdown. on saturdays, small numbers are invited into schools to catch up on classes missed last year. you can see the students who do have access to devices at home, and those that don't have access to devices. what we are trying to do is make sure that gap doesn't widen, and i think being able to support students in different ways, and for them to be sure that we are still there for them, and that schools are still open and we are still providing work, i think is really important. now, looking at microscopy and i will require participation. with only three pupils allowed in a classroom to be covid safe, scores morejoining from home. scores morejoin in from home. up to 120 teenagers have signed up to catch up during exam—critical years. for these young people, it's an opportunity not to be missed. i need to get my grades and to catch up with my english and maths, also.
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i was missing a lot of lessons. there is social distancing, washing hands, masks, but it still helps. it's better than being at home. i want a job. i want to be a jeweller. so i actually need to get my grades up and learn a bit more. _ have you logged in? the school has accessed £84,000 from the government's catch up fund, which aims to help the most vulnerable and those from deprived communities, whose education has been affected by the pandemic. many pupils here faced barriers to learning before covid. staff hope saturday school will help close that gap. sian lloyd, bbc news, derby. now it's time for a look at the weather with louise lear. good afternoon. storm darcy has the potential to cause some significant disruption in europe this weekend. but also potentially towards the south—east corner as well, as the cold air descends right across the country
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through the night tonight. so it is going to be a cold and icy night in a particularly so it is going to be a cold and icy night, particularly where we have got some sharp showers continuing to the north, and that snow arrives during the early hours of sunday morning across essex and kent, and potentially towards the london area as well. so the met office has issued an amber warning. that means that you should be prepared potentially for some disruption first thing on sunday with some lying snow and some blizzard type conditions as gusts of wind are expected in excess of 30—40 mph. there is some potentialfor that snow to be just that little bit further north and west, so keep abreast of the forecast as we go through tonight and into sunday. there will be some showers further north as well, the best of the sunshine as well looks likely to be further west, but widespread cold for all of us. temperatures are really struggling.
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hello, this is bbc news. the headlines: a leaked document appears to reveal plans to reverse reforms made
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to the nhs in england by the coalition government in 2012, which saw the private sector given a greater role.

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