this is bbc news. these are the latest headlines in the uk and around the world. major reforms to the health service in england are to be unveiled but there's concern over how they can be implemented in the middle of the pandemic. absolutely we should be putting in place now the building blocks for a stronger, more integrated, more local nhs when we come out of this. i think it's absolutely right. now is exactly the right time to be doing this. people in england living with disabilities are 3.7 more times more likely to die of covid—19 according to figuresjust likely to die of covid—19 according to figures just released. confusion over whether or not to book a summer holiday. the health secretary insists he still hopes to go to cornwall, despite the transport secretary saying it's too soon

to organise a getaway. if you want to get in touch — @annita—mcveigh. use the hashtag, bbc your questions scientists predict that the covid variant first found in kent could now become the world's dominant strain. dramatic new footage of the attack on capitol hill, as democrats present their case in donald trump's second impeachment trial. the head of the tokyo olympics committee are set to resign after making the condescending remarks about women. hello and welcome if you're watching

in the uk or around the world. the uk government is setting out how it intends to overhaul health and social care services in england. it intends to overhaul health the reforms would lead to changes in measures introduced less than a decade ago when david cameron was prime minister. the plans would see hospitals, gp services and social care providers working more closely together, a reduced role for the private sector, and less red tape, what the uk health secretary has called burdensome bureaucracy. he's defended outlining the plans during the pandemic. meanwhile, in other developments, the head of the uk's genetic surveillance programme, professor sharon peacock, has predicted that the coronavirus variant first found in kent in england could become the world's dominant strain. and questions remain over whether people should be booking holidays either at home or abroad after warnings yesterday from ministers that it's too early to know where we'll be by the summer. but first more on those nhs reforms due to be set out later

by the health secretary matt hancock. our health correspondent, nick triggle reports. the reforms brought in by david cameron's government were deeply controversial. they were meant to usher in an era of competition and innovation. but a white paper, to be published later, will begin the process of unpicking them. out will go requirements on tendering contracts, and instead councils and nhs services will be told to pool resources and decision making. ministers believe it will help meet the challenges of the ageing population and rise in numbers with chronic conditions. those working in the health service said many of the rules were time consuming, frustrating and stressful. there is a bit of a risk. we've had a lot of experience, unfortunately, of restructuring in the nhs. and while everyone says, we hope it won't cause a lot of disruption, it is a bit of a risk here that we have a lot of people distracted from the job of planning services for the future,

planning the recovery from covid, or indeed, actually we're still in covid, perhaps even being distracted from that. nhs and council leaders say changes are needed, although the local government association warned social care was still short of funding. and labour questioned the timing, saying the pandemic was stretching services to their limits. nick triggle, bbc news. the uk health secretary matt hancock has been explaining how the reforms will improve the way the nhs delivers services. the practical implication is that these changes will allow the nhs to work more closely together with the different parts of the nhs, as you mentioned, and, crucially, with social care and public health colleagues. at the moment, there are rules set out in law that stops some of that working together. we've seen that that's been a problem. the nhs has done an amazing

job during the crisis, but that has confirmed the need to remove this bureaucracy and that will make it easierfor the nhs on the ground to deliver for you. i'm joined now by chief executive of nhs providers chris hopson. chris, hello to you. i know going back a few years to 2019, nhs providers and others were involved in discussions about what reforms were necessary within the nhs in england. i think some of that discussion, some of that input from you is now in these proposals from the health secretary, so, broadly, you welcome this?— the health secretary, so, broadly, you welcome this? yes, i mean, we know that the _ you welcome this? yes, i mean, we know that the nhs _ you welcome this? yes, i mean, we know that the nhs is _ you welcome this? yes, i mean, we know that the nhs is rather - know that the nhs is rather struggling with the idea that the social care, gps and hospitals, community, mental health and ambulance services were in a sense of family which should all be working together but we were

separated at birth in 19118 when we were effectively put into three different places, and i think there a real opportunity now to bring that family together much more effectively. my favourite story if you don't mind me tell you a quick anecdote, i was talking to someone the other day who had an exercise book on the fridge and i said what's in the exercise book and they basically said i've had a0 different people through my door over the last year trying to give me care and effectively there is no single joined up here record for social care, the gp, community services, the ambulance people, so every time they come i ask them to look in my exercise book and effectively see what the last person who came to my door did and that's absurd. we need for example a single joined door did and that's absurd. we need for example a singlejoined up here record so when we look after you, from social care, local authority, gp, hospital, community, ambulance service, you can all look at the same record and those are the kinds of things we want to flow from this

legislation. of things we want to flow from this le . islation. ~ ., , of things we want to flow from this le . islation. ~ . , ., legislation. well, that is quite an anecdote and _ legislation. well, that is quite an anecdote and illustrates - legislation. well, that is quite an anecdote and illustrates really i legislation. well, that is quite an l anecdote and illustrates really well what we have got and what you are hoping we will end up with. what is it going to take, though, to make that happen because labour, as i discussed with a guest earlier, is saying you can'tjust legislate to integrate. you need to make sure this is properly funded and he talked a lot about funding. what else do you think needs to happen to make this integration work? we have a lona make this integration work? we have a long history — make this integration work? we have a long history in _ make this integration work? we have a long history in the _ make this integration work? we have a long history in the nhs _ make this integration work? we have a long history in the nhs are - a long history in the nhs are thinking if we tinker with the structure it will be better and there's a little bit of an element of sort of moving deckchairs around, so, yes, structure is important and this legislation will help theirs, but you are absolutely right, what really counts here is how we got the right funding in place? to be completely agree with local government association is that social care absolutely is teetering on the brink and needs more funding? but it actually comes down to people in a local area, leaders, working together to say how do we change what we do to join up with our

colleagues in social care? join up and colleagues in gps and primary care? and how do we provide that seamless service? how do we get, for example, that single tier record so it's notjust about example, that single tier record so it's not just about structures example, that single tier record so it's notjust about structures but funding and people working together at local level. just funding and people working together at local level-— at local level. just to be clear, chris, if at local level. just to be clear, chris. if we — at local level. just to be clear, chris, if we look _ at local level. just to be clear, chris, if we look at _ at local level. just to be clear, chris, if we look at this - chris, if we look at this bureaucracy busting, which is what matt hancock is talked about, the social care side of this is not being brought along at the same rate as the health part of it, is it? ida. as the health part of it, is it? no, and we're — as the health part of it, is it? no, and we're still _ as the health part of it, is it? iifr, and we're still waiting for promise the prime minister made an theresa may before him made and david cameron made an gordon brown before him made and tony blair may be for him made and tony blair may be for him that they would solve the social care problems we have in this country. we are effectively at the moment just country. we are effectively at the momentjust letting it teeter on the brink, pulling it backjust at the point when it looks like it topples over with just the bare amount of money needed and what we have got to do is sustainably solve these problems in social care and so, yes, whilst these reforms are really

important, we do also need to have a sustainable, long—term approach to social care that's been promised. and that's fundamental, to be frank, if all we do with the structural reforms and moving the deckchairs around, and we don't solve that social care problem, it will really not be good enough.— social care problem, it will really not be good enough. let's talk about timin: , not be good enough. let's talk about timing. because _ not be good enough. let's talk about timing, because one _ not be good enough. let's talk about timing, because one of _ not be good enough. let's talk about timing, because one of the _ not be good enough. let's talk about timing, because one of the big - timing, because one of the big question is that has emerged around all of this is weather during a pandemic if the right time to introduce these kinds of reforms. can the nhs actually cope with introducing these types of reforms along with everything else already doing? let mejust bring in figures wejust received saying doing? let mejust bring in figures we just received saying that the number of people having to wait more than 52 weeks to start hospital treatment in england stood atjust over 22a,000 in december, that is the highest numberfor over 22a,000 in december, that is the highest number for any calendar month since april 2008. so you've got to deal with a pandemic, dealing with the backlog of people waiting to start treatment, so can the nhs

cope with introducing these reforms as well? ~ ., �* , , cope with introducing these reforms as well? ~ . �* , , ., as well? well, that's why we have said very clearly _ as well? well, that's why we have said very clearly in _ as well? well, that's why we have said very clearly in our _ as well? well, that's why we have said very clearly in our reaction i said very clearly in our reaction one of the things we would like to talk to the government about is how quickly this is implement it because the one thing we can do is expect leaders to make structural changes when they need to really focus on sorting out care backlogs. i mean, i agree with matt hancock's point that effectively now was a good time to try to ensure that we've got the forms in place that are needed to enable the nhs to come out of this pandemic in the best shape, but we need to be careful we are not going to ask people to be doing structural reforms at the point at which we are trying to concentrate on care backlogs and, yes, that figure is a really, really good illustration of, despite the absolutely amazing thing is that our staff have been doing, and they have never worked harder, we have been asking them to do near impossible things in incredibly

difficult circumstances over the last year, but particularly the last couple of months and that's an illustration of the size of some of the challenges the nhs is going to have as it comes out of this pandemic. have as it comes out of this pandemic-— have as it comes out of this andemic. ., ., ., u, pandemic. you are right, health care staff never worked _ pandemic. you are right, health care staff never worked harder, _ pandemic. you are right, health care staff never worked harder, yet, - pandemic. you are right, health care staff never worked harder, yet, you. staff never worked harder, yet, you know, as a consequence of this pandemic we have this backlog of people waiting to start treatment. there is the nhs in england ever going to be able to catch up? yes. there is the nhs in england ever going to be able to catch up? yes, i think it will — going to be able to catch up? yes, i think it will be — going to be able to catch up? yes, i think it will be able _ going to be able to catch up? yes, i think it will be able to _ going to be able to catch up? yes, i think it will be able to catch - going to be able to catch up? yes, i think it will be able to catch up - think it will be able to catch up but there is a really important question, an interesting one about how do we prioritise? certainly the debate going on with our chief executives of the moment is we just need to be careful about focusing, i know it's a nice easy figure to focus on, and it's incredibly important if you've been waiting more than 52 weeks, but what our chief executives are saying is there will be people who have been waiting less than 52 weeks who we also need to prioritise, so what we really need to do, which is where the nhs is best, is effectively let the local clinicians make those prioritisation decisions and

effectively say what the order in which we should get through these backlogs is. of course, those 52 week plus waiters is important and nothing is worse sitting in pain waiting for an operation was given we've now got the backlogs we need to be very careful about how we prioritise them and we need to trust local clinicians and local leaders to make the right decisions. {lilia to make the right decisions. 0k, chris and i _ to make the right decisions. 0k, chris and i thank _ to make the right decisions. 0k, chris and i thank you very much for your time, chris and i thank you very much for yourtime, chief chris and i thank you very much for your time, chief executive of nhs providers. let's get more now on those hospital waiting time figures. dominic hughes, more than 22a,000 people waiting 52 weeks to start treatment in england, the highest numberfor any calendar treatment in england, the highest number for any calendar month since april 2008, a vast number, isn't it? it is, and it's a stark illustration of the pressure the health service has been under over the last year fulton just to give a bit of context for viewers, the year before in december 2019, the number of people who had been waiting for 52 weeks or

more for an operation was 1a67. in one year it's gone from 1a67 up to nearly 225,000. it is such a stark rise. it's the highest number, as you said, when you are talking to chris hobson, for any month since 2008. in total, a.5 million people are waiting to start treatment in december 2020. we also know that the numbers of people who were admitted for routine treatments in december 2020 in england were down by one quarter compared to a year earlier. we know that a&e attendances were also down, people obviously in december worried about attending a&e in the middle of another surge in the pandemic. and emergency admissions to accident and emergency departments in hospitals in england were down by 20% as well. the

broader context of this is nhs england, these are figures only applying to england i should stress, the broader context of this is that the broader context of this is that the number of patients being treated in hospitals injanuary, one third of all of those patients were covid patients, so more than 100,000 out of a round about 3aa,000 patients, covid. the nhs, despite the pandemic, last year, still managed to carry out 6.1 million operations. but itjust gives you an idea of the scale of what we are talking about. when, despite all of that, we see this huge rise in the number of people waiting one year for an operation. it people waiting one year for an operation-— people waiting one year for an oeration. , . ., ,~' , �* operation. it is a huge task, isn't it? damian, _ operation. it is a huge task, isn't it? damian, thank _ operation. it is a huge task, isn't it? damian, thank you _ operation. it is a huge task, isn't it? damian, thank you very - operation. it is a huge task, isn't| it? damian, thank you very much operation. it is a huge task, isn't - it? damian, thank you very much for that. dominic, sorry, our health correspondent. in fact, we are now going to talk to damon dramatic is.

there is continuing uncertainty in britain over whether people can go on holiday this summer with a transport secretary grant shapps yesterday that it was not me blocking breaks and borisjohnson saying it was too early to say if we could so let's talk to political correspondent. damien, hello to you. a lot of confusion here, if people are looking to government ministers or guidance about whether they can or guidance about whether they can or not book a holiday or or should not book a holiday because we are hearing different things from different ministers. who should we look to? , , ., , different ministers. who should we lookto? , , , different ministers. who should we look to? , , .,, , ., different ministers. who should we lookto? , , , ., ,, look to? yes, this has been an issue which has risen _ look to? yes, this has been an issue which has risen in _ look to? yes, this has been an issue which has risen in the _ look to? yes, this has been an issue which has risen in the last _ look to? yes, this has been an issue which has risen in the last 24 - look to? yes, this has been an issue which has risen in the last 24 hours. which has risen in the last 2a hours orso which has risen in the last 2a hours or so because of those different sounding messages from different ministers. actually, if you look back over a few weeks, that has been the case. we've had the majority of ministers saying it's too early to book holidays, the prime minister saying that yesterday, but yesterday, what you had was a transport secretary on the radio saying people should not be making any plans for the summer for abroad

or in the uk. but the health secretary matt hancock, who three weeks ago said he'd already booked a summer holiday to cornwall, repeated that last night to tory mps, so he was asked this morning when he was doing interviews what sort of certainty could be given to people best this is what he said. we are doing everything we possibly can to make sure that people can have a holiday this summer, and of course the vaccine roll—out is absolutely central to that to make sure that we protect people as much as possible. so it's really good news that the vaccine roll—out has been going so fast and that we've got such a high uptake and we'll set out more in more detail when we can. but, at the moment, unfortunately there is that uncertainty still. and i think his comments there, when we can, is important because we know

that there is this data coming up, february the 22nd, when the government wants to lay out a road map for the future but that's a plan, depending on how the vaccine programme goes, it's going to be a sort of timetable or signposts about how current restrictions might be lifted and that applies to the sort of broad lockdown and, of course, as the government is first priority is how will people here start to be able to see relatives, family, friends again, get back to work again, those are the first questions that will be asked, schools getting back, but holidays is a different issue. if you cast your mind back to last year, remember there was up to the summer holidays, it was uncertain what people in the uk were going to be able to do even until very shortly before they went on holiday for the government was talking about sorting travel corridors with other countries, so

free movement back and forth, but it turned out that depended of course on those countries, what measures they wanted and that remains their decision and will be their decision this year whether they will have quarantine requirements or entry requirements so it's very difficult to plan for that. the other thing of course, as mr hancock says, depends on the vaccine roll—out in this country. so we will wait to see, but it's worth saying too, there are many, many people affected by this, notjust many, many people affected by this, not just for holidays, many, many people affected by this, notjust for holidays, but millions of people who have families, relatives, parents abroad that they would like to visit too, and, at the minute, all of that travel is illegal if you are in the uk. damien, thank you very much. let's pick up on the subject of travel. let's talk now to our business presenter victoria fritz. hello, victoria. the travel industry, that question about whether people can begin to think or

not about booking a holiday is absolutely a priority and they would like more certainty. itjust is not there, is it? it like more certainty. it 'ust is not there, as mi there, is it? it certainly isn't. this political— there, is it? it certainly isn't. this political pickle _ there, is it? it certainly isn't. this political pickle is - there, is it? it certainly isn't. this political pickle is really l this political pickle is really fraying the nerves of people, the population, who have seen more flip—flops quite frankly in the last year than you would see on copacabana beach, and it's also really annoying the travel companies. we've seen the likes of heathrow and the bass coming out today saying, hang on, we have got bookings down 89%, people coming to the airport, injanuary. he said airlines have gone an entire year with no revenues at all and what is the response when you don't have any money coming in? you cut the money going out, you cut your costs, and heathrow, just to take that example alone, they think they have lost between 15—25,000 jobs in the last 11 months. that's the equivalent of a small town in this country and we are seeing this right across the board. it doesn't matter whether you

are a airline, travel company and the like, and we've also got a of people who are pretty worried about all of this because they deferred their bookings last year to this year thinking things would be better. we heard from tui travel today who are saying they have got 2.8 million people who have already booked, half of them british, wondering what's going to happen to their money, well they get it back, well they get some kind of refund? a lot is hanging in the balance here. victoria, thank you very much. democrat prosecutors in donald trump's impeachment trial have been showing new footage of the attack on capitol hill. they've accused mr trump of acting as "inciter—in—chief" in the run up to the violence. the former president's lawyers deny the claims. our washington correspondent barbara plett—usher reports. democrats used chilling new security video to reconstruct what happened during the riot. forcing senators to relive that traumatic day. we've lost the line! this was a key part of a sweeping narrative against the former president,

laid out by the prosecution. donald trump surrendered his role as commander—in—chief and became the inciter—in—chief of a dangerous insurrection. and to use a favourite term that all of you people - really came up with, i we will stop the steal. democrats argue that mr trump spent months constructing a big lie to make his supporters believe the election was stolen. and he used fighting words when he knew some of them were armed and would fight. donald trump, over many months, cultivated violence. praised it. and then, when he saw the violence his supporters were capable of, he channelled it to his big, wild, historic event. the videos showed how closely the mob got to officials. the former vice president, mike pence, being rushed to safety. senator mitt romney turning

around in his tracks. the compelling case, told with emotional appeal, was one that touched hearts in the senate, although not necessarily minds. many republican senators seemed unwilling to be convinced that donald trump is guilty. but the democrats are also aiming at a broader audience watching from home, hoping to hold mr trump to account in the court of public appeal. barbara plett—usher, bbc news, washington. the new and more infectious variant of covid—19 first found in kent will become the world's dominant strain, according to the director of the uk's genetic surveillance programme. professor sharon peacock from the covid—19 genomics uk consortium said the variant which has been detected across britain, and in more than 50 countries, is going to sweep the world in all probability. she added that transmissibility was likely to cause scientists difficulties for years to come. when we look at what's happening with the variants circulating in the uk,

there was this news that it might be slightly more lethal and i think the jury is still out on that. i don't think the evidence is really firm that it is. oh, really? well, i think it's still under investigation at the moment, but when you look at the number of cases that was caused because of transmission, the number of deaths and illness that it caused simply by being much more transmissible caused numerically more problems for people in this country than it being slightly more lethal, if that does prove to be the case, so i would say that at the moment what's really affected us at the moment is transmissibility because the new variant has swept the country and is going to sweep the world in all probability. in the future, i think the key is going to be if something is particularly problematic with the vaccines, and i think we are going to be able to duck and dive around that to get our vaccines tweaked and get them rolled out again in boosters. but it's going to be that kind of slow waltz with the virus

and the vaccine development trying to keep ahead of what nature is throwing at us actually. professor sharon peacock. drugs giant astrazeneca has revealed its annual profits more than doubled in the last year. the group, which is currently working on adapting its vaccine to cope with new strains of coronavirus, reported pre—tax profits of 2.8 billion pounds for 2020. that's despite offering its vaccine on a not—for—profit basis. it's also suggested that if it needed to produce an amended version of the vaccine to combat these new strains, it could do so at scale in as little as six months. the red cross in ethiopia has warned that tens of thousands of people could starve to death in the country's conflict—hit tigray region. the assessment comes three months after the prime minister declared victory over the tigray people's liberation front. but the head of the red cross says hospitals lack basic medical supplies and that 80% of the region is currently unreachable.

just a warning — some viewers may find mark lobel�*s report distressing. is ethiopia slipping back to scenes like these? there is worrying testimony from the few aid workers able to access its troubled north. the most affected are women and children, and if you see them at the idp camps, they are all emaciated, they are all really, you know... just you see their skin is really on their bones. you don't see any fluid in their body. the view from one camp with around half a million refugees is bleak. it is the complexity of what is behind months of fighting

in ethiopia's north making a peaceful resolution so difficult that is feeding fears of a large famine. with atrocities alleged on all sides, serious questions over eritrea's role and tens of thousands of refugees camping out in sudan, the eu, us and un have all raised the red flag over food and security concerns. this is a call to all the parties involved. give us safe and unhindered access. respect our teams, respect the medical doctors. the ethiopian government insists conditions are improving rapidly but the worst may yet be to come, with the prediction by the ethiopian red cross that tens of thousands could starve in months without urgent action. mark lobel, bbc news. president biden has approved an executive order to impose sanctions on the leaders of myanmar�*s coup. the measures will be focused

on military leaders, their family members and businesses linked to them. the security forces are reported to have detained one of aung san suu kyi's most senior advisers in another wave of arrests of officials linked to the ousted government. the united states, the un and human rights groups have welcomed the release of the saudi women's rights activist, loujain alhathloul, after nearly three years in jail. she was a leading figure in the campaign to allow saudi women to drive. there's been no comment from the saudi authorities. the head of the tokyo olympics committee, yoshiro mori, is expected to resign after making widely criticised sexist remarks. japanese media reports say mr mori will offer to step down at a special committee meeting on friday. there's been growing anger injapan and abroad after mr mori complained last that women were annoying and spoke too much in meetings.

when he made his initial apology for his clearly sexist remarks during an olympic board meeting, there was a sense he might ride this out, politicians and the japanese olympic committee and indeed the national olympic committee came behind him and the japanese government said he's apologised, he has withdrawn his comments, this is now closed. but since then, the public outrage has really grown and grown. there's been an online petition with 150,000 signatures, other things have happened as well. we have seen hundreds of volunteers, olympic and paralympic volunteers, saying they would not take part, they would quit their positions as volunteers if he remained. high profile people in japan and around the world criticising him, including sports stars like naomi osaka, japan's most famous tennis player. but i think, what we have seen yesterday on

wednesday here injapan is the chairman of toyota motor corporation, one of the biggest corporations injapan, and the biggest sponsors of the olympics, he came out and added his voice, saying the remarks were unacceptable and not fitting with toyota's values. when you've got one of your major sponsors, the head, saying i don't want to see you here any more, that was probably the final straw and so we've heard today leaked japanese media this will happen on friday, he is going to go. now a summary of our main stories. so far today, major reforms to the health service in england are to be unveiled but there is concern over how they can be implemented in the middle of the pandemic. people in england living with disabilities are up to 3.7 times more likely to die with covid—19 according to figures just released. scientists protect their covid variant first found in kent in

england could now become the world dominant strain. dramatic new footage of the attack on capitol hill as democrats present their case in donald trump's second impeachment trial. the latest figures from the office for national statistics show the risk of death involving the coronavirus was more than three times higherfor coronavirus was more than three times higher for people with severe disability than those who aren't disabled with the figure is also finding those with a less severe disability were about twice as likely to die from covid—19.james taylor is executive director of strategy, impact and social change at the disability charity scope and says disabled people are feeling forgotten. i says disabled people are feeling foruotten. ~ , , says disabled people are feeling foruotten. ~' , , ., ., , forgotten. ithink firstly, amongst all deaths last _ forgotten. ithink firstly, amongst all deaths last year, _ forgotten. ithink firstly, amongst all deaths last year, and - forgotten. ithink firstly, amongst all deaths last year, and the - all deaths last year, and the figures go up to november last year, there is a huge amount more that has not been reported, but six in ten of

all deaths from coronavirus last year were someone who had a disability. for us that is really shocking. the second key finding is that those with a disability are much more likely to die from coronavirus than the general population. the ons has been quite clear that there is no single factor that explains the raised risk of death, it is a multitude of different things from where people live, the income, their health, but i think what we are seeing, and these figures bear out, is that disabled people have been disproportionately affected by the pandemic, and many of them are feeling forgotten about.- feeling forgotten about. james ta [or feeling forgotten about. james taylor from — feeling forgotten about. james taylor from scope. _ feeling forgotten about. james taylor from scope. prisoners l feeling forgotten about. james| taylor from scope. prisoners in feeling forgotten about. james - taylor from scope. prisoners in the taylorfrom scope. prisoners in the uk are being kept locked up for up to 90% of their day because of coronavirus restrictions. at the prisons watchdog says the extra restrictions which began in march have led to a decline in their mental and physical health and a rise in drug taking and self—harm. the report found the long—term

consequences of such an extended and restrictive regime could be profound with some newly released offenders ill prepared for life outside, meaning reoffending is more likely. andrea albert has worked in the prison service 30 years and governed four present in that time and is also the president of the prison governors association. thank you for your time today. an incredibly challenging environment for prison staff and prisoners. we know that covid thrives in indoor settings, obviously prisons are very crowded places so how difficult has it been for governors to try to manage outbreaks? i for governors to try to manage outbreaks?— for governors to try to manage outbreaks? ~ , ,., ., outbreaks? i think it is important to say that _ outbreaks? i think it is important to say that governors _ outbreaks? i think it is important to say that governors and - outbreaks? i think it is important to say that governors and their . to say that governors and their teams have done an amazing job over the last year. public health england originally modelled over 3000 prison deaths and we have had around hundred. nobody would want to be

delivering the restrictions that are being delivered at the moment but our aim is to save lives, protect the community and other hospitals in the community and other hospitals in the community and other hospitals in the community of the prison from being overwhelmed with covid cases in prisons. i being overwhelmed with covid cases in risons. ., ~ being overwhelmed with covid cases in risons. . ~ ., ., ., in prisons. i talked about managing outbreaks but _ in prisons. i talked about managing outbreaks but also, _ in prisons. i talked about managing outbreaks but also, how _ in prisons. i talked about managing outbreaks but also, how do - in prisons. i talked about managing outbreaks but also, how do you - outbreaks but also, how do you manage normal present life, notjust the outbreaks? part of the solution i think has been to work with prisoners in much smaller groups when they do leave their cells so has that been effective to a degree? the 90% of the time in cells is probably correct in a lot of cases. when you are only allowing small groups out in order to safeguard them from covid infection, you can only allow them out for shorter periods of time because you have to give the same equal access to showers, the phone calls, exercise right across the prison. that is why

they are only having a very short periods of time outside. it is not a good regime but the restrictions are in place to save lives. we good regime but the restrictions are in place to save lives.— in place to save lives. we have talked throughout _ in place to save lives. we have talked throughout the - in place to save lives. we have l talked throughout the pandemic in place to save lives. we have - talked throughout the pandemic about how you balance risks and you must be considering and prison governors and officers must be considering where the right balance lies because you get to a point where the negative impact of all of this, the lack of exercise, the increased stress, the impact on rehabilitation programmes, for example, begins to outweigh the risk from covid. are you at that point yet? i outweigh the risk from covid. are you at that point yet?— you at that point yet? i think you are correct _ you at that point yet? i think you are correct in _ you at that point yet? i think you are correct in saying _ you at that point yet? i think you are correct in saying it _ you at that point yet? i think you are correct in saying it is - you at that point yet? i think you are correct in saying it is a - are correct in saying it is a balancing act and we have to follow restrictions, we have to follow public health guidance which is what we're doing. we have mitigation in place to try to make the austere regimes kind of more acceptable to men and women in our care. they

don't have access to seeing their family but we do have video calls for them. we do to in cell activities for them so we are trying to do our best but to be quite honest, what we need to get out of the situation we are in is institutions to be vaccine, that is everybody who lives and works in prisons need to be vaccinated, not in order to prisons need to be vaccinated, not in ordertojump prisons need to be vaccinated, not in order to jump the queue prisons need to be vaccinated, not in order tojump the queue but in order to get our prisons back working appropriately, rehabilitating people, and to safeguard the community that those prisons are in because clearly staff move between prisons and the community and that increases the risk of spreading the disease. and we don't want to overwhelm our nhs either. ~ ., , . ., we don't want to overwhelm our nhs either. . . , . ., , either. what percentage, if it is ossible either. what percentage, if it is possible to _ either. what percentage, if it is possible to say, _ either. what percentage, if it is possible to say, of _ either. what percentage, if it is possible to say, of prison - either. what percentage, if it is possible to say, of prison staffl either. what percentage, if it is i possible to say, of prison staff are out of the system at any one point because of kobe —related illness? i cannot give you a percentage figure because it is a mixed picture across

the prison estate but clearly if we have a present with an outbreak, that outbreak will impact on our staffing levels because they would have to isolate and there will be those who are ill with covid put it with further depleted staffing, prisons really struggle to deliver the most basic regimes.- prisons really struggle to deliver the most basic regimes. briefly, one ofthe the most basic regimes. briefly, one of the key functions _ the most basic regimes. briefly, one of the key functions of _ the most basic regimes. briefly, one of the key functions of time - the most basic regimes. briefly, one of the key functions of time spent i of the key functions of time spent in prison is to rehabilitate. looking at that particular aspect of how it has been effected, by the increase lockdown in prison cells, are you worried by the suggestions that actually more prisoners will reoffend when they leave prisons because of the impact on rehabilitation programmes? i think that is a fair— rehabilitation programmes? i think that is a fair comment. _ rehabilitation programmes? i think that is a fair comment. we - rehabilitation programmes? i think that is a fair comment. we are i rehabilitation programmes? i think that is a fair comment. we are not| that is a fair comment. we are not able to run rehabilitation programmes at the moment, we are not doing education and training, activities are incredibly limited so of course it will impact on

reoffending.— of course it will impact on reoffendinu. �* ., ~ , reoffending. 0k, andrea albutt, thank ou reoffending. 0k, andrea albutt, thank you for— reoffending. 0k, andrea albutt, thank you forjoining _ reoffending. 0k, andrea albutt, thank you forjoining us, - reoffending. 0k, andrea albutt, l thank you forjoining us, president of the prison governors association. millions of people in england are at risk of lung damage. asthma uk and the british lung foundation said a court of all kevin smith at a hospital and gp practices are in areas where pollution exceeds the recommended levels. are cheap environment correspondent reports. we associate the seaside with fresh air and healthy living. "breathe it in", is eastbourne's motto. but like many places in the uk, it sometimes has issues with air pollution. as kimberly cole knows only too well. are you all right, kim? yeah. pollution is, i would say, the biggest trigger really, to making my lungs worse. can you tell when the day is particularly polluted? yes, i can tell, because it triggers

coughing immediately. kim has a lung condition called bronchiectasis, which leads to a build—up of mucus. it makes my lungs bleed. it makes your lungs actually bleed? yeah. and sometimes it can be so bad, the air pollution cough, the coughing will make me physically sick. air pollution is dangerous for us all, but older people and those with lung disease are particularly vulnerable. one of the main culprits are the tiny particulates in vehicle exhaust gases and other pollutants. researchers collect the particles, which are so small they can lodge in the lungs and even pass into the blood, damaging veins and other organs. you can see that the lungs are very black and most of the lung tissue there has been destroyed. lung scans show the damage air pollution can cause. we estimate that at least 30,000 people every year die prematurely because of air pollution. we've known about the harms caused

by pollution for a long time. and so far, action on it has been slow and has been not enough. it's too little, it's too slow. the uk limits for this so—called pm2.5 pollution here in the uk are twice that recommended by the world health organization. the british lung foundation and asthma uk are demanding the government bring uk rules in line, and they're also calling for it to produce a plan detailing how they're going to protect the most vulnerable from the effects of air pollution. an influential committee of mps is also calling for tougher controls. today, the government said it plans to introduce two ambitious and legally—binding air quality targets in its delayed environment bill. it says the primary focus will be on reducing exposure to particulate pollution. we all know cleaner air brings profound health benefits. campaigners are hoping one

of the positive legacies of the covid—19 pandemic will be fresher airfor us all. justin rowlatt, bbc news, eastbourne. the au pair industry is at risk of collapse because of new immigration rules that have come into effect since the uk left the eu. that's the warning from those who operate agencies providing childcare for thousands of families across the uk. the majority of current au pairs in the uk come from europe up until now, they were granted specialist visas to work here. now that's changed which means many are being blocked from coming here. joining me now is jamie shackell who is the chair of the british au pair agencies association. and also with this morning is gina walker who is a single mum that relies on her au pair to be able to do herjob. and emma floeth who is originally from germany and has been working as an au pair in the uk.

welcome to all of you. jamie, explain for us how the rule changes are affecting the au pair industry. since exit has been actioned, the uk government have completely ignored the cultural exchange au pair programme and consequently this leaves approximately a5,000 families without flexible live in child care. oh pairs have been coming to the uk for over 50 years to improve their english and experience our culture and complete this is a lot and its detrimental to both europe and the uk and the families that use au pairs as a necessity for a necessity for flexible childcare.— for flexible childcare. previously they could _ for flexible childcare. previously they could get _ for flexible childcare. previously they could get a _ for flexible childcare. previously they could get a specialist i for flexible childcare. previously they could get a specialist visa | for flexible childcare. previously i they could get a specialist visa but not now? ., , , ., , ., ., not now? previously there was a au air visa not now? previously there was a au pair visa that _ not now? previously there was a au pair visa that was _ not now? previously there was a au pair visa that was dispensed - not now? previously there was a au pair visa that was dispensed in i not now? previously there was a au pair visa that was dispensed in the | pair visa that was dispensed in the back end of 2008 mainly due to free movement, so temper nacker had been able to move freely from europe to

the uk which obviously now that has ended, they cannot come —— au pairs had been able to move. if ended, they cannot come -- au pairs had been able to move.— had been able to move. if they wanted to _ had been able to move. if they wanted to apply _ had been able to move. if they wanted to apply under - had been able to move. if they wanted to apply under the i had been able to move. if they i wanted to apply under the skilled these scheme, understand they would have to be earning £20,000 a year at least to qualify, and i am presuming that au pairs don't earn anywhere near that amount of money? ila. that au pairs don't earn anywhere near that amount of money? no, they don't, near that amount of money? no, they don't. because — near that amount of money? no, they don't. because it _ near that amount of money? no, they don't, because it is _ near that amount of money? no, they don't, because it is a _ near that amount of money? no, they don't, because it is a live _ near that amount of money? no, they don't, because it is a live in _ don't, because it is a live in family arrangements. the au pairs are an older sibling to family children and the receiver £100 a week in pocket money which they spent in the uk, and families contribute to their english lessons. the skilled work at route is just not viable. au pairs are not skilled workers, they are here on a cultural exchange programme and it is totally inappropriate for them to be branded as a skilled worker. gina inappropriate for them to be branded as a skilled worker.— as a skilled worker. gina is a sinale as a skilled worker. gina is a single mum _ as a skilled worker. gina is a single mum who _ as a skilled worker. gina is a single mum who works i as a skilled worker. gina is a single mum who works but l as a skilled worker. gina is a i single mum who works but what is your situation at the moment? you

have had a au pair but not now? i currently have one with me who is going _ currently have one with me who is going back— currently have one with me who is going back home to spain. because of difficulties, _ going back home to spain. because of difficulties, she has decided she wishes — difficulties, she has decided she wishes to— difficulties, she has decided she wishes to return and has given me her notice — wishes to return and has given me her notice sol wishes to return and has given me her notice so i am without childcare as of— her notice so i am without childcare as of the _ her notice so i am without childcare as of the end of next week. and the a . en as of the end of next week. and the agency used — as of the end of next week. and the agency used to _ as of the end of next week. and the agency used to find _ as of the end of next week. and the agency used to find your _ as of the end of next week. and the agency used to find your current i as of the end of next week. and the agency used to find your current au | agency used to find your current au pair, what have they to you? jamie is actually the _ pair, what have they to you? jamie is actually the agency _ pair, what have they to you? jamie is actually the agency i _ pair, what have they to you? jamie is actually the agency i use - pair, what have they to you? jamie is actually the agency i use and i is actually the agency i use and obviously— is actually the agency i use and obviously because of the home office restrictions, i don't have any options _ restrictions, i don't have any options unless there is a pre—settled au pair in the uk that is willing — pre—settled au pair in the uk that is willing to come to me but as it stands, — is willing to come to me but as it stands, that is not the case. sol have _ stands, that is not the case. sol have no— stands, that is not the case. sol have no one _ stands, that is not the case. sol have no one. a stands, that is not the case. so i have no one-— have no one. a lot of people associate — have no one. a lot of people associate someone - have no one. a lot of people associate someone having . have no one. a lot of people associate someone having a | have no one. a lot of people i associate someone having a au have no one. a lot of people - associate someone having a au pair, they think that person must be very wealthy but you were saying it is a really affordable child option? it is. the options, i don't have any

options. — is. the options, i don't have any options, childminders, because of the hours — options, childminders, because of the hours i — options, childminders, because of the hours i work, because i do shift work, _ the hours i work, because i do shift work. can't — the hours i work, because i do shift work, can't do them or don't want to do them _ work, can't do them or don't want to do them and — work, can't do them or don't want to do them. and the cost is actually, it ranges— do them. and the cost is actually, it ranges between 280—380 pounds a week, _ it ranges between 280—380 pounds a week, a _ it ranges between 280—380 pounds a week, a live in nanny is nearly £1500 — week, a live in nanny is nearly £1500 a — week, a live in nanny is nearly £1500 a month. on my earnings as a single _ £1500 a month. on my earnings as a single parent, i cannot sustain that, _ single parent, i cannot sustain that, i— single parent, i cannot sustain that, i could not afford to work, in which _ that, i could not afford to work, in which case, — that, i could not afford to work, in which case, you know do i then give up which case, you know do i then give up work? _ which case, you know do i then give up work? because my options are very limited _ up work? because my options are very limited having an temper nacker means— limited having an temper nacker means i— limited having an temper nacker means i can afford to go to work, knowing — means i can afford to go to work, knowing my— means i can afford to go to work, knowing my son is safe at home —— having _ knowing my son is safe at home —— having a _ knowing my son is safe at home —— having a au — knowing my son is safe at home —— having a au pairs. yes, there is a set amount— having a au pairs. yes, there is a set amount of hours they do but they earn pocket _ set amount of hours they do but they earn pocket money on top and if i exceed _ earn pocket money on top and if i exceed those hours, and actually my child is— exceed those hours, and actually my child is safer at home. so

exceed those hours, and actually my child is safer at home.— child is safer at home. so you are askin: child is safer at home. so you are asking yourself — child is safer at home. so you are asking yourself if _ child is safer at home. so you are asking yourself if you _ child is safer at home. so you are asking yourself if you can - child is safer at home. so you are | asking yourself if you can continue in your job asking yourself if you can continue in yourjob because once your current au pair leaves in the current au pair leaves in the current weeks, you don't seek an affordable option? ila. current weeks, you don't seek an affordable option?— current weeks, you don't seek an affordable option? no, and i have contacted my _ affordable option? no, and i have contacted my son's _ affordable option? no, and i have contacted my son's school, i affordable option? no, and i have contacted my son's school, to i affordable option? no, and i havej contacted my son's school, to see affordable option? no, and i have l contacted my son's school, to see if they have _ contacted my son's school, to see if they have any childminders they might— they have any childminders they might know who might be able to assist _ might know who might be able to assist me — might know who might be able to assist me. and actually, so far reaching — assist me. and actually, so far reaching out to other agencies to be able to— reaching out to other agencies to be able to find — reaching out to other agencies to be able to find childcare, and there is nothing _ able to find childcare, and there is nothing available, no childminders that will— nothing available, no childminders that will care for my son because of the hours _ that will care for my son because of the hours i — that will care for my son because of the hours i work, or there is the after-school— the hours i work, or there is the after—school clubs, breakfast clubs, but they _ after—school clubs, breakfast clubs, but they don't the hours i need for me to _ but they don't the hours i need for me to be — but they don't the hours i need for me to be able to go to work. and the hours _ me to be able to go to work. and the hours i _ me to be able to go to work. and the hours i am _ me to be able to go to work. and the hours i am required to work. let�*s hours i am required to work. let's brin: in hours i am required to work. let's bring in emma- — hours i am required to work. let's bring in emma. how— hours i am required to work. let's bring in emma. how long - hours i am required to work. let�*s bring in emma. how long have you been working as a au pair in the uk? i have been in the uk since the

middle — i have been in the uk since the middle of— i have been in the uk since the middle of november. - i have been in the uk since the middle of november. and i i have been in the uk since the middle of november. and what is your situation? are — middle of november. and what is your situation? are you _ middle of november. and what is your situation? are you going _ middle of november. and what is your situation? are you going to _ middle of november. and what is your situation? are you going to have i middle of november. and what is your situation? are you going to have to i situation? are you going to have to return to germany or are you able to stay? i return to germany or are you able to sta ? ., return to germany or are you able to sta ? . . , ., return to germany or are you able to sta ? . ., , return to germany or are you able to sta? . , , stay? i am able to stay because i have applied _ stay? i am able to stay because i have applied for _ stay? i am able to stay because i have applied for the _ stay? i am able to stay because i have applied for the pre-settledl have applied for the pre—settled status, — have applied for the pre—settled status, which— have applied for the pre—settled status, which unfortunately- have applied for the pre—settled status, which unfortunately you | have applied for the pre—settled i status, which unfortunately you can only get _ status, which unfortunately you can only get if— status, which unfortunately you can only get if you _ status, which unfortunately you can only get if you have _ status, which unfortunately you can only get if you have been _ status, which unfortunately you can only get if you have been in- status, which unfortunately you can only get if you have been in the i status, which unfortunately you can only get if you have been in the uk| only get if you have been in the uk for 202i _ only get if you have been in the uk for 202i so — only get if you have been in the uk for 202i so i — only get if you have been in the uk for 2021. so i think— only get if you have been in the uk for 2021. so i think |_ only get if you have been in the uk for 2021. so i think i have - only get if you have been in the uk for 2021. so i think i have the i for 2021. so i think i have the chance — for 2021. so i think i have the chance to _ for 2021. so i think i have the chance to stay _ for 2021. so i think i have the chance to stay in _ for 2021. so i think i have the chance to stay in the - for 2021. so i think i have the chance to stay in the uk i for 2021. so i think i have the chance to stay in the uk for l for 2021. so i think i have the i chance to stay in the uk for five more _ chance to stay in the uk for five more years— chance to stay in the uk for five more years and _ chance to stay in the uk for five more years and i— chance to stay in the uk for five more years and i can _ chance to stay in the uk for five more years and i can re—enterl chance to stay in the uk for five | more years and i can re—enter in those— more years and i can re—enter in those five — more years and i can re—enter in those five years _ more years and i can re—enter in those five years so _ more years and i can re—enter in those five years so i— more years and i can re—enter in those five years so i can - more years and i can re—enter in those five years so i can stay i more years and i can re—enter in| those five years so i can stay and live in _ those five years so i can stay and live in the — those five years so i can stay and live in the uk_ those five years so i can stay and live in the uk now. _ those five years so i can stay and live in the uk now. find - those five years so i can stay and live in the uk now.— those five years so i can stay and live in the uk now. and what do you think the advantages _ live in the uk now. and what do you think the advantages are, _ live in the uk now. and what do you think the advantages are, both i live in the uk now. and what do youj think the advantages are, both from your perspective and the uk's perspective, of being an au pair, coming to the uk from the eu? basically it is a cultural exchange and that— basically it is a cultural exchange and that is— basically it is a cultural exchange and that is what _ basically it is a cultural exchange and that is what we _ basically it is a cultural exchange and that is what we need, - basically it is a cultural exchange and that is what we need, and i basically it is a cultural exchange i and that is what we need, and most importantly— and that is what we need, and most importantly it's _ and that is what we need, and most importantly it's a _ and that is what we need, and most importantly it's a win—win _ and that is what we need, and most importantly it's a win—win situationl importantly it's a win—win situation because _ importantly it's a win—win situation because as — importantly it's a win—win situation because as an _ importantly it's a win—win situation because as an au _ importantly it's a win—win situation because as an au pair, _ importantly it's a win—win situation because as an au pair, and - importantly it's a win—win situation because as an au pair, and host. because as an au pair, and host family. — because as an au pair, and host family. we _ because as an au pair, and host family, we both _ because as an au pair, and host family, we both benefit - because as an au pair, and host family, we both benefit from i because as an au pair, and hostj family, we both benefit from it. because as an au pair, and host. family, we both benefit from it. i came _ family, we both benefit from it. i came to — family, we both benefit from it. i came to the _ family, we both benefit from it. i came to the uk _ family, we both benefit from it. i came to the uk to— family, we both benefit from it. i came to the uk to improve - family, we both benefit from it. i came to the uk to improve my. family, we both benefit from it. i-

came to the uk to improve my english come _ came to the uk to improve my english come to— came to the uk to improve my english come to experience _ came to the uk to improve my english come to experience the _ came to the uk to improve my english come to experience the culture, - came to the uk to improve my english come to experience the culture, and l come to experience the culture, and in return, _ come to experience the culture, and in return, i_ come to experience the culture, and in return, i helped _ come to experience the culture, and in return, i helped out _ come to experience the culture, and in return, i helped out a _ come to experience the culture, and in return, i helped out a bit - come to experience the culture, and in return, i helped out a bit in - come to experience the culture, and in return, i helped out a bit in the i in return, i helped out a bit in the household — in return, i helped out a bit in the household and _ in return, i helped out a bit in the household and most _ in return, i helped out a bit in the household and most importantly, | in return, i helped out a bit in the i household and most importantly, take care of— household and most importantly, take care of the _ household and most importantly, take care of the children. _ household and most importantly, take care of the children. but— household and most importantly, take care of the children. but is— household and most importantly, take care of the children. but is me - household and most importantly, take care of the children. but is me and i care of the children. but is me and the family— care of the children. but is me and the family benefit _ care of the children. but is me and the family benefit from _ care of the children. but is me and the family benefit from it - care of the children. but is me and the family benefit from it so - care of the children. but is me and the family benefit from it so it i care of the children. but is me and the family benefit from it so it is i the family benefit from it so it is a wiii-win— the family benefit from it so it is a win—win situation. _ the family benefit from it so it is a win—win situation. —— - the family benefit from it so it is a win—win situation. —— both- the family benefit from it so it is a win—win situation. —— both me| the family benefit from it so it is i a win—win situation. —— both me and the family — a win—win situation. —— both me and the family i— a win—win situation. —— both me and the family. i can't _ a win—win situation. —— both me and the family. ican't think— a win—win situation. —— both me and the family. ican't think of— a win—win situation. —— both me and the family. ican't think of any- the family. i can't think of any reason — the family. ican't think of any reason why— the family. ican't think of any reason why further— the family. i can't think of anyl reason why further generations the family. i can't think of any- reason why further generations are people _ reason why further generations are people who — reason why further generations are people who want _ reason why further generations are people who want to _ reason why further generations are people who want to become - reason why further generations are people who want to become an i reason why further generations are people who want to become an aui reason why further generations are i people who want to become an au pair in future _ people who want to become an au pair in future should — people who want to become an au pair in future should be _ people who want to become an au pair in future should be held _ people who want to become an au pair in future should be held back- people who want to become an au pair in future should be held back from i in future should be held back from that experience. _ in future should be held back from that experience.— that experience. obviously the chan . e in that experience. obviously the change in the _ that experience. obviously the change in the rules _ that experience. obviously the change in the rules is - that experience. obviously the change in the rules is a - that experience. obviously the change in the rules is a big i that experience. obviously the l change in the rules is a big issue as we have heard, the pandemic clearly is a contributing factor, but i wonder, people you know back in germany who might be thinking of coming as an au pair, have they been put off by the situation currently? there was one girl asking me for a favour. _ there was one girl asking me for a favour. how— there was one girl asking me for a favour. how do— there was one girl asking me for a favour, how do i— there was one girl asking me for a favour, how do i find _ there was one girl asking me for a favour, how do i find it _ there was one girl asking me for a favour, how do i find it being i there was one girl asking me for a favour, how do i find it being in. favour, how do i find it being in the uk— favour, how do i find it being in the uk in— favour, how do i find it being in the uk in lockdown— favour, how do i find it being in the uk in lockdown and - favour, how do i find it being in the uk in lockdown and in- favour, how do i find it being in. the uk in lockdown and in covid, favour, how do i find it being in- the uk in lockdown and in covid, and it is possible — the uk in lockdown and in covid, and it is possible for— the uk in lockdown and in covid, and it is possible for her— the uk in lockdown and in covid, and it is possible for her to— the uk in lockdown and in covid, and it is possible for her to come - the uk in lockdown and in covid, and it is possible for her to come still- it is possible for her to come still and i_ it is possible for her to come still and i didn't— it is possible for her to come still and i didn't know. _ it is possible for her to come still and i didn't know. she _ it is possible for her to come still and i didn't know. she told - it is possible for her to come still and i didn't know. she told me i it is possible for her to come still- and i didn't know. she told me some think— and i didn't know. she told me some think there _ and i didn't know. she told me some think there might _ and i didn't know. she told me some think there might be _ and i didn't know. she told me some think there might be a _

and i didn't know. she told me some think there might be a visa - and i didn't know. she told me some think there might be a visa for- and i didn't know. she told me some think there might be a visa for au i think there might be a visa for au pairs— think there might be a visa for au pairs but— think there might be a visa for au pairs but clearly— think there might be a visa for au pairs but clearly that _ think there might be a visa for au pairs but clearly that is _ think there might be a visa for au pairs but clearly that is not - think there might be a visa for au pairs but clearly that is not done i pairs but clearly that is not done right— pairs but clearly that is not done right now — pairs but clearly that is not done right now or— pairs but clearly that is not done right now or said _ pairs but clearly that is not done right now or said there - pairs but clearly that is not done right now or said there will- pairs but clearly that is not done right now or said there will be i pairs but clearly that is not done right now or said there will be a| right now or said there will be a visa _ right now or said there will be a visa but — right now or said there will be a visa. but most _ right now or said there will be a visa. but most of— right now or said there will be a visa. but most of the _ right now or said there will be a visa. but most of the girls- right now or said there will be a visa. but most of the girls who| right now or said there will be a i visa. but most of the girls who want to become _ visa. but most of the girls who want to become an — visa. but most of the girls who want to become an au _ visa. but most of the girls who want to become an au pair, _ visa. but most of the girls who want to become an au pair, right - visa. but most of the girls who want to become an au pair, right now- visa. but most of the girls who want| to become an au pair, right now they are thinking, — to become an au pair, right now they are thinking, i— to become an au pair, right now they are thinking, i will— to become an au pair, right now they are thinking, i will not— to become an au pair, right now they are thinking, i will not be _ to become an au pair, right now they are thinking, i will not be able - to become an au pair, right now they are thinking, i will not be able to i are thinking, i will not be able to id are thinking, i will not be able to go to— are thinking, i will not be able to go to the — are thinking, i will not be able to go to the uk_ are thinking, i will not be able to go to the uk now _ are thinking, i will not be able to go to the uk now because - are thinking, i will not be able to go to the uk now because of- are thinking, i will not be able to go to the uk now because of the| go to the uk now because of the brekit— go to the uk now because of the brexit and — go to the uk now because of the brexit and of— go to the uk now because of the brexit and of covid _ go to the uk now because of the brexit and of covid i'm - go to the uk now because of the brexit and of covid i'm not - go to the uk now because of thej brexit and of covid i'm not going go to the uk now because of the i brexit and of covid i'm not going to be able _ brexit and of covid i'm not going to be able to— brexit and of covid i'm not going to be able to do— brexit and of covid i'm not going to be able to do it. _ brexit and of covid i'm not going to be able to do it. they _ brexit and of covid i'm not going to be able to do it. they don't - brexit and of covid i'm not going to be able to do it. they don't have i be able to do it. they don't have any motivation _ be able to do it. they don't have any motivation now. _ be able to do it. they don't have any motivation now. let- be able to do it. they don't have any motivation now.— be able to do it. they don't have any motivation now. let me bring jamie any motivation now. let me bring jamie back _ any motivation now. let me bring jamie back in- — any motivation now. let me bring jamie back in. compared - any motivation now. let me bring jamie back in. compared to i any motivation now. let me bring jamie back in. compared to the i jamie back in. compared to the number of people you would normally have on your books, the number you have on your books, the number you have in your agency, how many do you have in your agency, how many do you have currently?— have in your agency, how many do you have currently?- zero? - have in your agency, how many do you have currently?- zero?— have currently? none. zero? zero, we have currently? none. zero? zero, we have no au _ have currently? none. zero? zero, we have no au pairs- _ have currently? none. zero? zero, we have no au pairs. how— have currently? none. zero? zero, we have no au pairs. how many _ have currently? none. zero? zero, we have no au pairs. how many would i have currently? none. zero? zero, we| have no au pairs. how many would you have no au pairs. how many would you have had this — have no au pairs. how many would you have had this time _ have no au pairs. how many would you have had this time last _ have no au pairs. how many would you have had this time last year? - have no au pairs. how many would you have had this time last year? about i have had this time last year? about 150. so have had this time last year? about 150- so what _ have had this time last year? about 150. so what is — have had this time last year? about 150. so what is the _ have had this time last year? about 150. so what is the future _ have had this time last year? about 150. so what is the future for i have had this time last year? about 150. so what is the future for your | 150. so what is the future for your business currently? _ 150. so what is the future for your business currently? there - 150. so what is the future for your business currently? there is i 150. so what is the future for your business currently? there is no i business currently? there is no business currently? there is no business at _ business currently? there is no business at the _ business currently? there is no business at the moment, i business currently? there is no business at the moment, and l business currently? there is noj business at the moment, and if business currently? there is no i business at the moment, and if there is no business for agencies, the british au pair agencies will not

survive. we do a lot of work outside of agencies where we pick up and help au pairs that have come through internet forms and got stranded and there will be no support for them. what have you heard from the government about this situation? we have government about this situation? - have been continually told that because there has been no au pair visa since 2008, which is obviously because of the free movement, they will not reinstate a dedicated visa. we have also been told that on the skilled worker visa, the most recent correspondence a fortnight ago from the home office was that this visa wasn't their intention for au pairs to be recruited through and agencies cannot be a sponsor of an au pair and now that can host family as individuals that make a nicer can. it's a mess i have had phone calls from families daily in a state of

flux, through a stressful covid times, they need childcare and we cannot provide it and it's awful. thank you so much for talking to us about the situation you are in, jamie, chair of the british au pair is agency association and gina walker from a is agency association and gina walkerfrom a single mum who is agency association and gina walker from a single mum who relies on help from her au pair but is about to loose and doesn't know if you can get another one and emma, germany, working as an au pair currently in the uk, thank you very much to all of you. we have had a response from the home office about this which says, "is it being the case since 2008, the uk's points—based immigration system will not offer a dedicated visa at route 40 not offer a dedicated visa at route a0 pairs and we will not be introducing one for the same reasons previous government did not reintroduce one for non—eea european economic area nationals will stop there are other regression roots which exist for people who may wish to take up this role and those wishing to employ an au pair can look to offer a package which makes

it attractive to those arriving in the uk under these routes to do so." but you heard from jamie that under the skilled visa scheme, for example, which is probably one of the routes they prefer to, someone has to be earning at least £20,000 a year and working 35 hours at least a week which is not the situation that au pairs would find themselves in normally. uk chancellor which each do not is facing calls to extend the stamp duty holiday in the budget next month with a fierce many property sales could fall through if they not complete in the time left. tax breaks for people buying homes are due to finish at the end of march and a rush to beat the deadline is expected. simon and his young family thought they would have moved by christmas but now they fit missing out on the stamp duty holiday. to but now they fit missing out on the stamp duty holiday.— stamp duty holiday. to put it bluntl , stamp duty holiday. to put it bluntly. the _ stamp duty holiday. to put it bluntly, the practical - stamp duty holiday. to put it bluntly, the practical impact| stamp duty holiday. to put it i bluntly, the practical impact is just over £12,000 so it is a big

amount of money. the problem we have being in a chain, were not sure about the people below us. and if it will affect them. it could stop it all would be terrible. housing taxes are slightly different across the uk, but at the end of march, concessions are all due to stop. that means tax breaks of up to £15,000 will come to an end. predictions suggest an immediate 20% fall in sales in the spring as a result. with time running out and the threat of sales falling through, the chancellor is being urged to act in next month's budget. 150,000 people have signed a petition calling on him to extend the stamp duty holiday for another six months. but if thatjust delays the same issue until later in the year, some working in the industry say more imagination is required. what we'd really like is for them at the budget to say, right, anybody who is in a transaction now will still receive the stamp duty concession whenever they complete. the treasury says the tax break

was only ever temporary. recent history shows the housing market can freeze when stamp duty holidays end, but those buying and selling now are desperate not to put their moving plans on ice. kevin peachey, bbc news. she is one of the biggest stars in bollywood but drank a chopper genus says it has taken her a long time to land a leading role in a hollywood film because of the south asian actor —— pranked priyanka chopra jonas is one of the most recognised indians in the world. the former beauty queen is a household name in south asia because of her illustrious bollywood career. you can't possibly believe that. and she is hoping her acting work in hollywood will earn her just as much success. priyanka says her memoir will help set the record straight about her journey so far. i have had a 20—year career which has expanded from india to america and there has been

so much that has been written about me, so much speculated. you know, after being amused by it for a very long time, and curious about taking up writing seriously, i kind of combined the two and ended up writing this book. and it became very introspective and it gave me a reason to delve deep into feelings or emotions that i had probably not thought about for a long time. in your book, you talk about your efforts to increase diversity when it comes to casting in hollywood, and your latest film, the white tiger, has actually earned you a recognition on the bafta long list for best supporting actress. does that feel like your hard work is paying off in hollywood? for sure. i mean, it has taken a long time, it has only been ten years since i started working in america and i'm just about doing my first leading role as an actor, just doing my first dramatic role as an actor so, you know, it takes time and it took time because of lack of opportunity.

and i want to change that, for people who are coming in after me, and what i did and what worked for me i think was the fact that i did quantico, and me doing that, and a bunch of other south asian talent that you see in hollywood pushing the envelope, mindy kaling, aziz ansari, riz ahmed, kumar rao, these are people that are pushing the envelope and saying, i'm sorry, i'm going to be a part of pop culture. if you're not going to make it for me, i'm going to write my own show and i'm going to be a part of pop culture. priyanka also writes about her humanitarian work as a unicef goodwill ambassador which has included visiting rohingya refugee camps in bangladesh. how important is that aspect of your life and how do you balance that along with all these other roles you play? i was raised like that, you know. we weren't patted on our back when i shared my doll with someone who didn't have it — it was expected. and i think that is the social responsibility of every human

being because no matter how badly off you are, someone is worse off than you. and even if you have the ability to change one person's life or, you know, contribute to doing something good, that is a win. alongside charity work and global stardom, priyanka will now add a published author to her list of credentials, too. haroon rashid, bbc news. 110w now at some time for a look at the weather. some milder air on the horizon but the cold stepped it up an extra gear, coldest morning since 1995, braemarat an extra gear, coldest morning since 1995, braemar at minus 22.9 celsius and across the border, attempt is well below freezing, even in oxford well below freezing, even in oxford we got down to —7 degrees. most have sunshine and that will continue this afternoon a few wintry showers in the north—east of scotland but more cloud and breeze towards wales and

the south—west and eventually northern ireland and it is across pembrokeshire, devon and cornwall we could see snow at times. added wheels and chill in the south and west, the wind is not a strong further east asthma added wind—chill. forthat further east asthma added wind—chill. for that is, further east asthma added wind—chill. forthat is, not further east asthma added wind—chill. for that is, not quite as cold but still cold whatever you think. this evening and overnight, still showers coming into eastern scotland, aberdeenshire and angus with a fairamount scotland, aberdeenshire and angus with a fair amount and snow could turn up in northern ireland as well. still widespread frost and icy conditions, not as cold as last night but part of the western highlands could reach —11. tomorrow, more snow flurries in eastern scotland, the cloud and patchy snow in northern ireland breaks up, turning more sunny in the west through the dates but for most, another sunny day but more breeze so even though temperatures are 1—a , and added wind—chill, feeling sub 0a all. cold and windy again on saturday but into sunday, a search of milder air off the atlantic tries to win through. it will be a messy

process, saturday has a lot of sunshine in the east, in the west, cloud developing and at that front put it in we could see heavy and disruptive snow in northern ireland and later in northern wales, the isle of man and western scotland. temperatures struggling to get above freezing again with the added wind—chill. saturday night into sunday, that front fizzles out and does not produce much snow but still breezy, but it starts to switch to a southerly direction, more fronts pushing in and as we go into sunday, it is rain rather than snow but to give in with it could fall on the cold ground, icy surface as possible and it will turn back to more general rain, temperatures are rising related to 10 degrees in the west by the end of the day but with the milder air and the return of rain, snow melt, there could be flooding next week in the east. we will keep you updated.

this is bbc news. the headlines at 11... major reforms to the health service in england are to be unveiled — but there's concern over how they can be implemented in the middle of the pandemic. absolutely, we should be putting in place now the building blocks for a stronger, more integrated, more local nhs when we come out of this. i think it's absolutely right, now is exactly the right time to be doing this. almost a quarter of a million people are waiting more than a year for treatment by the nhs in england — the highest number since 2008. confusion over whether or not to book a summer holiday. the health secretary insists he still hopes to go to cornwall, despite the transport secretary saying it's too soon to organise a getaway.

scientists predict that the covid variant first found in kent could now become the world's dominant strain. dramatic new footage of the attack on capitol hill, as democrats present their case in donald trump's second impeachment trial. and overnight temperatures plunged to minus 22 point nine degrees in braemar in aberdeenshire — making it the coldest night in the uk for 26 years. good morning. the government will set out how it intends to overhaul health and social care services in england. the reforms would lead to changes in measures introduced less than a decade ago when david cameron was prime minister.

the plans would see hospitals, gp services and social care providers working more closely together, a reduced role for the private sector, and less red tape, what the uk health secretary has called �*burdensome bureaucracy�*. he's defended outlining the plans during the pandemic. meanwhile, new figures from nhs england show the number of people having to wait more than 52 weeks to start hospital treatment was 22a,205 in december 2020 — the highest number for any calendar month since april 2008. the head of the uk's genetic surveillance programme, professor sharon peacock, has predicted that the coronavirus variant first found in kent in england could become the world's dominant strain. and questions remain over whether people should be booking holidays either at home or abroad, after warnings yesterday from ministers that it�*s too early to know �*where we�*ll be�* by the summer. but first more on those nhs reforms due to be set out later by the health secretary matt hancock. our health correspondent

nick triggle reports. the reforms brought in by david cameron�*s government were deeply controversial. they were meant to usher in an era of competition and innovation. but a white paper, to be published later, will begin the process of unpicking them. out will go requirements on tendering contracts, and instead councils and nhs services will be told to pool resources and decision making. ministers believe it will help meet the challenges of the ageing population and rise in numbers with chronic conditions. those working in the health service said many of the rules were time consuming, frustrating and stressful. there is a bit of a risk. we�*ve had a lot of experience, unfortunately, of restructuring in the nhs. and while everyone says, we hope it won�*t cause a lot of disruption, it is a bit of a risk here that we have a lot of people distracted from the job of planning services for the future, planning the recovery from covid, or indeed, actually we�*re

still in covid, perhaps even being distracted from that. nhs and council leaders say changes are needed, although the local government association warned social care was still short of funding. and labour questioned the timing, saying the pandemic was stretching services to their limits. nick triggle, bbc news. the uk health secretary matt hancock has been explaining how the reforms will improve the way the nhs delivers services. the practical implication is that these changes will allow the nhs to work more closely together with the different parts of the nhs, as you mentioned, and, crucially, with social care and public health colleagues. at the moment, there are rules set out in law that stops some of that working together. we�*ve seen that that�*s been a problem. the nhs has done an amazing job during the crisis, but that has confirmed the need to remove this bureaucracy and that

will make it easierfor the nhs on the ground to deliver for you. our health editor hugh pym is here. lots of questions and details still to come, but what do we think this means? , ., , ., ., ., means? these reforms for england are in one sense — means? these reforms for england are in one sense unravelling _ means? these reforms for england are in one sense unravelling quite - means? these reforms for england are in one sense unravelling quite a - means? these reforms for england are in one sense unravelling quite a lot - in one sense unravelling quite a lot of a reform package introduced in 2012 under david cameron�*s government and andrew lansley and their plans introduced a degree of competition in the nhs, encouraging commissioners to go out and tender services to try and generate more efficiency. that created more bureaucracy and the critics said it distracted people from actually running their organisations, so the intent of this plan under another conservative led administration is to go back to a system where local

nhs providers get on with the job of running services, don�*t have to bother with tendering in any great degree and work more closely with other organisations, local councils, social care and so on. so the integrated care systems. the critics say, why do this in the middle of a pandemic when there is so much else to worry about? and campaign groups are saying there will actually still be private sector involvement in the nhs making not a huge amount of difference to what we had before. and this is all in the future, but right now we have had the news about waiting lists. right now we have had the news about waitin: lists. ., right now we have had the news about waiting lists— waiting lists. there was a desire well planning — waiting lists. there was a desire well planning reforms _ waiting lists. there was a desire well planning reforms and - waiting lists. there was a desire well planning reforms and so i waiting lists. there was a desire | well planning reforms and so on, waiting lists. there was a desire - well planning reforms and so on, but there are many people waiting for routine surgery, hip and knee replacements and so on. that compares with just one and half thousand a year before, the figure

for december. what will bring those waiting lists down is the immediate challenge for the nhs as covid cases come down, how to deal with that backlog and that is a major challenge for the nhs and all of its staff who are exhausted, as things stand at the moment.— staff who are exhausted, as things stand at the moment. thank you very much indeed — stand at the moment. thank you very much indeed for _ stand at the moment. thank you very much indeed forjoining _ stand at the moment. thank you very much indeed forjoining us. _ let�*s talk to mike padgham, chair of the independent care group. in terms of the detail, we are still awaiting that, but how do you think these changes might affect you? good morninu. i these changes might affect you? good morning- i am — these changes might affect you? good morning. i am pleased _ these changes might affect you? (ems. morning. i am pleased the these changes might affect you? (ems. morning. lam pleased the nhs these changes might affect you? (ems morning. i am pleased the nhs is down for some reform to reduce bureaucracy and about closer working with social care. i am worried social care will get left behind again because the issue is nhs comedy social care needs to be funded correctly because the secretary of state mentioned nothing and i am worried it is in

secretary of state mentioned nothing and i am worried it is ...— and i am worried it is in terms ofthe and i am worried it is in terms of the overall— and i am worried it is in terms of the overall idea _ and i am worried it is in terms of the overall idea of _ and i am worried it is in terms of the overall idea of going - and i am worried it is in terms of the overall idea of going back i and i am worried it is in terms i of the overall idea of going back on conservative introduced change a decade ago, what will it mean, how complicated is it to make these changes? i complicated is it to make these chances? ., , ., complicated is it to make these chanues? ., , ., , ., ., changes? i am pleased there are to be changes — changes? i am pleased there are to be changes to _ changes? i am pleased there are to be changes to reduce _ changes? i am pleased there are to be changes to reduce bureaucracy i changes? i am pleased there are to l be changes to reduce bureaucracy but i am concerned about it happening in the middle of a pandemic because we haven�*t beaten covid yet, the nhs has worked hard, and they need a bit of stability for us i welcome the reform coming but i worry we are trying to tackle too many things at once. i want to repeat that social care reform is overdue comedy two must be done side by side and it needs to be social care is an equal partner. needs to be social care is an equal artner. ~ ., ,, needs to be social care is an equal artner. ~ ., i. , ., needs to be social care is an equal artner. ~ ., , ., , ., partner. what you see, that is not ha enin: partner. what you see, that is not happening here? _ partner. what you see, that is not happening here? no _ partner. what you see, that is not happening here? no comedy- partner. what you see, that is not| happening here? no comedy social care reform — happening here? no comedy social care reform still _ happening here? no comedy social care reform still seems _ happening here? no comedy social care reform still seems to - happening here? no comedy social care reform still seems to be - happening here? no comedy social care reform still seems to be on i happening here? no comedy social| care reform still seems to be on the back burner. we have waited a long time for it. there are 17 different

papers and reviews, we are still no further forward, papers and reviews, we are still no furtherforward, local papers and reviews, we are still no further forward, local authorities need proper funding from further forward, local authorities need properfunding from government to help support the nhs and that isn�*t mentioned and we have to flag that more and more. flare isn't mentioned and we have to flag that more and more.— isn't mentioned and we have to flag that more and more. care homes have been at the — that more and more. care homes have been at the forefront _ that more and more. care homes have been at the forefront of _ that more and more. care homes have been at the forefront of the _ that more and more. care homes have been at the forefront of the covid - been at the forefront of the covid crisis. will it put more administrative time on them if they have to bring changes? how will it affect people running care homes? the devil is in the detail, i haven�*t seen the detail yet, it is dominated in the nhs, talking about closer integration with social care, but i�*ve heard that many times. many arguments i am part of who pays for what pad is care. we have to tackle it. ithink what pad is care. we have to tackle it. i think in the short term, the challenges faced in care homes is we are fighting the pandemic. we haven�*t had the opportunity to look at what changes it will bring. all we know is we need massive support and there is a funding crisis in

social care that the government needs to address. that seems to be the elephant in the room we have to tackle. �* ., , the elephant in the room we have to tackle. . ., , ., , ., ., tackle. alongside administration chan . es, tackle. alongside administration changes, there _ tackle. alongside administration changes, there is _ tackle. alongside administration changes, there is always - tackle. alongside administration changes, there is always a - tackle. alongside administration changes, there is always a call. tackle. alongside administration i changes, there is always a call for more money. that has never been more apparent than now. is it possible to put a scale of the funding gap as you see it and going forward? from the pempeetive _ you see it and going forward? from the perspective in _ you see it and going forward? from the perspective in 2010, _ you see it and going forward? fs'srsn the perspective in 2010, there is about £8 billion as i understand that has been shot funded, so we need another 8 billion just to get where we were in 2010. i know it has been tough with the pandemic and economy but we never fixed social care when the economy was much stronger. now we should be funding it correctly to make it support the nhs better, it is what people deserve, but we need something radical. we need to get social care in the same footing as the nhs spread across taxation for the whole population and get a funding settlement started out once and for

all. ~ ., ., ,, ~' settlement started out once and for all. . ., ., y., 4' , settlement started out once and for all. ~ ., ., i. ~ , ., all. what do you think is the reason for it not been _ all. what do you think is the reason for it not been tackled _ all. what do you think is the reason for it not been tackled at _ all. what do you think is the reason for it not been tackled at the - for it not been tackled at the moment? too complex or too expensive?— moment? too complex or too exensive? 1, , ~ expensive? both, but i think the treasury has _ expensive? both, but i think the treasury has long _ expensive? both, but i think the treasury has long blocked - expensive? both, but i think the treasury has long blocked whatl treasury has long blocked what should�*ve happened in social care and we have to unlock that because i believe we can give better care and eventually cost less money if we could spend more money and get social care tackled. each government has failed, all politicians are failed on social care. we need a radical change and get social care funded at the point of need. thank ou ve funded at the point of need. thank you very much _ funded at the point of need. thank you very much indeed. _ and the health secretary matt hancock will be making a statement to mps in the house of commons on the future of health and social care. we will bring that to you live at about 11.30. there is continuing uncertainty on whether we we can go on holiday. the premise of this says it is still too

early for sublet stuck to our political correspondent. it isa it is a question that lots of us are asking because everyone needs to plan on a family basis but of because it will affect businesses. absolutely. this is the time of year where traditionally the very beginning of the year, january, february, when the vast majority of holidays are booked, so an important time for businesses and a huge number of businesses that are involved in the travel industry and also for families. as you say, people at the minute looking to perhaps plan ahead for us it might seem a little curious because we are all in lockdown and it is a legal at the minute to travel abroad for anything other than a limited number of reasons. important for people planning ahead. we have had the issue with differing sounding messages coming out, so the prime

minister saying yesterday it is too early, too soon for people to book, the transport secretary meanwhile yesterday on radio saying people should not be booking at all for abroad or uk holidays. and the health secretary saying he had already booked to have a holiday in the uk in cardwell, saying that three weeks ago, repeated it yesterday. today he was doing interviews and he was asked to clarify what was the situation. we are doing everything we possibly can to make _ are doing everything we possibly can to make sure people can have a holiday— to make sure people can have a holiday this summer and of because the vaccine — holiday this summer and of because the vaccine roll—out is absolutely central _ the vaccine roll—out is absolutely central to — the vaccine roll—out is absolutely central to that to make sure we protect — central to that to make sure we protect people as much as possible. it is really— protect people as much as possible. it is really good news that the vaccine — it is really good news that the vaccine roll—out has been going so fast and _ vaccine roll—out has been going so fast and we — vaccine roll—out has been going so fast and we have got such a high uptake _ fast and we have got such a high uptake and we will set out more in more _

uptake and we will set out more in more detail— uptake and we will set out more in more detail when we can. at the moment— more detail when we can. at the moment unfortunately there is that uncertainty still. is moment unfortunately there is that uncertainty still.— uncertainty still. is there reason for the slightly _ uncertainty still. is there reason for the slightly mixed _ uncertainty still. is there reason for the slightly mixed messages because the data is changing or because the data is changing or because may be given contradictory messages? and will we get clarity in a couple of weeks when borisjohnson will set out the plan for the next phase? i will set out the plan for the next hase? ~ , , ., will set out the plan for the next hase? , ., . , phase? i think yes, one aspect is this is a dynamic— phase? i think yes, one aspect is this is a dynamic changing - phase? i think yes, one aspect is i this is a dynamic changing situation and the data changes and the issues that they�*re around the new variants of the virus, how transmissible are they, do they pose greater risks and thatis they, do they pose greater risks and that is a changing picture. the changing picture of the situation with infections and infection rates and hospital capacity, all of that feeds into it. another thing is the tension there is between government and everywhere wanting to send

positive messages but also wanting to send cautious messages and a different tone you get at times. will we get more clarity? we know the government is laying out a road map for around february 22 but i think it is unlikely to give a more thanjust signposts for think it is unlikely to give a more than just signposts for the future of the stuff we have had scientists, health professionals saying it is too early to give specific dates. perhaps what you could give our indications of what criteria would be used to relax things. last year, when it came to the issue of summer holidays, the government was talking about creating travel corridors, open travel back and forth with some countries. what we saw was the government can control policies here but not what other countries do and whether they bring in quarantine requirements and other restrictions of their own, so that will always be an unknown. at the same time, last

year, things were very unclear until just a few days before many people travelled and i think it is the progress of the pandemic, you could see similar issues lasting for many weeks. the government is saying its hopes are around the vaccine but thatis hopes are around the vaccine but that is only part of the picture. what about the politics of this? i visited the government has had some criticism on overpromising. while they switch to try and be more cautious and if things are able to be relaxed more, there is a political win from that? there is certainly a _ political win from that? there is certainly a caution _ political win from that? there is certainly a caution and - political win from that? there is certainly a caution and 12 - political win from that? there is| certainly a caution and 12 months into this, that is born out of the fact we have had moments in the past and last year we had moments when things were eased, there were promises about holidays and then the openings happened and what we have seen since has subsequent waves of the virus which have come back

again. i think there is definitely a caution, definitely a sense that since christmas we have had this new variant and a new wave and so in this situation, i think there is a caution about the sort of advice being given about what we could do which is why at the minute even the bigger question, the much bigger question about when the current restriction measures will be lifted for families, restriction measures will be lifted forfamilies, for restriction measures will be lifted for families, for people to see relatives, for children to go back to school, for people to go back to work, that is with some clarity and for most people that is a far bigger issue. there are many that would like to go on holiday and those that have family a bra that they have not seen for months.— have family a bra that they have not seen for months. thank you very much indeed. we want _ seen for months. thank you very much indeed. we want to _ seen for months. thank you very much indeed. we want to bring _ seen for months. thank you very much indeed. we want to bring you - seen for months. thank you very much indeed. we want to bring you the - indeed. we want to bring you the latest test and trace numbers that

are coming out at the moment in the uk. hundred and a9,317 positive cases and... there was at the latest numbers we have. we will put those into some context value as more information comes in. major refunds to be unveiled but there is concern over how they can be implemented. almost a quarter of a million people waiting more than a year for treatment on the nhs in england. the highest number since 2008. confusion over whether or not to book a summer holiday. the health secretary says he still hopes to go to cornwall.

sharon peacock from the covid—19 genomics consortium said the variant which has been detected across britain and in more than 50 countries is going to sweep the world in all probability. she added transmissible it he was likely to cause scientists difficulties for years to come. cause scientists difficulties for years to come-— cause scientists difficulties for years to come. cause scientists difficulties for ears to come. ~ ., ., years to come. when we look at what is happening — years to come. when we look at what is happening with _ years to come. when we look at what is happening with the _ years to come. when we look at what is happening with the variant - is happening with the variant circulating in the uk. there was this news that it might be slightly more lethal and i think the jury is still out on that, i don�*t think the evidence really firm. i think it is still under investigation at the moment but when you look at the number of cases caused because of transmission the number of deaths and illness it causes simply by being more transmissible cards numerically more problems for people in this country than it being

slightly more lethal, if that proves to be the case. i would say at the moment that what is affecting us is transmissible it because the new variant has swept the country and will sweep the world in all probability. in the future, i think the key will be if something is particularly problematic with vaccines was that i think we will be able to duck and dive around that to get our vaccines tweaked and rolled out again in boosters but it will be that slow waltz with the virus and the vaccine development trying to keep up ahead of what nature is throwing at us. alongside vaccines, a number of drugs are being tested as possible treatments for covid—19 for people who already have the disease. effective treatments for the virus could help change the course of this pandemic, from saving lives to reducing the pressure on the nhs. research into treatments for covid is moving at an incredible speed, with more than a thousand

studies around the world. let�*s discuss this further with dr graham burns, a consultant physician in respiratory and general medicine. thank you forjoining us. what progress is their bradley on treatments? i think there is a lot of progress. one nice thing that has occurred with the way people have pulled together in the nhs is not just people stepping up to the mark in terms of managing the disease but everyone recognised the critical importance of understanding this condition and how important research was going to be. as you have already covered in today�*s news, the recovery study was pretty much one of the worlds best studies in terms of the worlds best studies in terms of its size and it is already yielding very useful results in terms of treatments. dexamethasone a simple anti—inflammatory has proved

enormously useful and it has saved a number of lives.— number of lives. there are different treatments. — number of lives. there are different treatments. l— number of lives. there are different treatments, i different _ number of lives. there are different treatments, i different hospitals - number of lives. there are different treatments, i different hospitals in| treatments, i different hospitals in the uk using different approaches? did they all have access to the best possible methods at the moment? everyone is following fairly standard therapy now, everyone is paying close attention to the latest research, people are updating their local protocols as research emerges. this has been one area where we have had to keep our eye on the ball. it is a brand—new disease, it is difficult to explain that to people, that doctors at the start of this pandemic were working with a condition we had never seen before so we have had to focus on research, our learning and understanding and develop our treatments as the evidence has emerged. that has happened to the best of my knowledge, every hospital in the uk

has access to these drugs. stand knowledge, every hospital in the uk has access to these drugs.— has access to these drugs. and has there been — has access to these drugs. and has there been an _ has access to these drugs. and has there been an improvement - has access to these drugs. and has i there been an improvement therefore in those coming into hospital in the worst conditions in intensive care in terms of how doctors are able to help them?— help them? undoubtedly there has been an improvement. _ help them? undoubtedly there has been an improvement. it _ help them? undoubtedly there has been an improvement. it is - help them? undoubtedly there has been an improvement. it is several small steps rather than a great step, so we learned early on in the pandemic the beneficial effects of a respiratory support treatment that has saved many lives and may she get them through the worst phases of the disease. that was new information we developed early on. with drug treatments particularly dexamethasone in those most severely affected where the immune system gets out of control and becomes part of the problem and there is an inflammatory response, dexamethasone can settle back down and has proven a benefit in terms of saving lives. the treatments we have now are clearly better than they were right at the start of the pandemic. my

best tip is don�*t get the condition in the first place, the treatments are not all—powerful and all of the important information is social distancing, wear a mask, washing your hands remains critically important. we have much better treatments than we did had. hate important. we have much better treatments than we did had. we heard in recent weeks _ treatments than we did had. we heard in recent weeks the _ treatments than we did had. we heard in recent weeks the nursing _ treatments than we did had. we heard in recent weeks the nursing care, - in recent weeks the nursing care, doctors were having to look after more patients than usual in intensive care, the news about the nhs waiting list. the nhs is incredibly stressed. it is nhs waiting list. the nhs is incredibly stressed.- incredibly stressed. it is a tragedy- _ incredibly stressed. it is a tragedy. working - incredibly stressed. it is a tragedy. working in - incredibly stressed. it is a tragedy. working in the l incredibly stressed. it is a - tragedy. working in the nhs, i incredibly stressed. it is a _ tragedy. working in the nhs, i don't tragedy. working in the nhs, i don�*t have a simple solution to that one. it is absolutely our forefathers took on waiting lists waiting for treatment they need. i absolutely get that. but that said, given that the nhs has had to cope with over the nhs has had to cope with over the past year, you kind of see why it has occurred. i think dealing with that as an issue has to be part

of our long—term national plan when we get beyond the worst of the covid crisis. but i think it will take some time. crisis. but i think it will take some time-— crisis. but i think it will take some time. ., ~ . ., some time. thank you so much for our some time. thank you so much for your times — some time. thank you so much for your times a _ some time. thank you so much for your times a day. _ some time. thank you so much for your times a day. very _ some time. thank you so much for your times a day. very good - some time. thank you so much for your times a day. very good to - some time. thank you so much for. your times a day. very good to speak to you. democrat prosecutors in donald trump�*s impeachment trial have been showing new footage of the attack on capitol hill. they�*ve accused mr trump of acting as "inciter—in—chief" in the run—up to the violence. the former president�*s lawyers deny the claims. our washington correspondent barbara plett usher reports. democrats used chilling new security video to reconstruct what happened during the riot. forcing senators to relive that traumatic day. we�*ve lost the line! this was a key part of a sweeping narrative against the former president, laid out by the prosecution. donald trump surrendered his role as commander—in—chief and became the inciter—in—chief of a dangerous insurrection.

and to use a favourite term that all of you people really came up with, we will stop the steal. democrats argued that mr trump spent months constructing a big lie to make his supporters believe the election was stolen. and he used fighting words when he knew some of them were armed and would fight. donald trump, over many months, cultivated violence. praised it. and then, when he saw the violence his supporters were capable of, he channelled it to his big, wild, historic event. the videos showed how closely the mob got to officials. the former vice president, mike pence, being rushed to safety. senator mitt romney turning around in his tracks. the compelling case, told with emotional appeal, was one that touched hearts in the senate, although not necessarily minds. many republican senators seemed unwilling to be convinced that donald trump is guilty.

but the democrats are also aiming at a broader audience watching from home, hoping to hold mr trump to account in the court of public appeal. arlene foster has accused the eu commissioner is having his head in the sands. uk wants to make year extension to the grace period on some checks to give businesses more time to adjust. but on wednesday, they seem to rule out changes until they seem to rule out changes until the northern ireland critical is fully implemented. let�*s find out a more about this. chris morris, give us a background. it more about this. chris morris, give us a background.— us a background. it goes back to something _ us a background. it goes back to something that _ us a background. it goes back to something that was _ us a background. it goes back to something that was talked - us a background. it goes back to| something that was talked about us a background. it goes back to i something that was talked about so much between 2017 and 2020 and the northern ireland border and the desire on both sides to keep the land desire on both sides to keep the [and border between northern ireland

in the uk and the republic of ireland in the eu as open as it is now. if you are going to do that you will not have any checks on that abbado wants the uk left the eu for sub you need some cheques are somewhere for goods entering the customs union and single market so the way that was agreed between the two sides was to have a border of sorts down the irish sea where there are checks on certain products in terms of food and animal products that have to be custom declarations with them. that has been the subject of enormous disquiet in northern ireland and it has been very difficult for businesses. tell us more about — difficult for businesses. tell us more about the _ difficult for businesses. tell us more about the cheques. - difficult for businesses. tell us | more about the cheques. there difficult for businesses. tell us - more about the cheques. there have to be customs _ more about the cheques. there have to be customs declarations _ more about the cheques. there have to be customs declarations from - to be customs declarations from grids going from great britain and northern ireland. not in the other direction. that is something which is difficult though big retailers but it has to apply to small retailers. amazon marketplace has told its customers they will have to

have customs declarations if they are sending things to northern ireland from april. then there are checks on products going into the single market. that is particularly strict for things like food and plant products. they need to be checks. there are grace periods, supermarket goods, meat and medicines, for parcels, but some of the grace periods only last for three months and we are into february, month two, and the uk is asking the eu we want the grace period is extended into 2023 was that the eu has responded that is all very well, but you are not even implementing the cheques, the more limited checks correctly. that will be a bone of contention. what be a bone of contention. what --rosect be a bone of contention. what prospect of — be a bone of contention. what prospect of some _ be a bone of contention. what prospect of some agreement i be a bone of contention. what prospect of some agreement on the talks? it prospect of some agreement on the talks? , ., ., ,., ., talks? it is all about the northern ireland protocol, _ talks? it is all about the northern ireland protocol, part _ talks? it is all about the northern ireland protocol, part of - talks? it is all about the northern

ireland protocol, part of the - talks? it is all about the northern | ireland protocol, part of the brexit withdrawal agreement, and it has been complicated by the row breaking out about vaccines when the eu invoked article 16 which says you can take unilateral acts soon if they think the protocol is causing serious difficulties. that announcement was very rapidly reversed but it caused an enormous loss of trust. there is also concern about security issues. the protocol is enormously lit about security issues. the protocol is enormously [it under popular who see it creating barriers with the uk between great britain and northern ireland, graffiti has appeared on was against the protocols and workers at the parts of belfast were withdrawn for a few days because of security concerns. that work has now resumed and the chief constable has said there is no direct threat against them. but it is a sign of the supreme sensitivity that all

this has caused and these are the issues that mr gove and mr chef coverage will talk about later today. i think from the british side there will be a message of change needed, you need to show more flexibility was that the eu side will say, we will show flexibility but you have to live up to what you signed up to only a couple of months ago. signed up to only a couple of months aro. ., ., , ., ago. the unfolding reality of brexit. thank _ ago. the unfolding reality of brexit. thank you _ ago. the unfolding reality of brexit. thank you so - ago. the unfolding reality of brexit. thank you so much. | now it�*s time for a look at the weather with matt. hello. very few were immune from the widespread and sharp frost this morning but coldest of all was braemar in aberdeenshire, coldest morning in the uk since 1995. and it�*s still cold out there, but for many, a dry and sunny afternoon. some showers around in the far northeast of scotland and more cloud towards the south west, wales, and eventually northern ireland. sunshine a bit hazy in places but cloud thick enough for snow flurries in devon, cornwall and pembrokeshire at times. the wind picking up so an added chill further east, maybe not as cold as it has been,

but still a very chilly day nonetheless. into tonight, we see showers returning more widely across eastern scotland, some snow then spreading into northern ireland for a time and still quite windy across the west. temperatures with that increased breeze not as low as they have been, but as low as —11 across the western half of the highlands. into friday, a cold day. this weekend, though, signs of the atlantic taking over but that could bring some slow and freezing rain. we�*ll keep you updated.

hello, this is bbc news. the headlines: major reforms to the health service in england are to be unveiled but there�*s concern over how they can be implemented in the middle of the pandemic. almost 230,000 people

waiting more than a year for treatment by the nhs in england, the highest number since 2008. confusion over whether or not to book a summer holiday — the health secretary insisted he still hopes to go to cornwall despite the transport secretary saying it�*s too soon to organise a getaway. scientist predict that the covid variant first found in kent could become the world�*s dominant strain. dramatic new footage of the attack on capitol hill as democrats present their case in donald trump�*s second impeachment trial. and overnight temperatures plunged to minus 22.9 degrees in braemar in aberdeenshire, making it the coldest night in the uk for 26 years. the chancellor rishi sunak is facing calls to extend the stamp duty holiday in next month�*s budget. there are fears many property sales could fall through if they�*re not

completed in the time left. tax breaks for people buying homes are due to finish at the end of march and there could be a rush to beat the deadline. packed but not yet ready to go, simon and his young family thought they�*d have moved by christmas. now they fear missing out on the stamp duty holiday. to put it bluntly, the practical impact is aboutjust over £12,000 so it�*s a big amount of money. the problem we hav,e being in a chain, obviously we are not sure about the people below us and if that will affect them. it could stop it all, which would be terrible. housing taxes are slightly different across the uk, but at the end of march, concessions are all due to stop. that means tax breaks of up to £15,000 will come to an end. predictions suggest an immediate 20% fall in sales in the spring as a result. with time running out and the threat of sales falling through, the chancellor is being urged to act in next month�*s budget. 150,000 people have signed a petition calling on him to extend

the stamp duty holiday for another six months. but if thatjust delays the same issue until later in the year, some working in the industry say more imagination is required. what we�*d really like is for them at the budget to say, right, anybody who is in a transaction now will still receive the stamp duty concession whenever they complete. the treasury says the tax break was only ever temporary. recent history shows the housing market can freeze when stamp duty holidays end, but those buying and selling now are desperate not to put their moving plans on ice. millions of people in england over the age of 65 are at risk of lung damage and asthma attacks due to toxic air, according to two leading charities. asthma uk and the british lung foundation say that a quarter of all care homes and a third of hospitals and gp practices are in areas where pollution exceeds recommended levels.

our chief environment correspondent justin rowlatt reports. we associate the seaside with fresh air and healthy living. "breathe it in", is eastbourne�*s motto. but like many places in the uk, it sometimes has issues with air pollution. as kimberly cole knows only too well. are you all right, kim? yeah. pollution is, i would say, the biggest trigger really, to making my lungs worse. can you tell when the day is particularly polluted? yes, i can tell, because it triggers coughing immediately. kim has a lung condition called bronchiectasis, which leads to a build—up of mucus. it makes my lungs bleed. it makes your lungs actually bleed? yeah. and sometimes it can be so bad, the air pollution cough, the coughing will make me physically sick. air pollution is dangerous for us all, but older people

and those with lung disease are particularly vulnerable. one of the main culprits are the tiny particulates in vehicle exhaust gases and other pollutants. researchers collect the particles, which are so small they can lodge in the lungs and even pass into the blood, damaging veins and other organs. you can see that the lungs are very black and most of the lung tissue there has been destroyed. lung scans show the damage air pollution can cause. we estimate that at least 30,000 people every year die prematurely because of air pollution. we've known about the harms caused by pollution for a long time. and so far, action on it has been slow and has been not enough. it's too little, it's too slow. the uk limits for this so—called pm2.5 pollution here in the uk are twice that recommended by the world health organization. the british lung foundation and asthma uk are demanding

the government bring uk rules in line, and they�*re also calling for it to produce a plan detailing how they�*re going to protect the most vulnerable from the effects of air pollution. an influential committee of mps is also calling for tougher controls. today, the government said it plans to introduce two ambitious and legally—binding air quality targets in its delayed environment bill. it says the primary focus will be on reducing exposure to particulate pollution. we all know cleaner air brings profound health benefits. campaigners are hoping one of the positive legacies of the covid—19 pandemic will be fresher airfor us all. a drug that suppresses appetite has led to some people than a fifth of their body weight.

in a major international trial, a weekly injection of the drug, semaglutide, was given alongside advice on diet and fitness. the study showed an average 15kg weight loss during the 15—month trial. let�*s cross live to the house of commons, where the health secretary matt hancock is beginning his statement on the government�*s plans for a health and social care shake—up. a white paper on the future of health and care. the past year has been the most challenging in the nhs's been the most challenging in the nhs�*s proud 72 year history. their health and care system as a whole has risen in the face of great difficulty. throughout, people have done incredible things and worked on a novel and remarkable ways to deliver for patients and we in this house to loot them all. notjust a nurse who may have had to care for two or three or four times as many patients as they would in normal times. notjust a surgeon who may have been called to treat patients beyond her normal specialism but few

managers across health and care who have come together in teams as part of a health family. the public health experts who have been needed more than ever before, the local authority staff who have embraced change to deliver to their residence. and for all, a sense of teamwork that has been inspiring to see. as a citizen, i care deeply for their whole health and care family, for the values they stand for and the security they represent. they�*re there for us at the best of times and at the worst of times. as health secretary, i see it as my role sometimes to challenge but most of all to support the health and care family in their defining mission of improving the health of the nation and caring for those most in need. i come before the house to present this white paper based firmly on those values which i believe our values the whole nation holds dear.

white paper is built on more than two years of work with the nhs, councils and the public at its heart, this white paper enables greater integration, reduces bureaucracy and supports at the way that the nhs and social care work when they work at their best, together. it strengthens accountability to this house and, crucially, takes lessons from we�*ve and in this pandemic of how the system can rise to meet huge challenges and frames a legislative basis to support that effort. myjob as health secretary is to make the system work for those who work in the system, to free up, to empower, to harness the mission—driven capability of team health and care and the goal of this white paper is to allow that to happen. as a speaker, before turning to the core measures, i want to answer two questions that i know a bit on people�*s minds. first, this change

is needed as cooks even before the pandemic, it was clear reform is needed, to take the law, to improve how the nhs operates and to reduce bureaucracy. local government and the nhs have told us they want to work together to improve health outcomes for residents. clinicians have told us to want to do more than just treat conditions, they want to address the factors that determine people�*s health and prevent illness in the first place. in all parts of the system told us they want to embrace modern technology to innovate, tojoin up, to share data, to serve people and, ultimately, to be trusted to get on and do all of that so they can improve patient care and save lives. we�*ll lessons and these changes reflect what our health and care family have been asking for, burton on the nhs�* on a long—term plan. the second question, why now? now, as we tackle the biggest public health emergency in modern history. the response to covid—19 has come in my view,

accelerated the of collaboration across health and social care, focusing on the needs of the patient and setting aside bureaucratic rules. the pandemic is also brought home the importance of preventing ill—health in the first place by tackling obesity and taking steps like fluoridation that will improve the health of the nation. the pandemic is make the changes in this white paper or more, not less, urgent, and it is our role in the parliament to make the legislative changes that are needed. there is no better time than now. mr speaker, turning to the measures in detail, the first set of measures to promote integration between different parts of the health and care system and puts the focus of health funding on the health of the population, not just the health of patients. health and care have always been part of the same ecosystem. with an ageing

population with more complex needs, that has never been more true. and these proposals will make it easier for clinicians, carers and public health experts to achieve what they already work hard to do, to operate seamlessly across health and care without being split into artificial silos that keep them apart. the new approach is based on the concept of population health, a statutory integrated health care system will be responsible, in each part of england, for the funding to support the health of their area. they will provide notjust for the health of their area. they will provide not just for the the health of their area. they will provide notjust for the treatments that are needed but support people to stay healthy in the first place. in some parts of the country, icses showing the way and it will be held to account by the care quality commission. our goal is to integrate

decision—making at a local level as much as as practically possible and ensure local decisions about health can be taken as locally as possible. next, we�*ll use legislation to remove bureaucracy that make sensible decision—making harder. so, freeing up the system to innovate and to embrace technology as a better platform to support staff and patient care are. our proposals preserve the division between the funding decisions and provision of care, which has been the cornerstone of efforts to ensure the best value for taxpayers over 30 years. we are setting out a morejoined up approach built on collaborative relationships so that more strategic decisions can be taken to shape health and care for decades to come. at its heart, it�*s about population health, using the collective resources of the local system, the nhs, localauthorities, resources of the local system, the nhs, local authorities, the voluntary sector and others to improve the health of the area.

finally, mr speaker, the white paper will ensure a system that is accountable. ministers have rightly always been accountable to this house for the performance of the nhs and always will. clinical decisions should always be independent but when the nhs is republic�*s top domestic priority, with over £1a0 billion of taxpayers money each year, when the quality of our health care matters to every single citizen and every single one of our constituents, of course, the nhs must be accountable to ministers, ministers and accountable to parliament, and parliament accountable to the people we all serve. medical matters are matters for ministers. the white paper provides a statutory basis for unified national leadership of the

nhs, merging the three bodies that legally oversee the nhs into one and that�*s nhs england. nhs england will have clinical and day today independence but the secretary of state will be empowered to set the direction for the nhs and intervene where necessary. this white paper can give the public confidence that the system will literally work together to respond to their needs. mr speaker, these legislative measures support reform is already under way in the nhs and they should be seen in the context of those broader reforms. and they�*re by no means the extent of our ambition for the nation�*s health. as we continue to tackle this pandemic, we will also bring forward changes in the social care, public health and mental health services. we�*re committed to proposals being brought forward this year. the public health

attentions brought out in this white paper strength of the public health system, including the national institute for health and protection and last month, in our mental health white paper, we committed to bringing forward legislation to take the mental health act for the 21st century. mr speaker, this landmark white paper builds on what colleagues in health and they told us and we will continue that engagement in the weeks ahead to. it builds on more than that, it builds on this party�*s commitment to the nhs from the very beginning. equalised visitors to my office in victoria street will have noticed the portrait of sir henry welling, who published a white paper in 19aa from this dispatch box that set out plans for a national health service that was later implemented by post—war governments. throughout its proud 72 year history, successive governments have believed in our

health and so care system and it strengthens it for their time i believe the nhs is the finest health service in the world. i believe in the values that underpin it, that we all share responsibility for the health of one another. its extraordinary feats this past year are unsurpassed even its own proud history and once again, we must support the nhs and the whole health and care system with the legislative framework fits for our times and fit for the future. a more integrated, innovative and responsive system, harnessing the best of modern technology and supporting the vocation and dedication of those who work in it. this white paper is the next step in that noble endeavour and i commend this statement to the house. , ., ., ,, . ., , ., house. the shadow secretary of state. i house. the shadow secretary of state. | think _ house. the shadow secretary of state. | think the _ house. the shadow secretary of

state. i think the secretary - house. the shadow secretary of state. i think the secretary of i state. i think the secretary of state. i think the secretary of state for advance _ state. i think the secretary of state for advance out - state. i think the secretary of state for advance out of - state. i think the secretary of state for advance out of his . state for advance out of his statement _ state for advance out of his statement and _ state for advance out of his statement and advance - state for advance out of his statement and advance outj state for advance out of his . statement and advance out of state for advance out of his - statement and advance out of the white _ statement and advance out of the white paper— statement and advance out of the white paper as _ statement and advance out of the white paper as well. _ statement and advance out of the white paper as well. where - statement and advance out of the white paper as well. where in- statement and advance out of the white paper as well. where in thej white paper as well. where in the middle _ white paper as well. where in the middle of— white paper as well. where in the middle of the _ white paper as well. where in the middle of the biggest _ white paper as well. where in the middle of the biggest public- white paper as well. where in the. middle of the biggest public health crisis our— middle of the biggest public health crisis our nhs _ middle of the biggest public health crisis our nhs has _ middle of the biggest public health crisis our nhs has ever— middle of the biggest public health crisis our nhs has ever faced, - middle of the biggest public healthj crisis our nhs has ever faced, staff of the _ crisis our nhs has ever faced, staff of the front— crisis our nhs has ever faced, staff of the front line _ crisis our nhs has ever faced, staff of the front line are _ crisis our nhs has ever faced, staff of the front line are exhausted, - of the front line are exhausted, underpaid, _ of the front line are exhausted, underpaid, the _ of the front line are exhausted, underpaid, the raw— of the front line are exhausted, underpaid, the raw college - of the front line are exhausted, underpaid, the raw college of. of the front line are exhausted, - underpaid, the raw college of nurses say the _ underpaid, the raw college of nurses say the nhs — underpaid, the raw college of nurses say the nhs is — underpaid, the raw college of nurses say the nhs is on _ underpaid, the raw college of nurses say the nhs is on its _ underpaid, the raw college of nurses say the nhs is on its knees - underpaid, the raw college of nurses say the nhs is on its knees by- underpaid, the raw college of nurses say the nhs is on its knees by moxie at the _ say the nhs is on its knees by moxie at the primary— say the nhs is on its knees by moxie at the primary care _ say the nhs is on its knees by moxie at the primary care and _ say the nhs is on its knees by moxie at the primary care and ccg - say the nhs is on its knees by moxie at the primary care and ccg staff - at the primary care and ccg staff are vaccinating _ at the primary care and ccg staff are vaccinating and _ at the primary care and ccg staff are vaccinating and will- at the primary care and ccg staff are vaccinating and will be - at the primary care and ccg staff are vaccinating and will be doing | at the primary care and ccg staff. are vaccinating and will be doing so for months — are vaccinating and will be doing so for months ahead, _ are vaccinating and will be doing so for months ahead, including - are vaccinating and will be doing so. for months ahead, including possibly delivering _ for months ahead, including possibly delivering a — for months ahead, including possibly delivering a booster— for months ahead, including possibly delivering a boosterjabs _ for months ahead, including possibly delivering a boosterjabs in - for months ahead, including possibly delivering a boosterjabs in the - delivering a boosterjabs in the autumn— delivering a boosterjabs in the autumn by— delivering a boosterjabs in the autumn by moxie _ delivering a boosterjabs in the autumn by moxie today, - delivering a boosterjabs in the autumn by moxie today, we i delivering a boosterjabs in the - autumn by moxie today, we learned that 224.000 — autumn by moxie today, we learned that 224,000 people _ autumn by moxie today, we learned that 224,000 people are _ autumn by moxie today, we learned that 224,000 people are waiting. autumn by moxie today, we learned i that 224,000 people are waiting over 12 months— that 224,000 people are waiting over 12 months for— that 224,000 people are waiting over 12 months for treatment _ that 224,000 people are waiting over 12 months for treatment of. _ that 224,000 people are waiting over 12 months for treatment of. the - 12 months for treatment of. the secretary — 12 months for treatment of. the secretary of _ 12 months for treatment of. the secretary of state _ 12 months for treatment of. the secretary of state thinks - 12 months for treatment of. the secretary of state thinks this i 12 months for treatment of. the secretary of state thinks this isi secretary of state thinks this is the right— secretary of state thinks this is the right moment _ secretary of state thinks this is the right moment for— secretary of state thinks this is - the right moment for reorganisation of the _ the right moment for reorganisation of the nhs — the right moment for reorganisation of the nhs we _ the right moment for reorganisation of the nhs. we will— the right moment for reorganisation of the nhs. we will study— the right moment for reorganisation of the nhs. we will study the - of the nhs. we will study the legislation— of the nhs. we will study the legislation carefully— of the nhs. we will study the legislation carefully when - of the nhs. we will study the - legislation carefully when published but the _ legislation carefully when published but the test — legislation carefully when published but the test of _ legislation carefully when published but the test of this _ legislation carefully when published but the test of this reorganisation l but the test of this reorganisation will be _ but the test of this reorganisation will be whether— but the test of this reorganisation will be whether it _ but the test of this reorganisation will be whether it brings - but the test of this reorganisation will be whether it brings waiting l will be whether it brings waiting lists and — will be whether it brings waiting lists and times _ will be whether it brings waiting lists and times down, _ will be whether it brings waiting lists and times down, widens i will be whether it brings waiting - lists and times down, widens access for men _ lists and times down, widens access for men health— lists and times down, widens access for men health care, _ lists and times down, widens access for men health care, drives- lists and times down, widens access for men health care, drives up- for men health care, drives up cancer— for men health care, drives up cancer survival _ for men health care, drives up cancer survival rates— for men health care, drives up cancer survival rates and - for men health care, drives up. cancer survival rates and improve population— cancer survival rates and improve population health. _ cancer survival rates and improve population health. of— cancer survival rates and improve population health. of course, - cancer survival rates and improve i population health. of course, were not surprised — population health. of course, were not surprised he's _ population health. of course, were not surprised he's ended _ population health. of course, were not surprised he's ended up - population health. of course, were not surprised he's ended up here, i population health. of course, were . not surprised he's ended up here, we want ministers —

not surprised he's ended up here, we want ministers not _ not surprised he's ended up here, we want ministers not to _ not surprised he's ended up here, we want ministers not to go— not surprised he's ended up here, we want ministers not to go ahead - not surprised he's ended up here, we want ministers not to go ahead with i want ministers not to go ahead with the change — want ministers not to go ahead with the change is — want ministers not to go ahead with the change is ten _ want ministers not to go ahead with the change is ten years _ want ministers not to go ahead with the change is ten years ago, - the change is ten years ago, reorganises _ the change is ten years ago, reorganises and _ the change is ten years ago, reorganises and so - the change is ten years ago, reorganises and so big - the change is ten years ago, reorganises and so big you i the change is ten years ago, - reorganises and so big you could see it from _ reorganises and so big you could see it from space, — reorganises and so big you could see it from space, cost _ reorganises and so big you could see it from space, cost millions, - it from space, cost millions, demoralised _ it from space, cost millions, demoralised staff, - it from space, cost millions, demoralised staff, usheredl it from space, cost millions, i demoralised staff, ushered in a decade — demoralised staff, ushered in a decade of— demoralised staff, ushered in a decade of wasted _ demoralised staff, ushered in a decade of wasted opportunity. i demoralised staff, ushered in a i decade of wasted opportunity. of course, _ decade of wasted opportunity. of course, he — decade of wasted opportunity. of course, he voted _ decade of wasted opportunity. of course, he voted for _ decade of wasted opportunity. of course, he voted for them, - decade of wasted opportunity. of course, he voted for them, he i course, he voted for them, he defended _ course, he voted for them, he defended them _ course, he voted for them, he defended them in _ course, he voted for them, he defended them in this - course, he voted for them, he l defended them in this chamber, course, he voted for them, he - defended them in this chamber, so i hope when _ defended them in this chamber, so i hope when he — defended them in this chamber, so i hope when he stands _ defended them in this chamber, so i hope when he stands up, _ defended them in this chamber, so i hope when he stands up, he - defended them in this chamber, so i hope when he stands up, he will- defended them in this chamber, so i hope when he stands up, he will tellj hope when he stands up, he will tell us he _ hope when he stands up, he will tell us he was _ hope when he stands up, he will tell us he was wrong _ hope when he stands up, he will tell us he was wrong to _ hope when he stands up, he will tell us he was wrong to support - hope when he stands up, he will tell us he was wrong to support them i us he was wrong to support them then _ us he was wrong to support them then we — us he was wrong to support them then we have _ us he was wrong to support them then. we have long _ us he was wrong to support them then. we have long argued - us he was wrong to support them then. we have long argued for. us he was wrong to support them i then. we have long argued for more integrated _ then. we have long argued for more integrated care, _ then. we have long argued for more integrated care, but— then. we have long argued for more integrated care, but how— then. we have long argued for more integrated care, but how will- then. we have long argued for more integrated care, but how will these. integrated care, but how will these new structures _ integrated care, but how will these new structures be _ integrated care, but how will these new structures be governed, - integrated care, but how will these new structures be governed, howi integrated care, but how will these i new structures be governed, how will they be _ new structures be governed, how will they be accountable _ new structures be governed, how will they be accountable to _ new structures be governed, how will they be accountable to local - new structures be governed, how will they be accountable to local people, i they be accountable to local people, how will _ they be accountable to local people, how will financial _ they be accountable to local people, how will financial parity _ they be accountable to local people, how will financial parity is _ they be accountable to local people, how will financial parity is beset? i how will financial parity is beset? because — how will financial parity is beset? because when _ how will financial parity is beset? because when something - how will financial parity is beset? because when something goes i how will financial parity is beset? - because when something goes wrong, as tragically, _ because when something goes wrong, as tragically, sometimes _ because when something goes wrong, as tragically, sometimes it _ because when something goes wrong, as tragically, sometimes it does - because when something goes wrong, as tragically, sometimes it does go. as tragically, sometimes it does go wrong _ as tragically, sometimes it does go wrong in _ as tragically, sometimes it does go wrong in delivery— as tragically, sometimes it does go wrong in delivery of _ as tragically, sometimes it does go wrong in delivery of care, - as tragically, sometimes it does go wrong in delivery of care, or- as tragically, sometimes it does go wrong in delivery of care, or whenl wrong in delivery of care, or when there _ wrong in delivery of care, or when there are — wrong in delivery of care, or when there are financial— wrong in delivery of care, or when there are financial problems, - wrong in delivery of care, or when i there are financial problems, where does the _ there are financial problems, where does the buck— there are financial problems, where does the buck stop? _ there are financial problems, where does the buck stop? he _ there are financial problems, where does the buck stop? he is - there are financial problems, wherel does the buck stop? he is proposing an integrated — does the buck stop? he is proposing an integrated care _ does the buck stop? he is proposing an integrated care board _ does the buck stop? he is proposing an integrated care board tasked - does the buck stop? he is proposing an integrated care board tasked with commissioning — an integrated care board tasked with commissioning but _ an integrated care board tasked with commissioning but without - an integrated care board tasked with commissioning but without powers l an integrated care board tasked withi commissioning but without powers to direct— commissioning but without powers to direct foundation— commissioning but without powers to direct foundation trusts. _ commissioning but without powers to direct foundation trusts. which - direct foundation trusts. which spends — direct foundation trusts. which spends around _ direct foundation trusts. which spends around 80 _ direct foundation trusts. which spends around 80 billion - direct foundation trusts. which spends around 80 billion and l direct foundation trusts. which - spends around 80 billion and employs thousands— spends around 80 billion and employs thousands of— spends around 80 billion and employs thousands of empty _ spends around 80 billion and employs thousands of empty autos. _ spends around 80 billion and employs thousands of empty autos. he - spends around 80 billion and employs| thousands of empty autos. he suggest

a committee. — thousands of empty autos. he suggest a committee. but _ thousands of empty autos. he suggest a committee, but who _ thousands of empty autos. he suggest a committee, but who controls - thousands of empty autos. he suggest a committee, but who controls the - a committee, but who controls the money, _ a committee, but who controls the money, because— a committee, but who controls the money, because that _ a committee, but who controls the money, because that is _ a committee, but who controls the money, because that is where - a committee, but who controls the . money, because that is where power comes— money, because that is where power comes from — money, because that is where power comes from. both _ money, because that is where power comes from. both of— money, because that is where power comes from. both of these _ money, because that is where power. comes from. both of these committees will overlap _ comes from. both of these committees will overlap with — comes from. both of these committees will overlap with a _ comes from. both of these committees will overlap with a new, _ comes from. both of these committees will overlap with a new, third, - will overlap with a new, third, additional— will overlap with a new, third, additional committee, - will overlap with a new, third, additional committee, the - will overlap with a new, third, - additional committee, the integrated system _ additional committee, the integrated system of— additional committee, the integrated system of health— additional committee, the integrated system of health and _ additional committee, the integrated system of health and care _ system of health and care partnership. _ system of health and care partnership, which- system of health and care i partnership, which includes system of health and care - partnership, which includes local authorities— partnership, which includes local authorities and _ partnership, which includes local authorities and even _ partnership, which includes local authorities and even permits - partnership, which includes local authorities and even permits thej authorities and even permits the private _ authorities and even permits the private sector— authorities and even permits the private sector to _ authorities and even permits the private sector to sit _ authorities and even permits the private sector to sit on _ authorities and even permits the private sector to sit on it. - authorities and even permits the private sector to sit on it. all. private sector to sit on it. all these — private sector to sit on it. all these committees— private sector to sit on it. all these committees must- private sector to sit on it. all| these committees must have private sector to sit on it. all- these committees must have regard for the _ these committees must have regard for the local— these committees must have regard for the local health _ these committees must have regard for the local health and _ these committees must have regard for the local health and well—being i for the local health and well—being for the local health and well—being for plans— for the local health and well—being for plans as — for the local health and well—being for plans as well, _ for the local health and well—being for plans as well, so _ for the local health and well—being for plans as well, so how- for the local health and well—being for plans as well, so how would . for the local health and well—being i for plans as well, so how would they avoid _ for plans as well, so how would they avoid clashing — for plans as well, so how would they avoid clashing agendas, _ for plans as well, so how would they avoid clashing agendas, lack- for plans as well, so how would they avoid clashing agendas, lack of - avoid clashing agendas, lack of trust _ avoid clashing agendas, lack of trust between _ avoid clashing agendas, lack of trust between partners, - avoid clashing agendas, lack of trust between partners, as- avoid clashing agendas, lack ofl trust between partners, as we'll seen _ trust between partners, as we'll seen in — trust between partners, as we'll seen in the _ trust between partners, as we'll seen in the ice _ trust between partners, as we'll seen in the ice yes— trust between partners, as we'll seen in the ice yes in— trust between partners, as we'll. seen in the ice yes in bedfordshire and luton. — seen in the ice yes in bedfordshire and luton. for— seen in the ice yes in bedfordshire and luton, for example? - seen in the ice yes in bedfordshire and luton, for example? nobodyi seen in the ice yes in bedfordshire - and luton, for example? nobody wants to see _ and luton, for example? nobody wants to see integrated — and luton, for example? nobody wants to see integrated care _ and luton, for example? nobody wants to see integrated care structures - to see integrated care structures which _ to see integrated care structures which can't — to see integrated care structures which can't even _ to see integrated care structures which can't even integrate - which can't even integrate themselves. _ which can't even integrate themselves. legislation. which can't even integrate - themselves. legislation alone, of course, _ themselves. legislation alone, of course, is— themselves. legislation alone, of course, is not _ themselves. legislation alone, of course, is not the _ themselves. legislation alone, of course, is not the answer- themselves. legislation alone, of course, is not the answer to - course, is not the answer to integration. _ course, is not the answer to integration, we _ course, is not the answer to integration, we need - course, is not the answer to integration, we need a - course, is not the answer to - integration, we need a long—term, funded _ integration, we need a long—term, funded workforce _ integration, we need a long—term, funded workforce plan, _ integration, we need a long—term, funded workforce plan, we've - integration, we need a long—term, funded workforce plan, we've not. integration, we need a long—term, . funded workforce plan, we've not got one. funded workforce plan, we've not got one we _ funded workforce plan, we've not got one we need — funded workforce plan, we've not got one we need a — funded workforce plan, we've not got one. we need a long—term _ funded workforce plan, we've not got one. we need a long—term health - one. we need a long—term health inequalities— one. we need a long—term health inequalities plan, _ one. we need a long—term health inequalities plan, since _ one. we need a long—term health inequalities plan, since an - one. we need a long—term healthl inequalities plan, since an amount not got _ inequalities plan, since an amount not got one — inequalities plan, since an amount not got one we _ inequalities plan, since an amount not got one. we need _ inequalities plan, since an amount not got one. we need a _ inequalities plan, since an amountl not got one. we need a sustainable social— not got one. we need a sustainable social care — not got one. we need a sustainable social care plan, _ not got one. we need a sustainable social care plan, we _ not got one. we need a sustainable social care plan, we were _ not got one. we need a sustainable social care plan, we were promisedj social care plan, we were promised one on— social care plan, we were promised one on the — social care plan, we were promised one on the steps— social care plan, we were promised one on the steps of— social care plan, we were promised one on the steps of downing - social care plan, we were promisedl one on the steps of downing street, we still— one on the steps of downing street, we still don't — one on the steps of downing street, we still don't have _ one on the steps of downing street, we still don't have one. _

one on the steps of downing street, we still don't have one. when- one on the steps of downing street, we still don't have one. when he - we still don't have one. when he voted _ we still don't have one. when he voted for— we still don't have one. when he voted for the _ we still don't have one. when he voted for the camera _ we still don't have one. when he i voted for the camera reorganisation ten years— voted for the camera reorganisation ten years ago. — voted for the camera reorganisation tenyearsago. it— voted for the camera reorganisation ten years ago. it was— voted for the camera reorganisation ten years ago, it was because - voted for the camera reorganisation ten years ago, it was because he i ten years ago, it was because he wanted, — ten years ago, it was because he wanted, i— ten years ago, it was because he wanted, i presume, _ ten years ago, it was because he wanted, i presume, and- ten years ago, it was because he wanted, i presume, and the- ten years ago, it was because he i wanted, i presume, and the words ten years ago, it was because he - wanted, i presume, and the words of the white _ wanted, i presume, and the words of the white paper— wanted, i presume, and the words of the white paper at— wanted, i presume, and the words of the white paper at the _ wanted, i presume, and the words of the white paper at the time, - wanted, i presume, and the words of the white paper at the time, to - the white paper at the time, to liberate — the white paper at the time, to liberate the _ the white paper at the time, to liberate the nhs. _ the white paper at the time, to liberate the nhs. but- the white paper at the time, to liberate the nhs. but now- the white paper at the time, to liberate the nhs. but now he'sj liberate the nhs. but now he's proposing _ liberate the nhs. but now he's proposing a _ liberate the nhs. but now he's proposing a paragraph - liberate the nhs. but now he's proposing a paragraph that - liberate the nhs. but now he's| proposing a paragraph that was liberate the nhs. but now he's - proposing a paragraph that was never consulted _ proposing a paragraph that was never consulted on — proposing a paragraph that was never consulted on by— proposing a paragraph that was never consulted on by the _ proposing a paragraph that was never consulted on by the nhs. _ proposing a paragraph that was never consulted on by the nhs. it— proposing a paragraph that was never consulted on by the nhs. it seems. proposing a paragraph that was never| consulted on by the nhs. it seems he wants— consulted on by the nhs. it seems he wants every— consulted on by the nhs. it seems he wants every planet _ consulted on by the nhs. it seems he wants every planet to _ consulted on by the nhs. it seems he wants every planet to reverberate - wants every planet to reverberate around _ wants every planet to reverberate around whitehall— wants every planet to reverberate around whitehall again, - wants every planet to reverberate around whitehall again, and - wants every planet to reverberate around whitehall again, and he's| around whitehall again, and he's announcing — around whitehall again, and he's announcing this— around whitehall again, and he's announcing thisjust _ around whitehall again, and he's announcing this just at _ around whitehall again, and he's announcing this just at the - around whitehall again, and he's announcing this just at the very. announcing this just at the very moment— announcing this just at the very moment the _ announcing this just at the very moment the nhs _ announcing this just at the very moment the nhs is _ announcing this just at the veryl moment the nhs is successfully delivering — moment the nhs is successfully delivering vaccination. - moment the nhs is successfully delivering vaccination. in - moment the nhs is successfullyl delivering vaccination. in striking contrast— delivering vaccination. in striking contrast to — delivering vaccination. in striking contrast to delivery _ delivering vaccination. in striking contrast to delivery of _ delivering vaccination. in striking contrast to delivery of test - delivering vaccination. in striking contrast to delivery of test and l contrast to delivery of test and trace. — contrast to delivery of test and trace. to — contrast to delivery of test and trace. to ppe _ contrast to delivery of test and trace, to ppe early— contrast to delivery of test and trace, to ppe early on, - contrast to delivery of test and trace, to ppe early on, where. contrast to delivery of test and i trace, to ppe early on, where he contrast to delivery of test and - trace, to ppe early on, where he was responsible — trace, to ppe early on, where he was responsible so— trace, to ppe early on, where he was responsible. so again, _ trace, to ppe early on, where he was responsible. so again, will— trace, to ppe early on, where he was responsible. so again, will look- responsible. so again, will look carefully— responsible. so again, will look carefully at _ responsible. so again, will look carefully at the _ responsible. so again, will look carefully at the legislation, - responsible. so again, will look carefully at the legislation, but| carefully at the legislation, but why so — carefully at the legislation, but why so keen _ carefully at the legislation, but why so keen for _ carefully at the legislation, but why so keen for these - carefully at the legislation, but why so keen for these new- carefully at the legislation, but - why so keen for these new powers? why is— why so keen for these new powers? why is he _ why so keen for these new powers? why is he repealing _ why so keen for these new powers? why is he repealing his _ why is he repealing his responsibility- why is he repealing his responsibility to - why is he repealing his responsibility to set. why is he repealing his responsibility to set an| why is he repealing his - responsibility to set an annual mandate — responsibility to set an annual mandate and _ responsibility to set an annual mandate and bring _ responsibility to set an annual mandate and bring it - responsibility to set an annual mandate and bring it to - responsibility to set an annual - mandate and bring it to parliament? he wants _ mandate and bring it to parliament? he wants to— mandate and bring it to parliament? he wants to intervene _ mandate and bring it to parliament? he wants to intervene in _ mandate and bring it to parliament? he wants to intervene in made - mandate and bring it to parliament? he wants to intervene in made in - he wants to intervene in made in hospital— he wants to intervene in made in hospital reconfiguration - he wants to intervene in made in hospital reconfiguration plans - he wants to intervene in made in| hospital reconfiguration plans but why is— hospital reconfiguration plans but why is he — hospital reconfiguration plans but why is he stripping _ hospital reconfiguration plans but why is he stripping local- why is he stripping local authorities— why is he stripping local authorities of— why is he stripping local authorities of their- why is he stripping local. authorities of their power why is he stripping local- authorities of their power to refer controversial— authorities of their power to refer controversial plans _ authorities of their power to refer controversial plans to _ authorities of their power to refer controversial plans to him? - authorities of their power to refer controversial plans to him? and i authorities of their power to refer. controversial plans to him? and with his new— controversial plans to him? and with his new powers. _ controversial plans to him? and with his new powers, will— controversial plans to him? and with his new powers, will he _ controversial plans to him? and with his new powers, will he reverse - his new powers, will he reverse

outsourcing? _ his new powers, will he reverse outsourcing? well— his new powers, will he reverse outsourcing? well he _ his new powers, will he reverse outsourcing? well he and - his new powers, will he reverse outsourcing? well he and the l outsourcing? well he and the transfer — outsourcing? well he and the transfer of _ outsourcing? well he and the transfer of the _ outsourcing? well he and the transfer of the fact _ outsourcing? well he and the transfer of the fact wealthy. outsourcing? well he and the i transfer of the fact wealthy bring contracts — transfer of the fact wealthy bring contracts back _ transfer of the fact wealthy bring contracts back in _ transfer of the fact wealthy bring contracts back in house? - transfer of the fact wealthy bring contracts back in house? here i contracts back in house? here stitching — contracts back in house? here stitching the _ contracts back in house? here stitching the competition - contracts back in house? here - stitching the competition framework for the _ stitching the competition framework for the tendering _ stitching the competition framework for the tendering of— stitching the competition framework for the tendering of local _ stitching the competition framework for the tendering of local services i for the tendering of local services while _ for the tendering of local services while potentially _ for the tendering of local services while potentially replacing - for the tendering of local services while potentially replacing it - for the tendering of local services while potentially replacing it with| while potentially replacing it with institutionalised _ while potentially replacing it with institutionalised cronyism - while potentially replacing it with institutionalised cronyism at - while potentially replacing it with institutionalised cronyism at the| institutionalised cronyism at the top instead _ institutionalised cronyism at the top instead. and _ institutionalised cronyism at the| top instead. and fundamentally, institutionalised cronyism at the - top instead. and fundamentally, how would _ top instead. and fundamentally, how would this— top instead. and fundamentally, how would this reorganisation _ top instead. and fundamentally, how would this reorganisation will - top instead. and fundamentally, how would this reorganisation will powerl would this reorganisation will power .rab would this reorganisation will power grab improve — would this reorganisation will power grab improve patient— would this reorganisation will power grab improve patient care? - would this reorganisation will power grab improve patient care? he - would this reorganisation will poweri grab improve patient care? he didn't mention— grab improve patient care? he didn't mention waiting _ grab improve patient care? he didn't mention waiting times _ grab improve patient care? he didn't mention waiting times in _ grab improve patient care? he didn't mention waiting times in his - mention waiting times in his statements. _ mention waiting times in his statements, it's _ mention waiting times in his statements, it's mentionedl mention waiting times in his - statements, it's mentioned once in the leaked — statements, it's mentioned once in the leaked white _ statements, it's mentioned once in the leaked white paper, _ statements, it's mentioned once in the leaked white paper, so- statements, it's mentioned once in the leaked white paper, so how. statements, it's mentioned once in| the leaked white paper, so how will he bring _ the leaked white paper, so how will he bring waiting _ the leaked white paper, so how will he bring waiting lists _ the leaked white paper, so how will he bring waiting lists down? - the leaked white paper, so how will he bring waiting lists down? how. he bring waiting lists down? how will he _ he bring waiting lists down? how will he improve _ he bring waiting lists down? how will he improve cancer— he bring waiting lists down? how will he improve cancer survival. will he improve cancer survival rates _ will he improve cancer survival rates and _ will he improve cancer survival rates and whiten _ will he improve cancer survival rates and whiten access - will he improve cancer survival rates and whiten access to - will he improve cancer survival. rates and whiten access to mental health— rates and whiten access to mental health care? — rates and whiten access to mental health care? how _ rates and whiten access to mental health care? how will _ rates and whiten access to mental health care? how will his - health care? how will his reorganisation— health care? how will his reorganisation narrow. health care? how will his - reorganisation narrow whitening health— reorganisation narrow whitening health inequalities? _ reorganisation narrow whitening health inequalities? and - reorganisation narrow whitening health inequalities? and given i reorganisation narrow whitening . health inequalities? and given the prime _ health inequalities? and given the prime minister— health inequalities? and given the prime minister insist— health inequalities? and given the prime minister insist lessons- health inequalities? and given the prime minister insist lessons can'tj prime minister insist lessons can't be learned — prime minister insist lessons can't be learned from _ prime minister insist lessons can't be learned from this _ prime minister insist lessons can't be learned from this pandemic- prime minister insist lessons can't. be learned from this pandemic until the crisis _ be learned from this pandemic until the crisis is — be learned from this pandemic until the crisis is over, _ be learned from this pandemic until the crisis is over, why— be learned from this pandemic until the crisis is over, why does - be learned from this pandemic until the crisis is over, why does he - the crisis is over, why does he disagree — the crisis is over, why does he disagree with _ the crisis is over, why does he disagree with that _ the crisis is over, why does he i disagree with that inconsiderate this reorganisation _ disagree with that inconsiderate this reorganisation so _ disagree with that inconsiderate this reorganisation so urgent. disagree with that inconsiderate i this reorganisation so urgent now? well, _ this reorganisation so urgent now? well, ill— this reorganisation so urgent now? well, puma— this reorganisation so urgent now? well, i'll ticket quit _ this reorganisation so urgent now? well, i'll ticket quit as _ this reorganisation so urgent now? well, i'll ticket quit as coach - this reorganisation so urgent now? well, i'll ticket quit as coach of- well, i�*ll ticket quit as coach of support know that he sometimes has to do what i will take that as xhosa

support. i know sometimes has to say these things but i am very glad that these things but i am very glad that the door open for yet more enthusiastic support in the future. not least because a point to the questions that he just asked, the proposals on the table, the proposals on the table, the proposals in the white paper, are addressed directly to make the improvements that he calls for. he raised a point about the vaccination programme, and this is an important point — the vaccination programme is one of the vaccination programme is one of the largest and also one of the most successful civilian operations that has happened in this country. and it�*s because of the teamwork between the nhs and local authorities and the nhs and local authorities and the department and the brilliant civil servants who work in the vaccine task force, it is this combination and teamwork and integration that is making it to the great success it is. he asks about timing, and i say to him, why argue

for delay? why stop work to integrate? why stop work to make sure the nhs is more accountable? and when people are working so hard in the nhs for us, why should we not work hard in this parliament to give them the legislative support they need and that they have asked for? that is the question that he needs to answer if he wants to continue and arguments for delay. if not now, when? there is no better time than immediately. i hope he will, on reflection and reading the white paper come forward with enthusiastic support. i look forward to debates about the details of implementation, i look forward to a parliamentary passage of a significant piece of registration in the future and i look forward to his engagement on that. but the removal of bureaucratic barriers can�*t wait.

the increase in the integration of the system shouldn�*t have to wait and the accountability for this enormous amount of taxpayers money to this house and through this house, to the citizens who we serve, thatis house, to the citizens who we serve, that is something i think should be welcomed right across this parliament, and i hope that it will. chair of the select committee, jeremy— chair of the select committee, jeremy hunt. chair of the select committee, jeremy hunt-— chair of the select committee, jerem hunt. ., ~ jeremy hunt. thank you, mr speaker, to start my comments _ jeremy hunt. thank you, mr speaker, to start my comments by _ jeremy hunt. thank you, mr speaker, to start my comments by thanking - jeremy hunt. thank you, mr speaker, | to start my comments by thanking the brilliant _ to start my comments by thanking the brilliant staff— to start my comments by thanking the brilliant staff at _ to start my comments by thanking the brilliant staff at the _ to start my comments by thanking the brilliant staff at the royal— to start my comments by thanking the brilliant staff at the royal surrey- brilliant staff at the royal surrey county — brilliant staff at the royal surrey county hospital— brilliant staff at the royal surrey county hospital that _ brilliant staff at the royal surrey county hospital that they- brilliant staff at the royal surrey county hospital that they gave i brilliant staff at the royal surreyj county hospital that they gave it this nrorning. _ county hospital that they gave it this morning, as— county hospital that they gave it this morning, as it _ county hospital that they gave it this morning, as it happens, - county hospital that they gave it . this morning, as it happens, when county hospital that they gave it. this morning, as it happens, when i have _ this morning, as it happens, when i have slipped — this morning, as it happens, when i have slipped over— this morning, as it happens, when i have slipped over and _ this morning, as it happens, when i have slipped over and broke - this morning, as it happens, when i have slipped over and broke my. this morning, as it happens, when i| have slipped over and broke my arm and a _ have slipped over and broke my arm and a morning — have slipped over and broke my arm and a morning run, _ have slipped over and broke my arm and a morning run, i'll— have slipped over and broke my arm and a morning run, i'lljust- have slipped over and broke my arm and a morning run, i'lljust come - and a morning run, i'lljust come back— and a morning run, i'lljust come back from — and a morning run, i'lljust come back from there. _ and a morning run, i'lljust come back from there. it _ and a morning run, i'lljust come back from there. it is— and a morning run, i'lljust come back from there. it is a - and a morning run, i'lljust come back from there. it is a very - and a morning run, i'lljust come back from there. it is a very big. back from there. it is a very big deal— back from there. it is a very big deal to— back from there. it is a very big deal to do— back from there. it is a very big deal to do a _ back from there. it is a very big deal to do a structural - deal to do a structural reorganisation- deal to do a structural reorganisation of- deal to do a structural reorganisation of the i deal to do a structural - reorganisation of the nhs and i deal to do a structural _ reorganisation of the nhs and i know from my— reorganisation of the nhs and i know from my time — reorganisation of the nhs and i know from my time as _ reorganisation of the nhs and i know from my time as health _ reorganisation of the nhs and i know from my time as health secretary - reorganisation of the nhs and i knowl from my time as health secretary how distracting _ from my time as health secretary how distracting it— from my time as health secretary how distracting it can _ from my time as health secretary how distracting it can be. _ from my time as health secretary how distracting it can be. but— from my time as health secretary how distracting it can be. but it _ from my time as health secretary how distracting it can be. but it is - distracting it can be. but it is nonetheless— distracting it can be. but it is nonetheless the _ distracting it can be. but it is nonetheless the right - distracting it can be. but it is nonetheless the right thing l distracting it can be. but it is - nonetheless the right thing today and everything _ nonetheless the right thing today and everything to _ nonetheless the right thing today and everything to do, _ nonetheless the right thing today and everything to do, because i nonetheless the right thing today. and everything to do, because nhs staff want— and everything to do, because nhs staff want nothing _ and everything to do, because nhs staff want nothing more _ and everything to do, because nhs staff want nothing more than - and everything to do, because nhs staff want nothing more than to - and everything to do, because nhs staff want nothing more than to be| staff want nothing more than to be able to— staff want nothing more than to be

able to give — staff want nothing more than to be able to give joint _ staff want nothing more than to be able to give joint up— staff want nothing more than to be able to give joint up care, - staff want nothing more than to be able to give joint up care, joint - staff want nothing more than to be able to give joint up care, joint upl able to give joint up care, joint up between — able to give joint up care, joint up between hospitals, _ able to give joint up care, joint up between hospitals, gp— able to give joint up care, joint up between hospitals, gp surgeries, | able to give joint up care, joint up . between hospitals, gp surgeries, the social— between hospitals, gp surgeries, the social care _ between hospitals, gp surgeries, the social care system, _ between hospitals, gp surgeries, the social care system, community- between hospitals, gp surgeries, the social care system, community care. | social care system, community care. the current — social care system, community care. the current structure _ social care system, community care. the current structure meant - social care system, community care. the current structure meant that - the current structure meant that more _ the current structure meant that more difficult _ the current structure meant that more difficult than _ the current structure meant that more difficult than it _ the current structure meant that more difficult than it should - the current structure meant that more difficult than it should be. i the current structure meant that| more difficult than it should be. i also welcome _ more difficult than it should be. i also welcome the _ more difficult than it should be. i also welcome the public - more difficult than it should be. i also welcome the public health . also welcome the public health measures. _ also welcome the public health measures, particularly- also welcome the public health measures, particularly on - also welcome the public health . measures, particularly on obesity, given— measures, particularly on obesity, given the — measures, particularly on obesity, given the high— measures, particularly on obesity, given the high mortality _ measures, particularly on obesity, given the high mortality rates - measures, particularly on obesity, given the high mortality rates thatj given the high mortality rates that obese _ given the high mortality rates that obese people _ given the high mortality rates that obese people have _ given the high mortality rates that obese people have had _ given the high mortality rates that obese people have had to - given the high mortality rates that obese people have had to be - obese people have had to be interested _ obese people have had to be interested pandemic. - obese people have had to be interested pandemic. but- obese people have had to be i interested pandemic. but these integrated _ interested pandemic. but these integrated care _ interested pandemic. but these integrated care system - interested pandemic. but these integrated care system is- interested pandemic. but these integrated care system is goingj interested pandemic. but these . integrated care system is going to be very— integrated care system is going to be very powerful. _ integrated care system is going to be very powerful, so _ integrated care system is going to be very powerful, so my - integrated care system is going to be very powerful, so my questionl integrated care system is going to. be very powerful, so my question to the health _ be very powerful, so my question to the health secretary _ be very powerful, so my question to the health secretary is, _ be very powerful, so my question to the health secretary is, how- be very powerful, so my question to the health secretary is, how would. the health secretary is, how would the health secretary is, how would the public— the health secretary is, how would the public know _ the health secretary is, how would the public know in _ the health secretary is, how would the public know in their— the health secretary is, how would the public know in their area - the health secretary is, how would the public know in their area if- the health secretary is, how would the public know in their area if the| the public know in their area if the quality. _ the public know in their area if the quality. the — the public know in their area if the quality, the safety— the public know in their area if the quality, the safety of _ the public know in their area if the quality, the safety of care, - the public know in their area if the quality, the safety of care, the - quality, the safety of care, the waiting — quality, the safety of care, the waiting lists _ quality, the safety of care, the waiting lists are _ quality, the safety of care, the waiting lists are properly - quality, the safety of care, the - waiting lists are properly managed, how would — waiting lists are properly managed, how would they— waiting lists are properly managed, how would they know— waiting lists are properly managed, how would they know how - waiting lists are properly managed, how would they know how good - waiting lists are properly managed, how would they know how good alll how would they know how good all that is? _ how would they know how good all that is? is — how would they know how good all that is? is planning _ how would they know how good all that is? is planning to— how would they know how good all that is? is planning to the - how would they know how good all that is? is planning to the coc- how would they know how good all that is? is planning to the cqc toi that is? is planning to the cqc to do state — that is? is planning to the cqc to do state ratings _ that is? is planning to the cqc to do state ratings as _ that is? is planning to the cqc to do state ratings as a _ that is? is planning to the cqc to do state ratings as a success - that is? is planning to the cqc to do state ratings as a success will| do state ratings as a success will do state ratings as a success will do for— do state ratings as a success will do for hospitals _ do state ratings as a success will do for hospitals and _ do state ratings as a success will do for hospitals and gp - do state ratings as a success will i do for hospitals and gp surgeries? -- to— do for hospitals and gp surgeries? -- to 0fsted — do for hospitals and gp surgeries? —— to 0fsted ratings? _ do for hospitals and gp surgeries? —— to 0fsted ratings? i— do for hospitals and gp surgeries? -- to 0fsted ratings?— -- to 0fsted ratings? i pay tribute to my predecessor's _ -- to 0fsted ratings? i pay tribute to my predecessor's work - -- to 0fsted ratings? i pay tribute to my predecessor's work setting l -- to 0fsted ratings? i pay tribute l to my predecessor's work setting up to my predecessor�*s work setting up integrated care systems in the first place. in a way, this legislation builds on those foundations that he

built when he was in myjob, and i look forward to working with the select committee on this legislation as it comes to forward. is indeed, we already have in discussion so far, and i�*m very grateful to the work so far of the select committee and the insides they�*ve provided. the question he races about the accountability of ics is absolutely essential, notjust accountability essential, not just accountability for taxpayers essential, notjust accountability for taxpayers money, but also to be driving up of quality of care, not just care for patients but, critically, the health of the population they serve. and ensuring the correct combination of high levels of transparency, along with the role of the coc as inspector and the role of the coc as inspector and the accountability from the ics through nhs england to ministers and therefore to parliament and through

parliament to our democratic processes to taxpayers, that accountability is critical. new white paper sets out in high levels how that accountability will work, the details well, of course, be a matter for the the details well, of course, be a matterfor the bill, but the combination of transparency and clear lines of accountability are incredibly important to make sure that, while we use the integration that, while we use the integration thatis that, while we use the integration that is provided for in this bill to empower front line staff on the ground to deliver care better, so too they are held to account for the delivery of that care and, critically, the outcomes for the population as a whole, who we serve. thank you mr deputy speaker first up health— thank you mr deputy speaker first up health and _ thank you mr deputy speaker first up health and social care staff always do their— health and social care staff always do their best for their patients and

residents— do their best for their patients and residents regardless of legislative systems— residents regardless of legislative systems but i welcome that the government has recognised the damage caused _ government has recognised the damage caused by— government has recognised the damage caused by the health and social care act and _ caused by the health and social care act and propose to reverse some of its most _ act and propose to reverse some of its most obstructive and expensive aspects _ its most obstructive and expensive aspects tn — its most obstructive and expensive aspects. in particular section 75 which _ aspects. in particular section 75 which fast — aspects. in particular section 75 which fast the outsourcing of services, _ which fast the outsourcing of services, promoted competition instead — services, promoted competition instead of— services, promoted competition instead of collaboration and made pathways — instead of collaboration and made pathways more disjointed and confusing for patients, particularly those _ confusing for patients, particularly those with complex conditions. the devil will— those with complex conditions. the devil will however be in the detail, so which _ devil will however be in the detail, so which model of integrated care systems— so which model of integrated care systems is— so which model of integrated care systems is the secretary of state proposing? merging existing organisations including commissioning groups or as the nhs would _ commissioning groups or as the nhs would prefer, creating them as a new public— would prefer, creating them as a new public nhs _ would prefer, creating them as a new public nhs bodies similar to the health— public nhs bodies similar to the health boards we have in scotland? when _ health boards we have in scotland? when sustainability and transformation partnerships were created. — transformation partnerships were created, their transformation budgets _ created, their transformation budgets were quickly used up to cover—

budgets were quickly used up to cover debts caused by the bureaucracy of the health care market. — bureaucracy of the health care market, so what additional funding is it committing to bring about this reorganisation? with the pressure of covid, _ reorganisation? with the pressure of covid, the _ reorganisation? with the pressure of covid, the back leg of urgent cases and extensive staff vacancies, how does _ and extensive staff vacancies, how does he _ and extensive staff vacancies, how does he plan to create the capacity for staff— does he plan to create the capacity for staff to — does he plan to create the capacity for staff to carry out such service change? — for staff to carry out such service change? covid has highlighted the vulnerability of the care system so what plans — vulnerability of the care system so what plans are there to integrate health _ what plans are there to integrate health and social care? finally, he has highlighted health inequalities but poverty is the greatest driver of ill health, so what discussions have _ of ill health, so what discussions have you — of ill health, so what discussions have you had with the pensions secretary — have you had with the pensions secretary and other cabinet colleagues about promoting the prioritisation of health in all policy— prioritisation of health in all policy decisions?— prioritisation of health in all policy decisions? thank you very much. of policy decisions? thank you very much- of kyle — policy decisions? thank you very much. of kyle health _ policy decisions? thank you very much. of kyle health is - policy decisions? thank you very much. of kyle health is a - policy decisions? thank you very i much. of kyle health is a important consideration in all policy decisions and i think the overall response to the pandemic has demonstrated that. on the specific

questions she raises, she is right to raise the issue of integration and she asks what plans there are for the integration of health and social care. that is at the car of the proposals as i set out very clearly in the speech and as is there at the core of the white paper. the integration of health and social care has significantly improved this year as a result of what people have had to do to work together in the pandemic. fundamentally social care is accountable to local authorities that pay for it and therefore to the local taxpayer whereas the nhs is accountable to central government, to ministers and central government. and therefore the combination of these two vital public services is a challenge i think can be addressed

through the integrated care systems and we have been working very closely with the lga in england and nhs to try and affect that integration as much as possible. raising the issues of funding, of course the nhs has record funding and rightly so right now but these reforms are about spending that money better to improve the health of the population and to allow the embrace of new technology and remove bureaucracy. it isn�*t about having to spend more money on a reform, it is about reforming in order to spend money as well as possible. ishield. is about reforming in order to spend money as well as possible. well, we will 'ust money as well as possible. well, we williust pull— money as well as possible. well, we williust pull away — money as well as possible. well, we willjust pull away from _ money as well as possible. well, we willjust pull away from that - willjust pull away from that announcement from matt hancock with announcement from matt hancock with a response from jonathan ashworth of the labour party and jeremy hunt. the site of summary of edge, lots of detail yet to understand, is the

government launching a more integrated approach to bring together health and social care. they say they will have the long—awaited proposals for social care reform later this year, a long promise by the government, but this is a growing back as far as everyone understands, on the changes david cameron and andrew lansley introduced in the last ten years of conservative government, going back on a lot of the internal splits in the health and care system to try and bring things together. more power for the secretary of state. jonathan ashworth saying this is a proposed power grab and questions from him and jeremy hunt on accountability, how will the public know whether the regional new integrated systems responsible for different areas of the country are working betterfor the public.

working better for the public. labour saying working betterfor the public. labour saying they need to ask how they will improve waiting times. numbers released on huge waiting lists and the cancer survival numbers and the narrowing of the health inequalities. that is the labour response, whether the reforms, changes proposed will benefit the country. matt hancock saying they are needed now, they have been worked on for the last couple of years and part of the government�*s ambition to improve the population health as a whole despite the fact we are facing the pandemic and they think the reorganisation is still imperative. as we have been hearing, the government has also been outlining the proposals going on at the moment amidst also some concerns about what is going on in hospitals right now with a long

waiting lists. let�*s hear a bit more from hugh pym who i spoke to before the announcement and the details just given. these reforms for england are in one sense unravelling quite a lot of a reform package introduced in 2012 under david cameron�*s government and andrew lansley and their plans introduced a degree of competition in the nhs, encouraging commissioners to go out encouraging commissioners to go out and tender services to try and generate more efficiency. that created more bureaucracy and the critics said it distracted people from actually running so the intent of this plan under another conservative—led administration is to go back to a system where local nhs providers get on with the job of running services, don�*t have to bother with tendering in any great degree and work more closely with other organisations, local councils, social care and so on.

so there are integrated care systems. the critics say, why do this in the middle of a pandemic when there is so much else to worry about? and campaign groups are saying there will actually still be private sector involvement in the nhs, making not a huge amount of difference to what we had before. and this is all in the future, but right now we have had the news about waiting lists. they will say it is all well planning reforms and so on, but there are many people waiting for routine surgery, hip and knee replacements and so on. that compares with just one and half thousand a year before, the figure for december. what will bring those waiting lists down is the immediate challenge for the nhs, as covid cases come down, how to deal with that backlog, and that is a major challenge for the nhs and all

of its staff who are exhausted, as things stand at the moment. just to let you know laura kuenssberg has tweeted about the latest nhs statistics saying almost one third of all patients with needed hospital treatment for covid since the pandemic began were admitted last month, politicians in westminster and other governments were able to briefly move around during christmas with the stats raising questions about those decisions. the data keeps coming out and that is perhaps driving lots of questions on policy decisions including one about whether we can go on holiday. there�*s continuing uncertainty over whether we can go on holiday this summer, with the transport secretary grant shapps yesterday saying people shouldn�*t be booking breaks and the prime minister saying it was too early to say if we could. let�*s talk to our political

correspondent damian grammaticas. mixed messages but the data still emerging. mixed messages but the data still emer: inc. . mixed messages but the data still emerauin. . ., , . , emerging. part of the difficulty with all of this _ emerging. part of the difficulty with all of this is _ emerging. part of the difficulty with all of this is the _ emerging. part of the difficulty with all of this is the changing | with all of this is the changing picture of the data, the fact that those statistics there, the latest wave has seen a real surge of infections, very high level of infections, very high level of infection or continued numbers of cases even though that has been falling, it is still high, so a difficult background against which to be talking about future openings and also opening is based on relaxation, talking about laura kuenssberg talking about a relaxation before christmas. that is the sort of background. also the fact we have a ban on foreign holidays, travelling abroad from the uk is illegal except for limited

circumstances but millions of people wanting to know what they can do about planning ahead, that is the key time of year for many holiday bookings, a key time of year for the holiday travel industry on which many jobs holiday travel industry on which manyjobs depend notjust on those travelling abroad but also domestic travelling abroad but also domestic travel and holidays. those different messages have caused some concern and also among them was the health secretary saying he had already booked a holiday for the summer here in the uk and cornwall. he asked what clarity he could give people. we are doing everything we possibly can to _ we are doing everything we possibly can to make sure people can have a holiday— can to make sure people can have a holiday this — can to make sure people can have a holiday this summer and their vaccine — holiday this summer and their vaccine roll—out is absolutely central — vaccine roll—out is absolutely central to _ vaccine roll—out is absolutely central to that, to make sure we protect— central to that, to make sure we protect people as much as possible. it is a _ protect people as much as possible. it is a really— protect people as much as possible. it is a really good news the vaccine roll-out _ it is a really good news the vaccine roll-out has — it is a really good news the vaccine roll—out has been going so fast and

we have _ roll—out has been going so fast and we have such a high uptake and we will set _ we have such a high uptake and we will set out — we have such a high uptake and we will set out more in more detail when _ will set out more in more detail when we — will set out more in more detail when we can. but at the moment, unfortunately, there is the uncertainty still.— unfortunately, there is the uncertainty still. unfortunately, there is the uncertain still. ,, , ., uncertainty still. setting up more detail should _ uncertainty still. setting up more detail should be _ uncertainty still. setting up more detail should be every _ uncertainty still. setting up more detail should be every 20 - uncertainty still. setting up more | detail should be every 20 seconds when the government says it will lay out a plan for the future. but don�*t expect that to contain specific dates and so we will be in a situation where it will point to signposts, things the government will doctor to take decisions based on information, but that will mean millions and those in the travel industry waiting for more clarity. thank you very much. england�*s coronavirus test and trace service said it had identified 1a9,317 positive cases of the virus in the week up to february the 3rd, after testing a record three million people — the highest number ever in a single week. 87% of those testing postive were contacted by the service and asked to provide details

of recent close contacts. we will now say goodbye to viewers on bbc two. a quick update if you are still on the news channel with us. the numbers add down a touch in the previous week of statistics that are according to latest figures on test and trace, 11.6% of people transferred were not reached whilst a further 1.5% of people did not provide communication details at all. but the main headline is nearly 150,000 positive cases in the week up 150,000 positive cases in the week up to february three which is the highest ever in a single week. drugs giant astrazeneca has revealed its annual profits more than doubled in the last year. the group, which is currently working on adapting its vaccine

to cope with new strains of coronavirus, reported billion for 2020 — that�*s despite offering its vaccine on a not—for—profit basis. it�*s also suggested that if it needed to produce an amended version of the vaccine to combat these new strains, it could do so — at scale — in as little as six months. keir starmer as at heathrow airport to look at new barter arrangements. it is called for all international travel arrivals to face hotel quarantine, notjust those travel arrivals to face hotel quarantine, not just those from travel arrivals to face hotel quarantine, notjust those from red list countries was a bit warned the measures do not go far enough. fiur measures do not go far enough. our concern is not _ measures do not go far enough. (>i" concern is not their preparations because they are getting on with that. our concern is we now know there are variants in countries that are not on the red list so this partial approach by the government will not work. we are at a crucial stage where it is a race between the vaccine and variance and the only way through this is to buy time by

having a comprehensive system of quarantines in hotels wherever you come from. quarantines in hotels wherever you come from-— quarantines in hotels wherever you come from. this death rates are far hi . her come from. this death rates are far hither for come from. this death rates are far higher for people — come from. this death rates are far higher for people with _ new coronavirus data from the office for national statistics indicates that death rates are far higher for people with disabilities. between january and november last year disabled people made up around 60% of all covid—related deaths, but were only 17% of the study population. james taylor is from the disability charity scope and says disabled people have been forgotten about. i think firstly amongst all deaths last year, the figures just go up to november last year, so a huge amount more that hasn�*t been reported yet but six in ten of all deaths from coronavirus last year where someone who had a disability. and for us, thatis who had a disability. and for us, that is really shocking. the second key finding is those with a disability are much more likely to die from coronavirus than the

general population. the ons have been clear, there is no single factor that explains the raised risk of death, it is a multitude of different things from where people live, their income, their health, but i think what we see and the figures bear out our disabled people have been disproportionately affected by the pandemic and many are feeling forgotten about. a department of health and social care spokesperson said: "every death from this virus is a tragedy and our deepest sympathies go out to everyone who has sadly lost loved ones. it is clear covid—19 disproportionately impacts certain groups of people, including those with specific health conditions and disabled people, and we will take all necessary steps to ensure that we are best able to protect and support them." the headlines on bbc news: major reforms to the health service in england unveiled by the health secretary but there is concern on how they can be implemented in the middle of the pandemic.— middle of the pandemic. almost a uuarter of middle of the pandemic. almost a quarter of a _ middle of the pandemic. almost a quarter of a million _

middle of the pandemic. almost a quarter of a million people - middle of the pandemic. almost a quarter of a million people are - quarter of a million people are still waiting more than a year for treatment by the nhs in england. the highest number since 2008. confusion over whether or not to book a summer holiday. there are insistence the health secretary still plans to go to cornwall. now time for sparta. let�*s take you to sunny melbourne where britt cameron norrie leads his opponent two sets to one in the australian open. rain suspended play, but they are back on court and it is currently 5— far. meanwhile, british interest in the women�*s draw is over after heather watson lost in three sets. that is despite her taking the first set on a tie—break before she fell away in the decider. the

defending women�*s champion sophia cannon also lost. she was beaten in straight sets and is just 6a minutes and she admitted the expectations of being the titleholder had been an issue for her. to rugby, england head coach eddiejones has recalled a host of big names for the big match against italy following the calcutta cup defeat to scotland. judge fired returns having started on the bench last weekend while others come into the pack and kyle sinckler returns following suspension. football�*s governing bodies across the men�*s and women�*s game have written to twitter and facebook saying their platforms remain havens of abuse following a number of players been subjected to discrimination online. the letter, including signatories of the fa, calls on twitter and facebook to make further changes. they include

ensuring messages and posts are filtered and blocked before being sent or posted if they contain racist or discriminatory material... that a letter comes after racist abuse on social media aimed at yan dhana. it was condemned by both clubs. south wales police are investigating the incident. cricket now and liam livingstone has been recalled to england�*s t20 squad for the first time in foul years for their upcoming series against india. he has been in prolific form for

perth scorchers and comes back into the squad. butler will also return having flown home from the test squad currently in india. the head of the tokyo olympics organising committee is set to step down according to media reports injapan after making sexist comments. his remarks have drawn widespread condemnation from the ioc, sponsors, politicians and the public injapan. it comes less than six months before the delayed games are due to take place. that is all of the sport for now but you can find more on the bbc sports website and you can follow the latest from the australian open where rafael nadal is currently on court. we cannot go on holiday that

we can watch all of that if you need a lift and a break. we are going to the us now. democrat prosecutors in donald trump�*s impeachment trial have been showing new footage of the attack on capitol hill. they�*ve accused mr trump of acting as "inciter—in—chief" in the run up to the violence. the former president�*s lawyers deny the claims. our washington correspondent barbara plett usher reports. democrats used chilling new security video to reconstruct what happened during the riot. forcing senators to relive that traumatic day. we�*ve lost the line! this was a key part of a sweeping narrative against the former president, laid out by the prosecution. donald trump surrendered his role as commander—in—chief and became the inciter—in—chief of a dangerous insurrection. and to use a favourite term that all of you people really came up with, we will stop the steal. democrats argue that mr trump spent months constructing a big lie to make his supporters believe the election was stolen. and he used fighting words

when he knew some of them were armed and would fight. donald trump, over many months, cultivated violence. praised it. and then, when he saw the violence his supporters were capable of, he channelled it to his big, wild, historic event. the videos showed how closely the mob got to officials. the former vice president, mike pence, being rushed to safety. senator mitt romney turning around in his tracks. the compelling case, told with emotional appeal, was one that touched hearts in the senate, although not necessarily minds. many republican senators seemed unwilling to be convinced that donald trump is guilty. but the democrats are also aiming

at a broader audience watching from home, hoping to hold mr trump to account in the court of public appeal. barbara plett—usher, bbc news, washington. president biden has approved an executive order to impose sanctions on the leaders of myanmar�*s coup. the measures will be focused on military leaders, their family members and businesses linked to them. the security forces are reported to have detained one of aung san suu kyi�*s most senior advisers in another wave of arrests of officials linked to the ousted government. dominic raab has tweeted that the international community will not accept the coup in myanmar and we will help those responsible to account. the uk is looking at further measures under our own sanctions regime. the united states, the un and human rights groups have welcomed the release of the saudi women�*s rights activist, loujain al—hathloul after nearly three years in jail. she was a leading figure in the campaign to allow saudi women to drive.

there�*s been no comment from the saudi authorities. mark lobel reports. a sister�*s joy as the high—profile saudi human rights activist loujain al—hathloul is back home after 1000 days behind bars. she was reprimanded for her public campaigning to get saudi women in the driving seat four years before the ban was lifted and later calling for an end to male guardianship and speaking to foreign diplomats and the media about women�*s rights. president biden has replaced what his aides call donald trump�*s blank cheque for saudi arabia with demands it cleans up its human rights record. he says loujain�*s move from prison is welcome news. she was a powerful advocate for women�*s rights and releasing her was the right thing to do. saudi officials insist they are not bowing to us pressure, but aware of the negative effects human rights stories are having on the country�*s global image, they point to a recent dramatic drop in executions. saudi arabia is currently

running a huge pr campaign, with the failure of the g20 and the new biden administration, that adds a lot of pressure. and we have the neom city, that is going to be the new dubai. however, many other activists like loujain remain behind bars, where her family says she was subjected to electric shocks, waterboarding and sexual assaults — allegations a saudi court has dismissed. the 31—year—old herself remains on probation. she is still on a travel ban, she is unable to see the rest of her family, she was defamed, degraded and called a spy by the saudi government who touts their own anti—defamation law but wholeheartedly break that law. but for now, loujain�*s family is just happy to have their loved one back home. parts of the uk have seen one

of the coldest nights in more than a decade. in the village of braemar in aberdeenshire, overnight temperatures dropped to minus 22.9 celsius. earlier my colleague annita mcveigh spoke to malcolm macintyre, who lives just outside of braemar and is part of the areas mountain rescue team. it isa it is a beautiful day outside bet really cold and crisp and clear. the snow is about a metre deep and it looks absolutely but above it is absolutely freezing when you step outside, you can feel it in your breath face even though it looks great. taste breath face even though it looks areat. ~ ., , ., , great. we are showing viewers ictures i great. we are showing viewers pictures i believe _ great. we are showing viewers pictures i believe you - great. we are showing viewers pictures i believe you took - great. we are showing viewers pictures i believe you took the | great. we are showing viewers - pictures i believe you took the step are they form this morning? yes. are they form this morning? yes, 'ust are they form this morning? yes, just outside _ are they form this morning? yes, just outside the _ are they form this morning? yes, just outside the house _ are they form this morning? 1a: just outside the house looking towards braemar. it is absolutely stunninu. towards braemar. it is absolutely stunning- you — towards braemar. it is absolutely stunning. you are _ towards braemar. it is absolutely stunning. you are very _ towards braemar. it is absolutely stunning. you are very used - towards braemar. it is absolutely stunning. you are very used to i towards braemar. it is absolutely - stunning. you are very used to these conditions, but as a member of the mountain rescue team, i am sure you have a very strong message to people today if they are thinking about going out and about in this. there are not many _ going out and about in this. there are not many people _ going out and about in this. there are not many people around - going out and about in this. ii—urr are not many people around because of lockdown. its, are not many people around because of lockdown-—

of lockdown. a better local people would be i'm _ of lockdown. a better local people would be i'm sure _ of lockdown. a better local people would be i'm sure there _ of lockdown. a better local people would be i'm sure there are - of lockdown. a better local people would be i'm sure there are use i of lockdown. a better local people j would be i'm sure there are use to would be i�*m sure there are use to this weather and know what precautions to take if they are thinking about heading outside. people have to look after themselves here and look after each other and one of the good things about braemar it has a good sense of community so people are doing that. they have to keep warm and be well prepared and if anyone is heading out they have to think carefully about the time it will take to walk about in this deep, soft snow and plan accordingly.— deep, soft snow and plan accordingly. deep, soft snow and plan accordinul . . ., ., , ., accordingly. have you had to perform any rescues — accordingly. have you had to perform any rescues recently? _ accordingly. have you had to perform any rescues recently? the _ accordingly. have you had to perform any rescues recently? the mountainsj any rescues recently? the mountains have been quiet _ any rescues recently? the mountains have been quiet across _ any rescues recently? the mountains have been quiet across the _ any rescues recently? the mountains have been quiet across the country . have been quiet across the country which has been great but we have been assisting the electricity company to help them access damaged poles. generally speaking it has been relatively quiet, which has been relatively quiet, which has been good given the conditions. i was looking at a braemar mountain rescue on twitter and i saw there was a bit of a healthy competition going on with other parts of scotland for which area would have the coldest temperature overnight.

other areas always want to vie for the record. 50 other areas always want to vie for the record-— other areas always want to vie for the record. , ., ., , a the record. so you have picked them? we have. the record. so you have picked them? we have- we — the record. so you have picked them? we have. we had _ the record. so you have picked them? we have. we had it _ the record. so you have picked them? we have. we had it for— the record. so you have picked them? we have. we had it for a _ the record. so you have picked them? we have. we had it for a long - the record. so you have picked them? we have. we had it for a long time . we have. we had it for a long time and now we have it again. i think it will change pretty quickly, though. there is a beauty, but it is dangerous if you are not prepared, but an absolute beauty to this kind of weather. ~ , ,., , but an absolute beauty to this kind of weather-— but an absolute beauty to this kind of weather. ~ , ,., , , ., of weather. absolutely stunning. you couldn't ask — of weather. absolutely stunning. you couldn't ask for _ of weather. absolutely stunning. you couldn't ask for anything _ of weather. absolutely stunning. you couldn't ask for anything better - couldn�*t ask for anything better when you look outside and see the hills and the sunlight, it is absolutely fantastic. malcolm mcintyre is speaking from sunny aberdeenshire. now it�*s time for a look at the weather. hello. very few were immune from the widespread and sharp frost this morning but coldest of all was braemar in aberdeenshire, coldest morning in the uk since 1995. and it�*s still cold out there, but for many, a dry and sunny afternoon. some showers around in the far northeast of scotland and more cloud towards the south west, wales, and eventually northern ireland.

sunshine a bit hazy in places but cloud thick enough for snow flurries in devon, cornwall and pembrokeshire at times. the wind picking up so an added chill further east, maybe not as cold as it has been, but still a very chilly day nonetheless. into tonight, we see showers returning more widely across eastern scotland, some snow then spreading into northern ireland for a time and still quite windy across the west. temperatures with that increased breeze not as low as they have been, but as low as —11 across the western half of the highlands. into friday, a cold day. this weekend, though, signs of the atlantic taking over but that could bring some slow and freezing rain. we�*ll keep you updated. hello this is bbc news. the headlines: major reforms to the health service in england are unveiled by the health secretary — but there�*s concern over how

they can be implemented in the middle of the pandemic. almost a quarter of a million people are now waiting more than a year for treatment by the nhs in england, the highest number since 2008. confusion over whether or not to book a summer holiday — the health secretary insists he still hopes to go to cornwall, despite the transport secretary saying it�*s too soon to organise a getaway. and overnight temperatures plunged to —22.9 degrees in braemar in aberdeenshire — making it the coldest night in the uk for 26 years. the new and more infectious variant of covid—19 first found in kent will become the world�*s dominant strain, according to the director of the uk�*s genetic surveillance programme. professor sharon peacock from the covid—19 genomics uk consortium said the variant which has been detected across britain and in more than 50 countries is going to sweep the world, in all probability. she added that transmissibility was likely to cause scientists

difficulties for years to come. when we look at what was happening with the variant circulating in the uk, there was this news that it may be slightly more lethal, i think the jury be slightly more lethal, i think the jury is still out on that, i don�*t think the evidence is firm that it is more lethal. i think it�*s still under investigation. when you look at the number of cases are caused by transmission, the number of deaths and illness that it caused simply by being much more transmissible caused numerically more problems for people in this country than it being a slightly more lethal, if that has proved to be the case. i would say that, at the moment, what has really affected us at the moment is transmissibility, because the new variant has swept the country and will sweep the world, in all probability. in the future, i think the key will be if something is particular problematic with the vaccines, and i think we will be

able to duck and dive around the vaccines to roll them out and get boosters, but it will be a slow waltz with the virus and the vaccine development, trying to keep ahead of what nature is throwing at us, actually. alongside functions, number drugs are being tested as possible treatments for people already have coronavirus. this could change the course of the pandemic. research into treatments for covid is moving at an incredible speed with more than a thousand studies around the world. most of the treatments being trailed for covid are existing drugs. they fall into three broad areas — antiviral drugs that directly target the virus and make it harmless. these include monoclonal antibodies that can be created in a lab to mimic natural antibodies.

they�*re being studied to see if they could be used either after exposure or as a way to prevent an infection. then there are anti—inflammatory drugs — these include several used to treat arthritis. scientists think they could help to calm the immune system and stop it overreacting and damaiging the body. and there are other drugs being trailed that target complications from covid — like aspirin which could help to reduce the risk of blood clots that have been seen in severe cases. large randomised clinical trials are essential for learning which treatments are most effective. the recovery trial is the largest in the world. it�*s recruited more nearly 36,000 patients from 178 hospitals around the uk. it had a major breakthrough injune with the discovery that dexamethasone — a cheap, widely available steroid — reduced the number of deaths in ventilated patients by a third and for those on oxygen by a fifth. over the next couple of months, the team should have answers for five other potential treatments. there had been hopes that drugs

to treat malaria, hiv, ebola and multiple sclerosis might prove effective. convalescent plasma — taken from recovered patients — was also seen as a strong contender. but large trials like recovery and the world health organisation�*s solidarity trial have been able to prove these drugs had little or no benefit of reducing deaths. some treatments may work at an earlier stage in the disease and there are some ongoing studies. the drugs we have come to know a lot effective _ the drugs we have come to know a lot effective shouldn't be used, meaning patients— effective shouldn't be used, meaning patients won't get side effects, meaning — patients won't get side effects, meaning we won't spend nurse resources _ meaning we won't spend nurse resources or from this time focusing on those _ resources or from this time focusing on those treatments, we can focus our attention on those drugs we know to work _ two anti—inflammatory drugs have recently been found to work in intensive care patients. the remap—cap study found using two anti—inflammatory drugs cut the number of deaths by a quarter and reduced the length of time in icu by about a week. other trials are looking at preventative treatments.

the principle study�*s investigating the benefits of a common steroid used by asthma patients, which could minimise damage to the lungs. vaccines aren�*t 100% effective and some people can�*t be vaccinated or don�*t respond well to them so drug treatments are still going to play a crucial role. having effective treatments would essentially make coronavirus a more treatable disease and ultimately prevent hospitals from being overwhelmed. earlier, i spoke to dr graham burns, a consultant physician the chancellor, rishi sunak, is facing calls to extend the stamp duty holiday in next month�*s budget. there are fears many property sales could fall through if they�*re not completed in the time left. tax breaks for people buying homes are due to finish at the end of march and a rush to beat the deadline. her�*es our personal finance correspondent, kevin peachey. packed but not yet ready to go, simon and his young family thought they�*d have moved by christmas. now they fear missing out on the stamp duty holiday. to put it bluntly, the practical

impact is aboutjust over £12,000, so it�*s a big amount of money. the problem we have, being in a chain, obviously we are not sure about the people below us and if that will affect them. it could stop it all, which would be terrible. housing taxes are slightly different across the uk, but at the end of march, concessions are all due to stop. that means tax breaks of up to £15,000 will come to an end. predictions suggest an immediate 20% fall in sales in the spring as a result. with time running out and the threat of sales falling through, the chancellor is being urged to act in next month�*s budget. 150,000 people have signed a petition calling on him to extend the stamp duty holiday for another six months. but if thatjust delays the same issue until later in the year, some working in the industry say more imagination is required. what we�*d really like is for them, at the budget to say, right, anybody who is in a transaction now

will still receive the stamp duty concession whenever they complete. the treasury says the tax break was only ever temporary. recent history shows the housing market can freeze when stamp duty holidays end, but those buying and selling now are desperate not to put their moving plans on ice. millions of people in england over the age of 65 are at risk of lung damage and asthma attacks due to toxic air, according to two leading charities. asthma uk and the british lung foundation say that a quarter of all care homes and a third of hospitals and gp practices, are in areas where pollution exceeds recommended levels. our chief environment correspondent justin rowlatt reports. we associate the seaside with fresh air and healthy living. "breathe it in", is eastbourne�*s motto. but like many places in the uk, it sometimes has issues with air pollution. as kimberly cole

knows only too well. are you all right, kim? sorry, yeah. pollution is, i would say, the biggest trigger, really, to making my lungs worse. can you tell when the day is particularly polluted? yes, i can tell, because it triggers coughing immediately. kim has a lung condition called bronchiectasis, which leads to a build—up of mucus. it makes my lungs bleed. it makes your lungs actually bleed? yeah. and sometimes it can be so bad, the air pollution cough, the coughing will make me physically sick. air pollution is dangerous for us all, but older people and those with lung disease are particularly vulnerable. one of the main culprits are the tiny particulates in vehicle exhaust gases and other pollutants. researchers collect the particles, which are so small they can lodge in the lungs and even pass into the blood, damaging

veins and other organs. you can see that the lungs are very black and most of the lung tissue there has been destroyed. lung scans show the damage air pollution can cause. we estimate that at least 30,000 people every year die prematurely because of air pollution. we've known about the harms caused by pollution for a long time. and so far, action on it has been slow and has been not enough. it's too little, it's too slow. the uk limits for this so—called pm2.5 pollution here in the uk are twice that recommended by the world health organization. the british lung foundation and asthma uk are demanding the government bring uk rules in line, and they�*re also calling for it to produce a plan detailing how they�*re going to protect the most vulnerable from the effects of air pollution. an influential committee of mps is also calling for tougher controls. today, the government said it plans

to introduce two ambitious and legally—binding air quality targets in its delayed environment bill. it says the primary focus will be on reducing exposure to particulate pollution. we all know cleaner air brings profound health benefits. campaigners are hoping one of the positive legacies of the covid—19 pandemic will be fresher airfor us all. the ceo of asthma uk and the british lung foundation sarah woolnough joins us now. the numbers here, the fact that uk is twice the level of the recommended safe level is very striking. what, in simple terms, should government do, in your view? as you say, it�*s striking, so we think we need a seismic shift in how

the government addresses at this. we would like to see a national health protection plan that raises awareness of the problem amongst the public and health professionals and we need to get much better at sending air pollution alerts to local areas, to schools, hospitals and so on. we also need to see a much bolder clean air law so that we can enshrine who recommended limits into uk law. this isn�*t something you can solve individually, we do need to confirm intervention and millions amount of people at the moment are living with toxic air on a daily basis and it is causing huge hard. ii a daily basis and it is causing huge hard. .,, ., , , , hard. if those alerts were issued, what could _ hard. if those alerts were issued, what could people _ hard. if those alerts were issued, what could people do _ hard. if those alerts were issued, what could people do about - hard. if those alerts were issued, what could people do about it? . hard. if those alerts were issued, i what could people do about it? that i think people _ what could people do about it? trust i think people can do in daily lives. you can avoid, for example, taking exercise in the latter part of the day, if air pollution is bad. you can avoid busy roads. if you have an underlying lung condition, you can take out your inhaler and if

you can take out your inhaler and if you are asthmatic, you can use your inhaler, so there are steps individuals can take but that won�*t be enough, we need government action and we really hope this report is a bit of a wake—up call. we need a seismic shift in how we�*re dealing with this and we need to tackle it head—on as a health issue. obviously, covid effects the lungs, is there any sense in which the health of focus on that could help your cause? istate health of focus on that could help your cause?— health of focus on that could help our cause? ~ , . health of focus on that could help ourcause?~ , . . your cause? we very much hope so. we are inundated — your cause? we very much hope so. we are inundated with _ your cause? we very much hope so. we are inundated with people _ your cause? we very much hope so. we are inundated with people both - are inundated with people both calling us because they�*re experience breathlessness on account of covid and also telling us that during the first look particular, notjust during the first look particular, not just a during the first look particular, notjust a improvements in air quality. covid has put the focus of the nation firmly on health but also on breathing and the importance of being able to breathe easily. so we hope it does concentrate minds in government. there is a good opportunity when the environment

bill is brought back and we really hope that is seized, because at the moment, it�*s tragic that so many people are left with breathing difficulties and so many people with existing lung conditions tell us that error pollution triggers their condition to make it harderfor them to breathe and enjoy their lives. the headlines on bbc news: major reforms to the health service in england are unveiled by the health secretary — but there�*s concern over how they can be implemented in the middle of the pandemic. almost a quarter of a million people are now waiting more than a year for treatment by the nhs in england, the highest number since 2008. confusion over whether or not to book a summer holiday — the health secretary insists he still hopes to go to cornwall, despite the transport secretary saying it�*s too soon to organise a getaway. she�*s one of the biggest stars in bollywood

but priyanka chopra jonas says it has taken her a long time to land a leading role in a hollywood film because of a lack of opportunities for south asian actors. she moved to the us five years ago but says there is still a long way to go for diversity. she�*s been speaking to the bbc asian network�*s entertainment reporter haroon rashid about her new memoir, unfinished. priyanka chopra jonas is one of the most recognised indians in the world. the former beauty queen is a household name in south asia because of her illustrious bollywood career. you can�*t possibly believe that. and she is hoping her acting work in hollywood will earn her just as much success. priyanka says her memoir will help set the record straight about her journey so far. i have had a 20—year career which has expanded from india to america and there has been so much that has been written about me, so much speculated. you know, after being amused by it for a very long time, and curious about taking up writing seriously, i kind of combined the two and ended up writing this book. and it became very introspective

and it gave me a reason to delve deep into feelings or emotions that i had probably are not thought about for a long time. in your book, you talk about your efforts to increase diversity when it comes to casting in hollywood, and your latest film, the white tiger, has actually earned you a recognition on the bafta long list for best supporting actress. does that feel like your hard work is paying off in hollywood? for sure. i mean, it has taken a long time, it has only been ten years since i started working in america and i�*m just about doing my first leading role as an actor, just doing my first dramatic role as an actor so, you know, it takes time and it took time because of lack of opportunity. and i want to change that, for people who are coming in after me, and what i did and what worked for me i think was the fact that i did quantico, and me doing that, and a bunch

of other south asian talent that you see in hollywood pushing the envelope, mindy kaling, aziz ansari, riz ahmed, kumar rao, these are people that are pushing the envelope and saying, i�*m sorry, i�*m going to be a part of pop culture. if you�*re not going to make it for me, i�*m going to write my own show and i�*m going to be a part of pop culture. priyanka also writes about her humanitarian work as a unicef goodwill ambassador which has included visiting rohingya refugee camps in bangladesh. how important is that aspect of your life and how do you balance that along with all these other roles you play? i was raised like that, you know. we weren�*t patted on our back when i shared my doll someone who didn�*t have it — it was expected. and i think that is the social responsibility of every human being because no matter how badly off you are, someone is worse off than you. and even if you have the ability to change one person�*s life or, you know, contribute to doing something good, that is a win. alongside charity work and global stardom, priyanka will now add a published author to her list of credentials, too.

priyanka chopra jonas, speaking to haroon rashid for a new podcast called beyond bollywood, which launches on bbc sounds next week. organisers of the oscars film awards say this year�*s ceremony will be held in person, despite the pandemic. the academy of motion picture arts and sciences said the event, normally at hollywood�*s dolby theatre, would instead take place in several locations. the awards have been moved to april, two months later than usual. larry flynt, the us pornography mogul best known for publishing hustler magazine, has died at age of 78. his family said he passed away peacefully in his sleep. at the height of its success, hustler reached three million people each month. the offensive and controversial material he published led to multiple lawsuits during his career. his story was told in the hollywood film, the people vs larry flynt you might remember the story of hughie and freddie — two best friends who have raised hundreds of thousands of pounds for the royal manchester

children�*s hospital. freddie ran two kilometres every day to raise the money for the hospital where his pal is being treated for leukaemia. he finished his challenge on christmas day. now, hughie has sent us this special report on how the money is going to be spent. hey, everyone. hughie here. so, i�*m back in today. hopefully it should be a quick one. this place, the royal manchester children�*s hospital, is like my second home. i�*m having my thumb prick now to check my blood levels. my bloods are back. we�*ve just been to see the doctor. they are all fine so i�*m waiting to go into theatre now. i�*ve been here more than 50 times because i have leukaemia, and that is why my best friend freddie... this is freddie. hiya, mate. hi, mate. are you all right? that is why freddie wanted to do something really special for me and the hospital. and it made us a bit

famous over christmas. here is a handy week. go for it. who is that with you, hughie? this is my sister, trixie. so, i�*ve been told that you�*ve raised nearly £50,000. yeah. he�*s just doing such a greatjob and i couldn�*t thank him any more. that is absolutely amazing. thank you to everybody that has donated. so, today, i�*ve gone back to the hospital to carry out an in—depth interview — check out the clipboard, people! — with one of my nurses. i�*m going to find out what they think about stuff like covid, kissing and the mega money me and freddie have raised. so this is emily. she was one of the main nurses in my treatment. how do you feel about wearing masks? and i bet you are really excited for the day when you don�*t have to wear them.

i don't mind wearing one at all. it really doesn't bother me. i had a little personal victory the other week where i made you laugh at me in the mask withjust my eyes. have you ever heard of butterfly kisses and have you found any interesting ways how to interact with kids? yeah, i have not heard of a butterfly kiss. i think i am a little bit too old now. it is like a distanced way of interacting. so it is just you just blink really fast. oh, yeah! it makes you a bit dizzy, doesn't it? i probably will not do that when i am walking around. no. and the fundraising that me and freddie have done, what do you think about that? you should be so proud of yourself. you have both done such an amazing job. and i think on behalf of everybody, thank you so much for all your hard work. honestly, this place is proper amazing. like i said, i should know because i�*ve been here so many times. here�*s the evidence. these are my beads of courage. every time i do something, i get one of these. and when i first got diagnosed,

i had 5a, 56 black beads and every black head is either a blood test or a thumb break and i�*ve still got lots more to come. so, like i said, this place isjust amazing! and i know the money freddie has raised is going to make it even better. let�*s find out how they are going to spend it in a section of film we like to call... freddie and hughie go on a virtual shopping trip to the royal manchester children's hospital! _ music means a lot to both of us, doesn�*t it, freddie? yeah, for sure. one thing we would like to fund is a music therapist. me, personally, music helps me calm down when i�*m feeling a little bit anxious. this is me in rehearsals for a show

before i got poorly. check out the hair, people! and this is me on the drums. we love music. i think that is a great project| and i am completely pleased you to have managed to help ward 84 get that provision. _ it's really important for them, isn't it? l we�*re also going to get a hospital one of these. it�*s called a belmont infuser. it is basically a bit of kit, as we have discussed, . that can warm up a large amount i of blood really, really quickly. i blood comes from the fridge and if you put the blood in too quickly, it has a risk of giving you hypothermia. as soon as me and freddie heard it would save lives we were like, we�*re definitely going to fund that. let�*s pause right here because, as with all good interviews, we are about to hit them with a big exclusive about what happened

after we appeared on bbc breakfast on christmas day. two really generous people watched this. then we had a chat. they said, well, "how much money are you are now?" and we said, "185,000." and they said, "well, £200,000 has a nice ring to it, "so we want to top it up." that's incredible! i was speechless. i couldn�*t think of what to say. i bet you are not speechless very often, are you? no. the support they've had has been amazing, so, yeah, i a massive thank you to everybody who supported you. _ when i think what i've done, ijust feel like so proud of myself that i've helped out. i couldn�*t have a better friend. he�*s done such a greatjob. you are little - superstars in our eyes. i think in everyone's eyes, to be honest. | thumbs up. all: bye!

thanks, everyone, for helping us and our amazing journey. mine isn�*t over yet. i�*ve got another three years of treatment in hospital. but i know it is going to be much nicer now because of everything freddie has done. thanks, pal. no problem, mate. much more on all of our stories on the website nx here on bbc news it is the one o�*clock news, first, the weather with dan. remaining cold over the next few days, today chilly no surprise given how cold it was first thing this morning. —23 last night, the coldest since 1995 at the lowest february temperatures since 1955. we have clear skies across much of the country this evening, with temperatures falling away quickly. more cloud towards the south west of

england and south west wales, we will see snow pushing an overnight. still windy for these areas too. showers in off the north sea into eastern scotland and north east of england. what we have a widespread frost overnight and it will be sharp for many places, not quite as cold, can�*t stand to —13 in the east. those showers continuing into friday, sunshine for many areas and even out towards the west, that band of cloud in wales and northern ireland world thin, wet spells of sunshine. windy across the country, strong on friday, feeling cold with a frosty start, temperatures barely above freezing all day. over the weekend, things change slowly but surely, all that cold air getting pushed away as the wind changes to a milder wind lifting temperatures for

the second half of the weekend. knot on saturday, that is a cold day and we will find snow across the western side of the uk. while it is still uncertainty about the amount of snow, wejust uncertainty about the amount of snow, we just have this yellow warning from the met office, snow and ice could have more impact in northern ireland, not sure how much they will be in western scotland or they will be in western scotland or the hills of wales. after a frosty start, cloud coming in, orjust not writing much and windy on saturday, so feeling more like —7. really cold day on saturday. things start to change, overnight, the snow peters out, into sunday, strong, southerly winds, mourning across many parts of the country, the threat of icy conditions here and there, a slight rise in temperature four eastern parts of england, further west, those temperatures heading up.

a major reorganisation of the nhs in england with a promise that health and social care will work more closely together. the health secretary says the corona pandemic has made changes more, not less, urgent. myjob as health secretary is to make the system work for those who work in the system to free up, to empower, to harness the mission driven capability of team health and care. we will have the latest of the proposals mean for staff and patients. also this lunchtime. more than 220,000 people in england have been waiting more than a year for routine surgery, it is the highest number since 2008. it routine surgery, it is the highest number since 2008.— number since 2008. it has been reall , number since 2008. it has been really. really — number since 2008. it has been

really, really difficult. _ number since 2008. it has been really, really difficult. i- number since 2008. it has been really, really difficult. i haven'tl really, really difficult. i haven�*t left the