being in rude not the same as being in rude health. the nhs has the highest waiting lists on record, and plans for thousands more staff might not make much difference for years to come. ~ ., ., , ., come. we need more doctors and nurses to ease — come. we need more doctors and nurses to ease pressure - come. we need more doctors and nurses to ease pressure and - come. we need more doctors and nurses to ease pressure and we l come. we need more doctors and . nurses to ease pressure and we need reform _ nurses to ease pressure and we need reform. , , , , ., nurses to ease pressure and we need reform. , ,, , ., ., reform. the pressure is on for both main parties _ reform. the pressure is on for both main parties to _ reform. the pressure is on for both main parties to show _ reform. the pressure is on for both main parties to show how - reform. the pressure is on for both main parties to show how they - reform. the pressure is on for both main parties to show how they fix l main parties to show how they fix the health service. the main parties to show how they fix the health service.— main parties to show how they fix the health service. the longer the conservatives _ the health service. the longer the conservatives are _ the health service. the longer the conservatives are in _ the health service. the longer the conservatives are in power - the health service. the longer the conservatives are in power the . conservatives are in power the longer patients will wait. labour has a plan to deliver the biggest expansion of nhs staff in history. fix, expansion of nhs staff in history. a big birthday for the biggest institution is on the way. the main question this morning, how confident can you be in plans to fix the nhs? amanda pritchard, chief of the nhs in england, the boss of more than a million people, is here for the first time. labour's bridget phillipson is vying to make the grade with new plans to get the best teachers in our schools. and with the nhs at the top of the list,

the health secretary steve barclay is here too. and we'll hear from the first female astronaut heading to the moon. morning. with you and me for the next 60 minutes — science presenter michael mosley, who trained as a doctor. former health minister james bethell. and campaigner for kids' safety, beeban kidron. both of you members of the house of lords. if we look at the front pages, they are all over the place. the sunday telegraph has a story about electiry pylons. but that picture of the prime minister,

the future king, and the other future king stuffing his face with pizza at the cricket is in the papers. the mirror leads on the sixth supect in the stephen lawrence murder case, a story that the bbc broke last week. stephen's friend duwayne brooks says the suspect was there. the sun newspaper talks about zac goldsmith and his friendship with p0p goldsmith and his friendship with pop star ellie goulding. he made the news quitting the government with a blast at rishi sunak on the environment. and another story, the fifth night of rioting in france. we can show you some of the latest pictures from trouble in the southern city of marseille. the nhs turned 75 this week, an

extraordinary achievement. everyone watching this morning knows a lot is going wrong. i watching this morning knows a lot is going wrong-— going wrong. i think it is an interesting _ going wrong. i think it is an interesting way _ going wrong. i think it is an interesting way forward, i going wrong. i think it is an| interesting way forward, but going wrong. i think it is an i interesting way forward, but i going wrong. i think it is an - interesting way forward, but i think they are ignoring the main problem which is rising rates of obesity particularly in childhood and what you do. i made a series a while ago about who made britain fact. the short answer wasjunk food. about who made britain fact. the short answer was junk food. —— fat. at that time boris johnson short answer was junk food. —— fat. at that time borisjohnson almost died from covid and he seemed to have a plan about the advertising of junk food before the watershed. everything else seems to be pushed into the long grass.— into the long grass. james, you worked at _ into the long grass. james, you worked at the _ into the long grass. james, you worked at the department - into the long grass. james, you worked at the department of. into the long grass. james, you - worked at the department of health. how bad are things? i was there in the pandemic and saw the nhs at its best, _ the pandemic and saw the nhs at its best. and _ the pandemic and saw the nhs at its best. and it — the pandemic and saw the nhs at its best, and it is an institution that can innovate quickly. i have no

doubt — can innovate quickly. i have no doubt of— can innovate quickly. i have no doubt of the commitment to those who work thero _ doubt of the commitment to those who work there. the dropped —— i worry they— work there. the dropped —— i worry they have _ work there. the dropped —— i worry they have the wrong doctrine. one last they have the wrong doctrine. one test push— they have the wrong doctrine. one last push and we can be a bit betten — last push and we can be a bit betten i_ last push and we can be a bit better. i think there should be a greater— better. i think there should be a greater focus on things such as obesity— greater focus on things such as obesity to— greater focus on things such as obesity to make the country healthier, things like mental health. — healthier, things like mental health, problems children have with the internet. we have to prevent disease — the internet. we have to prevent disease. the ambition should be to make _ disease. the ambition should be to make the _ disease. the ambition should be to make the country healthier, not to treat— make the country healthier, not to treat the _ make the country healthier, not to treat the sickness faster. so maybe there does need _ treat the sickness faster. so maybe there does need a _ treat the sickness faster. so maybe there does need a change - treat the sickness faster. so maybe there does need a change of- there does need a change of attitude. there is something extraordinary about the health service. its founding day 75 years ago, if you could have dreamt all these years later, it would still be here. it these years later, it would still be here. , . . , . these years later, it would still be here. , . ., . . these years later, it would still be here. . . here. it is fantastic. we pay tribute to — here. it is fantastic. we pay tribute to those _ here. it is fantastic. we pay tribute to those working - here. it is fantastic. we pay tribute to those working in l here. it is fantastic. we pay i tribute to those working in the here. it is fantastic. we pay - tribute to those working in the nhs. the questions that remain, around how to retain the existing

workforce, how to make them happy, pay them properly in the long run. and the other thing is about social care. if every political party keeps on throwing back down the line we will never fix the nhs upstream. i will never fix the nhs upstream. i am sure we will pick on that later in the programme. the nhs is held in deep affection. but it's a source of huge frustration, too. statistics suggest 90% of us back it. but satisfaction with services is the lowest it's ever been. many of you have been in touch to share some of the pride and also some of the pain. i had an emergency c—section with my baby girl at the end of april. unfortunately, four weeks postpartum, i had an emergency appendectomy then, sadly, a week after that, we were readmitted to hospital with a virus for my baby. i really appreciated everything the nhs did for her. the unrelenting pressure faced on a daily basis combined

with the knock—on effect of patient care ultimately led to me burning out. we need a healthy workforce to break this unsustainable cycle. i was diagnosed with kidney cancer in november 2022. i but, since then, i've had a very long, anxious, - very frustrating wait with delays i for surgery, which is not scheduled until the end of this month. it's not good enough. the nhs treats i the nhs treatsi million people a day and has more than i the nhs treatsi million people a day and has more thani million staff. their boss amanda pritchard is the chief of nhs england. we are delighted to have you with us. i suppose initially, it is the care people get right now, is it good enough? people get right now, is it good enou~h? . ~ people get right now, is it good enou~h? ., ~ i. people get right now, is it good enou~h? . ~ i. ., people get right now, is it good enou~h? . ~' ., ., , enough? thank you for having me this morninu. i

enough? thank you for having me this morning. i think— enough? thank you for having me this morning. i think it _ enough? thank you for having me this morning. i think it is _ enough? thank you for having me this morning. i think it is a _ enough? thank you for having me this morning. i think it is a momentous - morning. i think it is a momentous week for the nhs. we are coming up to the 75th birthday and the other we have launched a long—term workforce plan. if we talk about care people receive, it is helpful to look back and see what has happened over the past 75 years and also to think about what we have been through the past few years with the pandemic, the busiest winter i can recollect in my 25 years in the health service, and the ongoing pressure through industrial action. a period of unprecedented challenge. patients feel that. we heard that frustration. and those frustrations are shared by everyone working in the nhs. nobody wants anyone to wait a minute longer than they need, and thatis a minute longer than they need, and that is why we have been doing so much over the past 18 months to focus on recovering services and getting things back to a stage where we can meet the needs of patients.

right now it is not good enough. right now it is not good enough. right now it is not good enough. right now it is the case, many people wait longer than they would like. �* people wait longer than they would like. ~ , ., people wait longer than they would like. �* , ., people wait longer than they would like. ~ , ., | people wait longer than they would like-_ i think i people wait longer than they would like._ i think it. like. are you frustrated? i think it is back to being _ like. are you frustrated? i think it is back to being clear _ like. are you frustrated? i think it is back to being clear that - like. are you frustrated? i think it i is back to being clear that everyone in the nhs shares the same desire to treat people as quickly as possible without delay, to be able to give patients the care they would want. we have 1.3 million people working in the nhs and many are patients. i am a patient as well as member of staff. we want the best for colleagues and staff but what we are doing is recognising, as our medical directors said at the beginning of the pandemic, that it would be a five year journey. the pandemic, that it would be a five yearjourney. we are three years in and have made big strides, particularly bringing down some of

the longest waiting times. it will be more sustainable in the long—term. be more sustainable in the long-term— be more sustainable in the iona-term. ., ., ., ., long-term. right now another two ears long-term. right now another two years before _ long-term. right now another two years before people _ long-term. right now another two years before people can _ long-term. right now another two years before people can expect . years before people can expect things to be back at a decent level. recovery takes time. we have seen progress, virtually eliminated two—year waiting. we are on to the next big challenge. you two-year waiting. we are on to the next big challenge.— next big challenge. you said it would be five _ next big challenge. you said it would be five years _ next big challenge. you said it would be five years to - next big challenge. you said it would be five years to get - next big challenge. you said it| would be five years to get back next big challenge. you said it. would be five years to get back to normal after the pandemic. people will have to wait another few years before we could expect them to be as good as things you would like to be. we recognise, when the previous secretary of state announced the recovery plan last year, he said waiting lists will go up before they come down. we are still on track to deliver the fastest reduction and improvement on waiting times in history but it is not an overnight

thing. history but it is not an overnight thin. , . history but it is not an overnight thin _ , ., ., history but it is not an overnight thin. , . ., , thing. they are at record levels. that is having _ thing. they are at record levels. that is having consequences. i thing. they are at record levels. that is having consequences. al that is having consequences. a viewer, steven from harrow, said he was told his four—year—old son will have to wait between 50 and 70 weeks, more than a year. a lot of people are thinking, should they pay £3000 for private treatment. what is your advice? £3000 for private treatment. what is youradvice? i £3000 for private treatment. what is your advice?— your advice? i absolutely get the frustration. _ your advice? i absolutely get the frustration. i _ your advice? i absolutely get the frustration. i am _ your advice? i absolutely get the frustration. i am a _ your advice? i absolutely get the frustration. i am a patient - your advice? i absolutely get the frustration. i am a patient as - your advice? i absolutely get the i frustration. i am a patient as well. my frustration. i am a patient as well. my own family are going through different treatment. and experiencing waiting on the other side. i would experiencing waiting on the other side. iwould reassure experiencing waiting on the other side. i would reassure people that this is not an overnight fix, but we are, and i speakfor all my colleagues, working tirelessly to ensure what we have done which is set out the most ambitious recovery plan, that we continue to deliver.

and to be clear, no one is saying it will be something where it is anything other than a combination of continuing to deliver that reduction from the longest waiting times down, which we have made big improvements already. we have to keep innovating. we will come to the long—term but this is a problem now. what should someone in that situation do, should they try to find £3000 or wait more than a yearfor they try to find £3000 or wait more than a year for treatment for a four—year—old? than a year for treatment for a four-year-old?_ than a year for treatment for a four-year-old? with children and mm: four-year-old? with children and young people. _ four-year-old? with children and young people. it— four-year-old? with children and young people. it is— four-year-old? with children and young people, it is an _ four-year-old? with children and young people, it is an area - four-year-old? with children and young people, it is an area of- four-year-old? with children and l young people, it is an area of focus and we know the pandemic hit children badly. i am sure it is something you will talk about with your other guests.— your other guests. what should eo - le your other guests. what should --eole do your other guests. what should people do right _ your other guests. what should people do right now? _ your other guests. what should people do right now? we - your other guests. what should people do right now? we are i your other guests. what should - people do right now? we are focusing on ounu people do right now? we are focusing on young people- _ people do right now? we are focusing on young people- i— people do right now? we are focusing on young people. i am _ people do right now? we are focusing on young people. i am really- people do right now? we are focusing on young people. i am really sorry - on young people. i am really sorry to hear about that example. what i can say is we are already making

progress in reducing the longest waiting. and we are making sure we are doing the next thing. and we are focusing on the most urgent patients. we are doing things differently bringing diagnostics into the community. we are doing robotic surgery, using ai into the community. we are doing robotic surgery, using al to speed up robotic surgery, using al to speed up diagnosis. we are notjust bringing waiting down by doing things traditional ways but doing things traditional ways but doing things differently to ensure we speed up recovery. you things differently to ensure we speed up recovery.— things differently to ensure we speed up recovery. you have heard about the long-term _ speed up recovery. you have heard about the long-term workforce - speed up recovery. you have heard| about the long-term workforce plan about the long—term workforce plan for more doctors and nurses. what has been announced this week that would stop a junior doctor going to australia where they can earn more and work less, all stop a nurse looking at their pay packet and thinking they could get a job at the supermarket that will pay more than tough shifts on the ward? there

supermarket that will pay more than tough shifts on the ward?— tough shifts on the ward? there is a lot in that question. _ tough shifts on the ward? there is a lot in that question. we _ tough shifts on the ward? there is a lot in that question. we should - lot in that question. we should probably talk about industrial action. you would expect me to say i would always want nhs staff to be appropriately recognised for their skill and dedication, but pay is a matterfor skill and dedication, but pay is a matter for government and unions. skill and dedication, but pay is a matterfor government and unions. my job is to make sure in the long—term plan, we have done something that speaks to today and also for the first time ever, gives us a path to a staffing model.— a staffing model. right now, there are one in ten _ a staffing model. right now, there are one in ten vacancies. - a staffing model. right now, there are one in ten vacancies. how - a staffing model. right now, there | are one in ten vacancies. how have you allowed that to happen? that is art of wh you allowed that to happen? that is part of why the _ you allowed that to happen? that is part of why the fact _ you allowed that to happen? that is part of why the fact for _ you allowed that to happen? that is part of why the fact for the - you allowed that to happen? that is part of why the fact for the first - part of why the fact for the first time ever we have a chance to do long—term planning. hope time ever we have a chance to do long-term planning.— long-term planning. how did you allow it to get — long-term planning. how did you allow it to get to _ long-term planning. how did you allow it to get to where _ long-term planning. how did you allow it to get to where one - long-term planning. how did you allow it to get to where one ten l

allow it to get to where one ten posts is vacant?— posts is vacant? that goes to trainin: posts is vacant? that goes to training and _ posts is vacant? that goes to training and are _ posts is vacant? that goes to training and are we _ posts is vacant? that goes to training and are we training l posts is vacant? that goes to - training and are we training enough people for the nhs' needs? the first time the government has asked the nhs to do this, it allows us to plan to ensure we are training enough people over the long—term so we can see a position where we will be more sustainable. brute see a position where we will be more sustainable-— sustainable. we have not trained enou:h sustainable. we have not trained enough people? _ sustainable. we have not trained enough people? there _ sustainable. we have not trained enough people? there are - sustainable. we have not trained enough people? there are two . sustainable. we have not trained - enough people? there are two other im ortant enough people? there are two other important aspects. _ enough people? there are two other important aspects. what _ enough people? there are two other important aspects. what we - enough people? there are two other important aspects. what we talk - important aspects. what we talk about is retention. it is reform. the retention part is about making sure, and there are immediate things in there, things that matter. it matters that they have enough colleagues with the right skills to do their best work and this gives hope for that, it also matters to people with career paths. for a nurse, it might be recognising that we can now offer more advanced clinical training so you can take your career forward, equally it

matters to people to have flexibility and that is a commitment. it really matters to people how much they are paid. do you think doctors and nurses in this country are worth more than they are paid? figs and nurses in this country are worth more than they are paid? first and nurses in this country are worth more than they are paid?— more than they are paid? as i say, i'm a chief— more than they are paid? as i say, i'm a chief executive _ more than they are paid? as i say, i'm a chief executive in _ more than they are paid? as i say, i'm a chief executive in the - more than they are paid? as i say, i'm a chief executive in the nhs, l i'm a chief executive in the nhs, i'm a chief executive in the nhs, i'm always want to say i make sure our staff are appropriately recognised and rewarded. that pay is a matterfor unions recognised and rewarded. that pay is a matter for unions and recognised and rewarded. that pay is a matterfor unions and government but myjob is to make sure that whilst that is going on, we are doing our best to support the nhs through what is now an unprecedented period of industrial action. melt. period of industrial action. well, it is. . . period of industrial action. well, it is- -- to _ period of industrial action. well, it is... to minimise _ period of industrial action. well, it is... to minimise disruption i period of industrial action. well, | it is... to minimise disruption but unfortunately. — it is... to minimise disruption but unfortunately, going _ it is... to minimise disruption but unfortunately, going back- it is... to minimise disruption but unfortunately, going back to - unfortunately, going back to something we were talking about earlier on, there's been a significant amount of disruption and that will only get more significant as we hit the next strand of strikes, so that seven out of eight

daysin strikes, so that seven out of eight days in the middle ofjuly where we will see action. the hard truth is it is patients paying the price for the fact that all sides have not yet managed to reach a resolution. that's a nightmare, isn't it? the next round of strikes might include consultants and senior doctors, who until now have covered forjunior doctors. junior doctors can't cover for senior doctors. are people's lives at risk?— for senior doctors. are people's livesat risk? ., , ., ., lives at risk? consultants going out on strike is — lives at risk? consultants going out on strike is a _ lives at risk? consultants going out on strike is a different _ lives at risk? consultants going out on strike is a different level- lives at risk? consultants going out on strike is a different level of- on strike is a different level of challenge again to what we have had to respond to with junior doctors because they cannot cover in the same way, but our priority has always been through all of these periods of industrial action to work with colleagues across the nhs and unions to make sure patient safety is mitigated and risks are mitigated as much as possible.— is mitigated and risks are mitigated as much as possible. should people sta awa as much as possible. should people stay away from _ as much as possible. should people stay away from hospital _ as much as possible. should people stay away from hospital if _ as much as possible. should people stay away from hospital if the - stay away from hospital if the standard of care they should expect is not going to be there? the

commitment _ is not going to be there? the commitment so _ is not going to be there? the commitment so far, - is not going to be there? the commitment so far, i - is not going to be there? tue: commitment so far, i have is not going to be there? tts: commitment so far, i have to is not going to be there? t'ts: commitment so far, i have to say, from unions as well as across the nhs has been to prioritise patient safety and we would always continue to give, apart from use nhs services sensibly, and that means if you can go to a local pharmacist as you increasingly can for your routine care or go to your gp, do so, but if you need the nhs, absolutely please come forward. particularly emergency care services will be running and we will do all we can to ensure patient safety. d0 will do all we can to ensure patient safe . , ., will do all we can to ensure patient safe . ,, . will do all we can to ensure patient safe . ., ._ will do all we can to ensure patient safe . ., ., i, ,., safety. do you have any sense of o timism safety. do you have any sense of optimism about _ safety. do you have any sense of optimism about when _ safety. do you have any sense of optimism about when the - safety. do you have any sense of optimism about when the strikes safety. do you have any sense of - optimism about when the strikes will be sorted? you sound very worried about the situation. t be sorted? you sound very worried about the situation.— about the situation. i think that's about the situation. i think that's a conversation _ about the situation. i think that's a conversation you _ about the situation. i think that's a conversation you want - about the situation. i think that's a conversation you want to - about the situation. i think that's a conversation you want to have l about the situation. i think that's - a conversation you want to have with the secretary of state later in the programme. the secretary of state later in the programme-— the secretary of state later in the rouramme. ~ ., ., ., programme. would you call on them to net on with programme. would you call on them to get on with it? — programme. would you call on them to get on with it? because _ programme. would you call on them to get on with it? because clearly - get on with it? because clearly patients are are being put at risk. there is no doubt the sooner we can bring this to a resolution the

better, the betterfor patients because we have already had well over half a million appointments rescheduled as a consequence of industrial action. as a junior manager i was ringing patients to tell them their appointments are being changed and it's a heartbreaking thing to do, and i know how frustrating it is. the sooner we can bring this to an end, the better. we can't let it become business as usual. brute the better. we can't let it become business as usual.— business as usual. we have been lookin: at business as usual. we have been looking at the — business as usual. we have been looking at the nhs _ business as usual. we have been looking at the nhs in _ business as usual. we have been looking at the nhs in quite - business as usual. we have been looking at the nhs in quite a - business as usual. we have been looking at the nhs in quite a lot| business as usual. we have been i looking at the nhs in quite a lot of detail and you have more staff than you have ever had before, you have more money than you have ever had before, and yet are so many of the indicators are going in the wrong direction, and fewer people have been treated. it doesn't sound like a well—run organisation. brute been treated. it doesn't sound like a well-run organisation.— been treated. it doesn't sound like a well-run organisation. we have got at the moment _ a well-run organisation. we have got at the moment are _ a well-run organisation. we have got at the moment are actually _ a well-run organisation. we have got at the moment are actually some - at the moment are actually some really positive signs. you have obviously quite rightly said huge disruption from industrial action, we've had an incredibly busy winter with demand at record levels across the board, but we are seeing some really encouraging signs. for

example on urgent emergency care, we have seen consistent improvement in ambulance response times over the last few months... ambulance response times over the last few months. . ._ last few months... does it look to ou like last few months... does it look to you like an _ last few months... does it look to you like an organisation _ last few months... does it look to you like an organisation that - last few months... does it look to you like an organisation that is . you like an organisation that is well run? because you have more money than ever before, more staff than ever before and so many things are going in the wrong direction. i'm not sure i agree with you. almost all our indicators are going in the right direction at the moment but what we have to recognise... more people waiting and fewer people treated. the more people waiting and fewer people treated. . more people waiting and fewer people treated. , ., , , treated. the number of patients is auoin u, treated. the number of patients is going up. but— treated. the number of patients is going up. but the _ treated. the number of patients is going up, but the longest - treated. the number of patients is going up, but the longest waits i treated. the number of patients is| going up, but the longest waits are reducing consistently. we have more patients being seen in gp surgeries every day than ever before, actually its 1.6 million a day seen overall by the nhs, but nearly a million of those in primary care, 30 million more patients a year now over the last 12 months than pre—pandemic. we

have more patients being diagnosed early for cancer and we are seeing the longest waits come down, we are seeing ambulance waiting time is improving. i don't want to be in any way suggest that we haven't got a huge challenge ahead, we have and we are part way through the recovery journey, but actually it's notjust on those measures that i would say we have cause for optimism. it is new services we are putting in place, new ways of working as well as keeping on doing these core things. as keeping on doing these core thins. �* . as keeping on doing these core thins. �* , , as keeping on doing these core thins. , , , things. because society is unrecognisable _ things. because society is unrecognisable in - things. because society is unrecognisable in many . things. because society is i unrecognisable in many ways things. because society is - unrecognisable in many ways from when the nhs was founded and today the nhs has announced more gambling clinics, and you have said people are being bombarded with messages from the gambling industry to try to entice them in. would fewer people fall into addiction if the gambling industry was more tightly regulated? you are absolutely right to say society has changed. in 191i8 when the nhs was founded, he had to go to a bookies shop to place a bet, now

it is 24/7 on people's phones so we are seeing an increasing demand for people with severe gambling addiction. it's a cruel disease and addiction. it's a cruel disease and a life destroyer, so we have announced today we are opening seven more clinics which brings the total to 15 specialist clinics. but it isn'tjust to 15 specialist clinics. but it isn't just the to 15 specialist clinics. but it isn'tjust the nhs responsibility, it is a wider societal responsibility. i would really it is a wider societal responsibility. iwould really like it if the industry, and also people like football clubs, because we have had three this week that ended into deals with gambling industry providers for shirt sponsorship which means it's kids seeing every day now messages that says gambling is ok, and i think actually it would be really great to see the gambling industry and also organisations like football clubs really think seriously about their responsibilities too. seriously about their resonsibilities too. , , ., responsibilities too. just before we close, i responsibilities too. just before we close. i want _ responsibilities too. just before we close, i want to _ responsibilities too. just before we close, i want to ask _ responsibilities too. just before we close, i want to ask you _ responsibilities too. just before we close, i want to ask you as - responsibilities too. just before we close, i want to ask you as the i close, i want to ask you as the newish boss of the nhs in england,

how should in the coming years peoplejudge what how should in the coming years people judge what you achieve? thank people “udge what you achieve? thank ou. people judge what you achieve? thank ou. partl people judge what you achieve? thank you- partly this — people judge what you achieve? thank you. partly this goes _ people judge what you achieve? thank you. partly this goes to _ people judge what you achieve? thank you. partly this goes to some - people judge what you achieve? t�*tag�*ta; you. partly this goes to some of the things your guests were talking about before. there is an absolute here and now challenge, and we are really clear and focused on that, but we cannot only think about the things that are relevant today. we have got at the same time to be doing things that will make us able to deal with the needs of a changing, growing, ageing population. so prevention is hugely important, one of the reasons our integrated care systems are so to bring together nhs voluntary sector, local government to know their populations and offer things like targeted health checks. it's about getting the covid vaccination to the right people, things like blood pressure checks and pharmacies, making sure we are equally focused on prevention. it's also about innovation so you should be holding me to account to make sure we are

not just me to account to make sure we are notjust using today's answers for today's problems but also tomorrow's solutions. so that is al in the way we diagnose cancer, thinking about notjust how we diagnose cancer, thinking about not just how we we diagnose cancer, thinking about notjust how we use robots but the blood tests we have rolled out at trial to identify up to 50 different types of cancer. and i would say critical to that, so thinking about the new problems, so dementia. we have potentially a million people in this country who have got dementia. it is the biggest killer in the uk. some early indications are that there are things that could be effective to help delay the progression of alzheimer's. so what am i doing about that? it's usually complicated, we have got to wait for the green light if there is one. regulators have got to work out whether the benefits and risks and the cost benefit but we are already thinking about what it would take in terms of scanning capacity, what it would take in terms of the ability

to deliver these drugs. i have set “p to deliver these drugs. i have set up a team already working with colleagues so we get ahead and we are ready if we get the green light. that is quite some to—do list and we know you are extremely busy, and we hope you will come back soon but it's been great having you with us this morning. amanda thank you. what did you think of what she said? you can get in touch. let's see what our panel had to make of it. michael, a somebody who watches the nhs closely, do you think she really addressed how critical things are right now? addressed how critical things are riaht now? , ., _ ., addressed how critical things are riaht now? , ., , , ., ., ., right now? obviously going forward is hu:el right now? obviously going forward is hugely important. _ right now? obviously going forward is hugely important. she _ right now? obviously going forward is hugely important. she talked i is hugely important. she talked about retention. i qualified in the �*805 about retention. i qualified in the �*80s and recently i had a reunion with my colleagues who had been there, then in their late 50s thinking about early retirement and i went round and said what is it thatis

i went round and said what is it that is going to keep you in the nhs? they said the fear of driving them out primarily was litigation of being sued. patients deciding they had been badly treated whether they had been badly treated whether they had or not, and the whole process is incredibly tedious. my wife is a gp and she had been through two complaint procedures without merit that would have kicked her out of the nhs. i have a son who hasjust come back from australia, he went there for a couple of years. he came back because he missed his friends and family but loads of my contemporaries went off to australia and the states and never came back. and this was back in the �*80s. it was partly money, working conditions, but it was also career prospects. and she addressed that but there isn't a lot of detail in there. junior doctors, you can be in your late 30s, late 40s, and you have done all the training and there is no prospect of regressing because

the roles do not exist. 50 is no prospect of regressing because the roles do not exist.— the roles do not exist. so working conditions and _ the roles do not exist. so working conditions and career _ the roles do not exist. so working conditions and career prospects . the roles do not exist. so working | conditions and career prospects for staff. james, when you were listening to amanda talking about what it's like in the nhs, and of course it's herjob to highlight the positives, but as somebody in the department of health, do you think they are being honest enough about how serious the situation is? t had how serious the situation is? i had a lot of sympathy _ how serious the situation is? i had a lot of sympathy for _ how serious the situation is? i had a lot of sympathy for the - how serious the situation is? i had a lot of sympathy for the way i how serious the situation is? i had a lot of sympathy for the way amanda put it _ a lot of sympathy for the way amanda put it she's— a lot of sympathy for the way amanda put it. she's right that the service the nhs _ put it. she's right that the service the nhs delivers to patients is very hi-h the nhs delivers to patients is very high standard, it's a great national service _ high standard, it's a great national service it — high standard, it's a great national service. itjust doesn't deliver high standard, it's a great national service. it just doesn't deliver it to everyone. you had that clip from kevin _ to everyone. you had that clip from kevin who _ to everyone. you had that clip from kevin who is — to everyone. you had that clip from kevin who is waiting for kidney treatment for ten months. is rationing _ treatment for ten months. is rationing. that is not a logical clinical— rationing. that is not a logical clinical decision. if somebody has a need _ clinical decision. if somebody has a need for— clinical decision. if somebody has a need for an— clinical decision. if somebody has a need for an operation and you simply don't _ need for an operation and you simply don't have _ need for an operation and you simply don't have the resources to give them _ don't have the resources to give them what — don't have the resources to give them what they need, then you are going _ them what they need, then you are going beyond the important protocols of allocating scarce resources in the best— of allocating scarce resources in the best way possible and you are being _ the best way possible and you are being defined by the amount of

resources you have available. it�*s resources you have available. it's interesting _ resources you have available. tt�*s interesting you use that word because often it's a word that politicians and people in the health sector might use privately. they say waiting lists are like rationing but you are now saying that publicly as someone who has been a health minister. �* . someone who has been a health minister. �*, ., someone who has been a health minister. �* , . , . minister. there's a difference between reasonable - minister. there's a difference | between reasonable allocation minister. there's a difference i between reasonable allocation of resources and making tough decisions, which is part of every day life. — decisions, which is part of every day life, and having to cope with a system _ day life, and having to cope with a system that is overwhelmed with illness _ system that is overwhelmed with illness it — system that is overwhelmed with illness. it breaks my heart to be talking — illness. it breaks my heart to be talking about gambling clinics and spending money mopping up the waste from gambling and casinos when there is someone _ from gambling and casinos when there is someone waiting for kidney operations. that makes no sense at all. operations. that makes no sense at alt we _ operations. that makes no sense at alt we are — operations. that makes no sense at all. we are scapegoating the nhs with far— all. we are scapegoating the nhs with far too much of the problems of society— with far too much of the problems of society and _ with far too much of the problems of society and they cannot cope with the all _ society and they cannot cope with the all the — society and they cannot cope with the all the illness and society. a lot of the all the illness and society. lot of people would say the conservative party bears some of the responsibility for that because they haven't regulated in a way that some medics and campaigning groups have wanted. . . medics and campaigning groups have wanted. , . . ., , wanted. these are challenges faced b all wanted. these are challenges faced by all western _ wanted. these are challenges faced by all western governments i wanted. these are challenges faced

by all western governments at i wanted. these are challenges faced by all western governments at the l by all western governments at the same _ by all western governments at the same time. . by all western governments at the same time-— by all western governments at the same time. . �* , , ., same time. that wasn't my question! we are living — same time. that wasn't my question! we are living with _ same time. that wasn't my question! we are living with the _ same time. that wasn't my question! we are living with the consequencesl we are living with the consequences of the _ we are living with the consequences of the way— we are living with the consequences of the way the nhs was designed in its early— of the way the nhs was designed in its early days, but you are right that this — its early days, but you are right that this government should be doing more to— that this government should be doing more to change the environment in which _ more to change the environment in which people live. we need to have an environment where we get rid of the dirty— an environment where we get rid of the dirtyair. — an environment where we get rid of the dirty air, the junk food, the gambling — the dirty air, the junk food, the gambling and toxic workplace is so overall— gambling and toxic workplace is so overall the — gambling and toxic workplace is so overall the population is healthier. the nhs _ overall the population is healthier. the nhs cannot cope if we don't do that _ the nhs cannot cope if we don't do that. ., ., that. you were referring to dementia. _ that. you were referring to dementia, now _ that. you were referring to dementia, now the i that. you were referring to | dementia, now the number that. you were referring to i dementia, now the number one that. you were referring to _ dementia, now the number one killer of women in the uk. overwhelmingly the best thing that happened to dementia was banning smoking in pubs. then they started to rise because people started to put on weight but that was in some ways a really simple thing to do, but also a very brave thing to do. but it had a very brave thing to do. but it had a dramatic effect. ilily" a very brave thing to do. but it had a dramatic effect.— a dramatic effect. our viewers will remember. _ a dramatic effect. our viewers will remember. you — a dramatic effect. our viewers will remember, you have _ a dramatic effect. our viewers will remember, you have been i a dramatic effect. our viewers will remember, you have been with i a dramatic effect. our viewers will remember, you have been with us a dramatic effect. our viewers will i remember, you have been with us a couple of times before, where we have talked about the harm people being online is doing, particularly to children, and you have been working closely on that in the laws

that rumbled through parliament. should we look at it like a health problem? we should. we are talking about outsourcing into public services. and in this case, the nhs, may be the education sector are picking up from the lack of regulation. i am happy to report that we are making progress on the online safety bill. you will rememberjulie thomas coming on this programme. she had lost her daughter. there was not a dry eye in the studio. the government has come forward and agreed coroners will get access to data as a result of the bill. i think it is a huge step forward but the real thing is we want fewer dead children. very important we have these humane routes. and the

bereaved families for online safety i bereaved families for online safety i pay bereaved families for online safety i pay tribute, they have been there every step, as we have fought for safety by design. as a result, we will get rules around age checking and it has to be effective for pornography, and for high risk situations like self—harm and suicide. the government have brought forward new offences about intimate image sharing. we are making progress and making sure that al harms are treating it as harms. it does not matter whether a human being or machine created it, it is harmful to kids, it is in the bill. we are making progress, still a bit of work to do. one thing i will pick up of work to do. one thing i will pick up from what was just said is the lack of provision around mental health services for children. they are not close enough, not quick enough and there is not enough of it

when you get access. i think that is now problem not and in 15 years problem. now problem not and in 15 years roblem. , .,, , ., now problem not and in 15 years roblem. , , ., ., problem. the problems of today cuickl problem. the problems of today quickly become _ problem. the problems of today quickly become problems i problem. the problems of today quickly become problems of- problem. the problems of today i quickly become problems of tomorrow if they are not dealt with. for once, the panel is agreeing a lot this morning. it's 75 years since the nhs was founded. but believe it or not, more than 25 years ago, since this. ask me my three main priorities for government and i tell you education, education and education. tomorrow, the opposition leader on the up, keir starmer, will make his big promises for our classrooms. the woman who wants to be labour's next education secretary, bridget phillipson, is here. thank you for talking to us. you are announcing you want to bring in payments to encourage teachers to

stay in the classroom after a couple of years, i think £2400. the government has done this for years but teachers seem to be leaving, so why do you think it would work? this week i am why do you think it would work? tt 3 week i am setting out labour's mission around education and how we break down barriers that exist for young people. iwant break down barriers that exist for young people. i want to ensure background does not limit you go ting on. we need to make sure we have excellent teachers in every classroom. making sure new teachers are qualified, which is not the situation at the moment. and reforming the complicated systems and arrangements we have for different payments to teachers and in addition, extra payments for teachers who have completed their first two years of the early careers framework. the best recruitment strategy is having a great retention strategy. at the moment we face a

big challenge. the strategy. at the moment we face a big challenge-— strategy. at the moment we face a big challenge. the government had different forms _ big challenge. the government had different forms of _ big challenge. the government had different forms of this. _ big challenge. the government had different forms of this. i _ big challenge. the government had different forms of this. i think i different forms of this. i think £5,000 for maths teachers to stay on. in some subjects, such as art, i think you have more than enough teachers. why would it make a difference to offer everybody something to stay on? tt is something to stay on? it is respecting _ something to stay on? it is respecting and _ something to stay on? it is respecting and valuing i respecting and valuing professionalism of teachers. what i hear, i have had time to speak to teachers and school leaders and they say they want the status of teaching restored. i want to reset the relationship between government and the profession and ensure all children have an excellent teacher. on that specific question... and on different payments, we need to consolidate the complicated landscape with different pots of money. i think when people have trained and done two years of important professional development, it should be recognised. the changes

we have seen around that are welcome but we do not have enough support around that process. it is not the only change we need. we need to support, put better support into schools around mental health. teachers tell me they deal with more challenges for young people and do not necessarily feel confident to deliver it. i am determined to deliver it. i am determined to deliver reform of 0fsted which drives so much when it comes to work pressure for school leaders. teachers deserve respect from the government and under this tory government and under this tory government they have had nothing. we have spoken about 0fsted. you mentioned the plan to make every teacher have the qualified teacher status. it is the case most have that and also there are lots of good schools where teachers do not have to have it because in academy schools, many successful ones, private schools, many successful

ones, people do not have to have that certificate. what is the merit in making everybody have the same piece of paper?— piece of paper? because it is respecting — piece of paper? because it is respecting teaching i piece of paper? because it is respecting teaching as i piece of paper? because it is respecting teaching as a i piece of paper? because it is i respecting teaching as a skilled profession and ensuring all teachers have the ability to engage in professional development. the most effective way you get better outcomes for children is by having brilliant teachers. the evidence is clear. there are 14,000 teachers currently working who are not fully qualified. i would like the children in front of my children to be qualified. in front of my children to be qualified-— in front of my children to be uualified. , ., ~ ., , ., qualified. they work really hard. but that is _ qualified. they work really hard. but that is different... it i qualified. they work really hard. but that is different... it is i qualified. they work really hard. | but that is different... it is about the new teachers _ but that is different... it is about the new teachers coming i but that is different... it is about the new teachers coming in. i i but that is different... it is about the new teachers coming in. i do | but that is different... it is about i the new teachers coming in. i do not want to see teachers leaving. we cannot deal with anyone leaving at the moment but new teachers coming in, the expectation is when they work in state schools, maintained schools, academies, they will be

required to work towards qualified teacher status. the required to work towards qualified teacher status.— required to work towards qualified teacher status. the numbers leaving are staggering- _ teacher status. the numbers leaving are staggering. almost _ teacher status. the numbers leaving are staggering. almost 44,000 i teacher status. the numbers leaving are staggering. almost 44,000 left| are staggering. almost 44,000 left the profession last year alone. what is your evidence that forcing everybody working in a state school to have this certification would make any difference to stop them leaving? most of them have the qualification and that many have left. . . , qualification and that many have left. . , , ., , ., left. that is why i am setting out different measures. _ left. that is why i am setting out different measures. first i left. that is why i am setting out different measures. first it i left. that is why i am setting out different measures. first it is i different measures. first it is about raising the standard of teaching. about raising the standard of teachinu. ~ . . about raising the standard of teachinu. ~ . , i. about raising the standard of teachinu. ~ . . ,, . teaching. what is your evidence the chan . e will teaching. what is your evidence the change will make _ teaching. what is your evidence the change will make any _ teaching. what is your evidence the change will make any difference? . teaching. what is your evidence the i change will make any difference? the evidence change will make any difference? tts: evidence is clear. the quality of teaching is the single biggest way you get better outcomes for children. ~ . . you get better outcomes for children. ~ . , i. . , children. what is your evidence this chan . e children. what is your evidence this change would _ children. what is your evidence this change would make _ children. what is your evidence this change would make any _ children. what is your evidence this change would make any differencel children. what is your evidence this i change would make any difference to that? tl change would make any difference to that? , . ., change would make any difference to that? , . . . , that? it is clear the evidence is -aushin that? it is clear the evidence is pushing that — that? it is clear the evidence is pushing that in _ that? it is clear the evidence is pushing that in terms i that? it is clear the evidence is pushing that in terms of i that? it is clear the evidence is| pushing that in terms of quality that? it is clear the evidence is i pushing that in terms of quality of teaching being the most effective intervention. parents would expect it and it would be a means by which we drive up standards. there are

other changes we need to see. this is the first part of what we are setting out around labour's plans to ensure no matter what your background, you get on in life. that is what matters to me and is my priority if i were education secretary. i know how important education is. it transformed my life. i was so fortunate to have a brilliant school who valued me for who i was and pushed us to achieve. i'm on that for all children, not just about luck.— i'm on that for all children, not just about luck. your motivation is clear but when _ just about luck. your motivation is clear but when we _ just about luck. your motivation is clear but when we look _ just about luck. your motivation is clear but when we look at i just about luck. your motivation is clear but when we look at your i clear but when we look at your proposals, they do not seem to match what you say is an ambitious vision. they are more like tweaks around the edges. they are more like tweaks around the edaes. , . . ., edges. dealing with recruitment and retention will _ edges. dealing with recruitment and retention will have _ edges. dealing with recruitment and retention will have to _ edges. dealing with recruitment and retention will have to be _ edges. dealing with recruitment and retention will have to be a i edges. dealing with recruitment and retention will have to be a big i retention will have to be a big priority for a labour government. we are seeing at the moment with more teachers leaving than teachers coming in, with the pressure they

are under, the enormous challenges they face when it comes to dealing with more children with mental health pressure, children not in stable homes, facing homelessness. rising childhood poverty. you stable homes, facing homelessness. rising childhood poverty.— rising childhood poverty. you are talkin: rising childhood poverty. you are talking about _ rising childhood poverty. you are talking about tweaks _ rising childhood poverty. you are talking about tweaks to _ rising childhood poverty. you are talking about tweaks to the - rising childhood poverty. you are i talking about tweaks to the system. the other plans, around delivering breakfast clubs for every primary school child in england is making sure we are responding to the cost of living pressure families face. the evidence is clear about the impact breakfast clubs have on children's attainment and attendance and behaviour. there are different measures but it is about putting education at the heart of national life. i could say lots of things about the approach the government has taken, the fact it is a peripheral issue a long time, the fact we have had five secretaries of state in a short space of time. it has not been a priority for this government but will be for an

incoming labour government. it is the biggest _ incoming labour government. it is the biggest issue for people in the profession what they are being paid? it is expected it will be recommended pay should go up by 6.5%. ns recommended pay should go up by 6.5%. , ., ., .,, recommended pay should go up by 6.5%. , ., ., ., recommended pay should go up by 6.5%. is that reasonable? i want to see the report _ 6.5%. is that reasonable? i want to see the report by — 6.5%. is that reasonable? i want to see the report by the _ 6.5%. is that reasonable? i want to see the report by the independent l see the report by the independent pay review body. we believe that to be the figure though none of us apart from the secretary of state and treasury is aware of the figure. we face strike action this week, i do not want disruption to education, but the way we might avert that is for the secretary of state to publish the report, see the detail of it and commit to talks. as i understand it, there have been no proper discussions about this since april. ii proper discussions about this since a - ril. , ., proper discussions about this since aril. ., april. if you were the education secretary. _ april. if you were the education secretary. is — april. if you were the education secretary, is 6.596 _ april. if you were the education secretary, is 6.596 a _ april. if you were the educationi secretary, is 6.596 a reasonable secretary, is 6.5% a reasonable offer? if secretary, is 6.596 a reasonable offer? .. ., offer? if i were education secretary. _ offer? if i were education secretary. i _ offer? if i were education secretary, i would - offer? if i were education secretary, i would not. offer? if i were education secretary, i would not bei offer? if i were education i

secretary, i would not be on offer? if i were education - secretary, i would not be on your programme plucking a figure out of the air. i would not expect the current education secretary to do that. my priority will be having proper negotiations with the teaching unions to try to get through this on pay, workload, status of the profession and wider issues. that is not happening. it is the secretary of state's failure to get that to happen which means this week there will be more disruption. that is an irresponsible and reckless approach. i want to be serious and realistic about what we can do but i know teachers do not feel valued. pay is a part of that and under labour, teachers, where we were in government, they got real terms pay increases. under the conservatives, on average it is a pay cut since 2010. labour governments always want to prioritise education and support people working in teaching. but who

knows what the situation will be if we win the election because the conservatives have crashed the economy and behaved recklessly. bridget phillipson, the conservatives would deny that, but we will be talking to them. interesting to see what keir starmer analysis tomorrow. no doubt kids across the country will be hearing about the euclid mission. a european space telescope that launched yesterday from florida on a quest to work out what the universe is made of. as i'm sure you remember if you've been with us for a few months, next year, nasa is planning to send humans round the moon for the first time in many years. and there's another first — the crew will include a woman, christina koch. what does it mean to her? to me, there is not really an individual accomplishment or achievement to talk about that isn't really...which is very little compared

to the bigger thing to celebrate, to me, which is the fact that we are going in an era where we have made the decision that it is important to go for all and by all. if we are not answering humanity's call to explore with all of humanity, then we're not doing itjustice. nasa worried about makeup for the first woman into space, sally ride, but that seems crackers now. how much have things changed? yeah, ithink, you know, interestingly, the human side of human space flight often has a lot of things like that. one thing we pick out is the hairbrush that we're going to want in space. we make sure that all of the things that we need to be comfortable living and working in a high—demand environment that we have access to, and whatever that means for anyone, it's really neat to be a part of an organisation that recognises that importance. so to me, that's one of the big things that has changed. no stranger to breaking records, logging the longest continuous space flight ever by a woman. christina, you've been up in space before — once for 328 days. that's a long time. did you ever get even

a tiny bit bored? i definitely never got bored. they keep us very busy and very productive, and that is one of the best things about being in space in the environment that we have right now. we are constantly trying to bring as many benefits back to earth, whether scientific or technological, as possible so we're very busy. some of the things that you find out, though, is what really is important to you. what are the things that mean the most after 300 days in space? and for me, i found that something handwritten, something that was in the hands of a loved one, reaching me in space on one of our supply vehicles was one of the most meaningful things — way better than my favourite chocolate bar or anything like that. and looking down on the earth and seeing your home. things like that are the things that make time in space for long periods of time really not only survivable but a place where you can thrive and you can live. this time you'll be going round the moon, but when do you think people will be back on the surface? and is it mars next? yes. to answer your question, definitely.

the whole eyes on mars is what is behind this sustained lunar presence that we're going after right now. our mission is planned for the end of next year. and that, like you mentioned, we'll be going around on the far side of the moon with humans on the orion vehicle for the first time ever. then the next mission, we hope to actually [and on the moon with a human landing system, a separate spacecraft. so seeing these things happen in succession is just going to be absolutely awesome. and knowing that this time we're going to stay and to carry those lessons to explore mars is really exciting. when? ithink, you know, the schedule for going to mars is in the 2030s, late 2030s. and i think the important thing is on all these missions, we'll go when the mission is ready. it's really important that they're successful and that they don't go before the crew, the engineers, the vehicle are all ready for those missions. do you want to be the first person on mars? of course.

what's it like walking in space? doing a spacewalk is a supreme honour and experience. it's like nothing that you can describe. looking down and seeing your boots against the backdrop of a brightly lit earth flying by at 17,500mph, 250 miles below your feet, is a feeling like no other. but the realjoy of it is the career culmination, bringing everything together, consolidating every skill that you've ever learned, every dream that you've ever had, and putting it there and completing this mental, physical challenge. christina, thank you so much for talking to us. good luck! and please come back and tell us what it was like when you go up there. i'd be honoured to. thank you. there we are, hoping to be the first woman on the moon and mars. as we talked about earlier, the nhs will hit 75 years old on wednesday. the government has spent a few days boasting about the plan to hire many thousands more doctors and nurses

in the years to come. will that work when vacancies are sky high? the health secreaty steve barclay�*s here. welcome to you. you have promised to spend an extra 2.4 billion on the start of the plan to get these more staff. where is the cash going to come from?— staff. where is the cash going to come from? ., , ., ., . come from? that will be announced throuuh come from? that will be announced through the — come from? that will be announced through the normal— come from? that will be announced through the normal process - come from? that will be announced through the normal process with - come from? that will be announced | through the normal process with the chancellor at the next fiscal event. he has championed that as has the prime minister so we have been clear we will prioritise what is the biggest workforce expansion in the nhs history. it's right that we do that as we mark the 75th anniversary to ensure we have the stuff we need for the future. that will ramp up so that it doesn't all come in the first year but it underscores our commitment to the nhs and it builds on the biggest ever investment in the nhs�*s state, over £20 billion, which we announced as our new hospitals programme. 50 which we announced as our new hospitals programme.— which we announced as our new hospitals programme. so that £2.4 billion, is that — hospitals programme. so that £2.4 billion, is that extra _ hospitals programme. so that £2.4 billion, is that extra money - hospitals programme. so that £2.4 billion, is that extra money that . billion, is that extra money that

will come from the treasury to the department of health at the next budget? it department of health at the next budiet? , ., ., , , budget? it is extra money. it scales u i budget? it is extra money. it scales u- so it budget? it is extra money. it scales uo so it doesn't _ budget? it is extra money. it scales up so it doesn't all— budget? it is extra money. it scales up so it doesn't all arrive _ budget? it is extra money. it scales up so it doesn't all arrive in - budget? it is extra money. it scales up so it doesn't all arrive in year - up so it doesn't all arrive in year one. you have doctors being trained as they go into the second year double them number, in the third year triple the number because you are paying for the subsequent years as they come through so the money will scale up but it is additional money from the treasury under underscores something the chancellor has long supported when he was doing myjob, something the prime minister coming from an nhs family with parents that work in the nhs, and it's part of this wider commitment from the government as we mark the 75th anniversary to invest in the nhs and in innovations such as our screening programmes but also in the workforce. the screening programmes but also in the workforce. ~ , ., workforce. the prime minister made it clear last week _ workforce. the prime minister made it clear last week there _ workforce. the prime minister made it clear last week there isn't - workforce. the prime minister made it clear last week there isn't much i it clear last week there isn't much money around, so are you going to borrow to get that extra cash to train the nurses and doctors? the chancellor — train the nurses and doctors? the chancellor will _ train the nurses and doctors? tue: chancellor will announce train the nurses and doctors? tta: chancellor will announce that train the nurses and doctors? tt2 chancellor will announce that at their next fiscal event so i will leave that to him... their next fiscal event so i will leave that to him. . ._ their next fiscal event so i will leave that to him... would you be

ha - for leave that to him... would you be happy for him _ leave that to him... would you be happy for him to _ leave that to him... would you be happy for him to borrow? - leave that to him... would you be happy for him to borrow? we - leave that to him... would you be happy for him to borrow? we are | happy for him to borrow? we are makini a happy for him to borrow? we are making a range _ happy for him to borrow? we are making a range of _ happy for him to borrow? we are making a range of decisions - happy for him to borrow? we are making a range of decisions and | happy for him to borrow? we are - making a range of decisions and they are taken in the round. so the chancellor will set that out at the next fiscal event. the point is this is new money. next fiscal event. the point is this is new money-— next fiscal event. the point is this is new money. they say we must be careful— is new money. they say we must be careful with _ is new money. they say we must be careful with money, _ is new money. they say we must be careful with money, we - is new money. they say we must be careful with money, we don't - is new money. they say we must. be careful with money, we don't want to borrow, we are trying to get down, but in principle as health secretary, would you be happy of this money was borrowed in order to spend it on training doctors and nurses? , . , ., , ., .,~ nurses? these decisions are taken in the round and _ nurses? these decisions are taken in the round and we _ nurses? these decisions are taken in the round and we may _ nurses? these decisions are taken in the round and we may come - nurses? these decisions are taken in the round and we may come onto - nurses? these decisions are taken in | the round and we may come onto the discussion of pay. 0ut the round and we may come onto the discussion of pay. out of the challenge when doctors are asking for a 35% pay rise is we do need to look at these decisions in the round. £20 billion is the biggest ever investment, we are investing in the workforce expansion but we also need to take a balanced approach to the pay negotiations as well. i'm very pleased with the agenda for change, we have reached agreement

with the nhs staff council and that money will go into nursing salaries this month. it reflects the huge value we place on nhs staff but it's important we also signal support for the future and the workforce expansion plan gives people the confidence the nhs will be there in a sustainable way for the long term. but the problems are a key right now. amanda prichard, the nhs boss, said the strikes coming down the track are the most serious we have seen. she sounded really worried about what might happen. are you thinking wejust have about what might happen. are you thinking we just have to sort this out? get in a room and make it work? i agree with amanda and we are looking closely at how we can mitigate the impact of the industrial action.— mitigate the impact of the industrial action. , ., ., , industrial action. the situation is iettini industrial action. the situation is getting worse. — industrial action. the situation is getting worse, the _ industrial action. the situation is getting worse, the strikes - industrial action. the situation is getting worse, the strikes are i getting worse, the strikes are growing when it comes to medics. t growing when it comes to medics. i won't accept they are growing because we have just settled a deal. senior consultants are saying they

will walk out.— senior consultants are saying they will walk out. and we stand ready. their number— will walk out. and we stand ready. their number one _ will walk out. and we stand ready. their number one asked _ will walk out. and we stand ready. their number one asked was - will walk out. and we stand ready. their number one asked was to . will walk out. and we stand ready. i their number one asked was to make changes to pension taxation, we have done that, we stand ready to have discussions. there's other things in the contract that could be reformed in the way that values time over experience so the pay progression in consultant contracts, so there's things we are open to discussing. but we need to get the balance right. it's good we have reached an agreement with the largest group within the nhs, that will go into pay packets this month. i don't think a 35% demand from the junior doctors is affordable given our need to bring inflation down, and that matters to the nhs as well as it does to the wider economy. it’s matters to the nhs as well as it does to the wider economy. it's your 'ob does to the wider economy. it's your “0b to find does to the wider economy. it's your job to find an — does to the wider economy. it's your job to find an accommodation - does to the wider economy. it's your job to find an accommodation to - does to the wider economy. it's yourj job to find an accommodation to sort this out, and why should our viewers trust you to sort out the problem when you haven't been able to sort out the problems which are here with us right now? i

out the problems which are here with us right now?— us right now? i have 'ust given you two cocete h us right now? i have just given you two concrete examples _ us right now? i have just given you two concrete examples of - us right now? i have just given you | two concrete examples of problems us right now? i have just given you - two concrete examples of problems we have addressed, the pension tax was a key demand, hugely generous offer to nhs medics. so we have acted and listened on that, and the biggest health union we have reached a deal, a 5% settlement plus a lump sum recognising the huge pressure staff within the nhs have been under. but that's not all we are doing. in primary care we had a manifesto commitment for an extra amount of staff, we have beaten that. also we are investing in pharmacy first so people can access care quicker there and we are on track to deliver our manifesto commitment to 50,000 nurses. ., ~ j nurses. right now i think they're still around _ nurses. right now i think they're still around 13,000 _ nurses. right now i think they're still around 13,000 people - nurses. right now i think they're still around 13,000 people in - nurses. right now i think they're l still around 13,000 people in beds in hospital who don't need to be there because there is no care for

them in the community. when are you going to sort out social care? can you commit to having a plan at least in the next manifesto? locate you commit to having a plan at least in the next manifesto? we discussed this issue last _ in the next manifesto? we discussed this issue last time _ in the next manifesto? we discussed this issue last time i _ in the next manifesto? we discussed this issue last time i was _ in the next manifesto? we discussed this issue last time i was on - in the next manifesto? we discussed this issue last time i was on the - this issue last time i was on the show and it's important, and that's why it was the flagship measure of the autumn statement. up to 7.5 billion additional money over two years that the chancellor announced. but you know that's not a long—term plan. but you know that's not a long-term tlan. �* , but you know that's not a long-term ilan, �* , ., , ., but you know that's not a long-term ilan, �*, ., ., but you know that's not a long-term plan. it's also how we innovate and deliver services _ plan. it's also how we innovate and deliver services differently - plan. it's also how we innovate and deliver services differently and - deliver services differently and about career progression in the nhs. it's also about getting teams within the nhs working more closely together. let me give you a practical example of that. when i was in hull at the integrated care centre, staff were saying to me that instead of e—mails and phone calls between health and social care, bringing the teams together to work in an integrated way was something that was much more effective for the patients but also more enjoyable for the teams themselves, so we need to deliver differently. 0ur reforms

bringing health and social care together is all part of that much wider integration between health and social care. just wider integration between health and social care. , ., , wider integration between health and socialcare. , ., , , social care. just finally, people have seen _ social care. just finally, people have seen overnight _ social care. just finally, people have seen overnight quite - social care. just finally, people - have seen overnight quite disturbing pictures of things going on in france. riots in the southern city of marseille. i ask this question because lots of people will be looking at that, planning their summer holidays and thinking, should i go? should they travel to france at the moment? to i go? should they travel to france at the moment?— i go? should they travel to france at the moment? to something the foreitn at the moment? to something the foreign office _ at the moment? to something the foreign office are _ at the moment? to something the foreign office are monitoring - foreign office are monitoring closely. they give updates on the website, so i urge you to look at the guidance which will be updated on a regular basis and give people the information they need.- the information they need. health secretary steve _ the information they need. health secretary steve barclay, - the information they need. health secretary steve barclay, thank - the information they need. health| secretary steve barclay, thank you for coming in. it is nearly ten o'clock. a few days before the nhs hits its 75th birthday, remember we started at nine asking if we can have confidence in the the plans to make the service fit for the future.

the chief executive amanda prichard acknowledged there are challenges right now but wanted to emphasise how the health service is changing. let's see what our panel reckons. james, do you feel more or less confident now? i james, do you feel more or less confident now?— james, do you feel more or less confident now? ., ~ ., ., , confident now? i thought amanda put it well. i confident now? i thought amanda put it well- i was — confident now? i thought amanda put it well. i was worried _ confident now? i thought amanda put it well. i was worried for _ confident now? i thought amanda put it well. i was worried for the - confident now? i thought amanda put it well. i was worried for the way - it well. i was worried for the way she described the state of the nhs today. what she said very clearly was the nhs is being scapegoated for a lot of the problems in society, in illness and the essential health of our people and it's just not coping. it is not able to keep up. although there are good things going on in there are good things going on in the nhs and the framework for the workforce is a good thing, the gap between the resources going into day and the growing need for the nhs is just huge. and the growing need for the nhs is 'ust hute. ~ ., and the growing need for the nhs is 'ust hute. . ., ., and the growing need for the nhs is 'usthue_. ., m ., and the growing need for the nhs is 'usthute.~ ., a ., ., just huge. what about, michael, our own responsibility? _ just huge. what about, michael, our own responsibility? you _ just huge. what about, michael, our own responsibility? you agreed - own responsibility? you agreed businesses could be more tightly regulated to help the population be more healthy, but what about all of us? ~ ., more healthy, but what about all of us? . ., ., ., , ., more healthy, but what about all of us? ., ., .,, ., , ., us? without a doubt we have personal responsibility — us? without a doubt we have personal responsibility but _ us? without a doubt we have personal responsibility but if _ us? without a doubt we have personal

responsibility but if you _ us? without a doubt we have personal responsibility but if you change - us? without a doubt we have personal responsibility but if you change the . responsibility but if you change the framework, it changes how people behave _ framework, it changes how people behave. when i was a medical student about— behave. when i was a medical student about half_ behave. when i was a medical student about half the population is meant, now it's _ about half the population is meant, now it's about 18%. that's not because — now it's about 18%. that's not because people discovered willpower, it's because they made it really expensive and difficult, then they banned _ expensive and difficult, then they banned it — expensive and difficult, then they banned it in public places so that's what _ banned it in public places so that's what changed things. the second thing _ what changed things. the second thing is _ what changed things. the second thing is processed food. if you make it cheaply— thing is processed food. if you make it cheaply accessible and available everywhere, people will eat it and this stuff— everywhere, people will eat it and this stuff is addictive.— everywhere, people will eat it and this stuff is addictive.- i i this stuff is addictive. beeban. i thoutht this stuff is addictive. beeban. i thought the _ this stuff is addictive. beeban. i thought the story _ this stuff is addictive. beeban. i thought the story of _ this stuff is addictive. beeban. i thought the story of this - this stuff is addictive. beeban. i l thought the story of this morning this stuff is addictive. beeban. i - thought the story of this morning is how we _ thought the story of this morning is how we treat — thought the story of this morning is how we treat our _ thought the story of this morning is how we treat our professionals - thought the story of this morning is how we treat our professionals in l how we treat our professionals in schools _ how we treat our professionals in schools and — how we treat our professionals in schools and the _ how we treat our professionals in schools and the nhs _ how we treat our professionals in schools and the nhs and - how we treat our professionals in schools and the nhs and i- how we treat our professionals in schools and the nhs and i was i how we treat our professionals in i schools and the nhs and i was struck by the _ schools and the nhs and i was struck schools and the nhs and i was struck by the _ schools and the nhs and i was struck by the astronaut _ schools and the nhs and i was struck by the astronaut christina _ schools and the nhs and i was struck by the astronaut _ schools and the nhs and i was struck by the astronaut christina _ schools and the nhs and i was struck by the astronaut christina cox - by the astronaut christina cox saying — by the astronaut christina cox saying her— by the astronaut christina cox by the astronaut christina cox - by the astronaut christina cox saying — by the astronaut christina cox saying her— by the astronaut christina cox saying herjob _ by the astronaut christina cox saying herjob brought- by the astronaut christina cox saying herjob brought every. by the astronaut christina cox i saying herjob _ by the astronaut christina cox saying herjob brought- by the astronaut christina cox saying herjob brought every. by the astronaut christina cox i saying herjob brought every skill saying herjob brought every skill together, — saying herjob brought every skill together, and _ saying herjob brought every skill together, and i_ saying herjob brought every skill together, and i don't— saying herjob brought every skill together, and i don't hear- saying herjob brought every skill. together, and i don't hear anything like that— together, and i don't hear anything like that from — together, and i don't hear anything like that from anyone _ together, and i don't hear anything like that from anyone in _ together, and i don't hear anything like that from anyone in power i together, and i don't hear anything i like that from anyone in power about the teachers. — like that from anyone in power about the teachers, about _ like that from anyone in power about the teachers, about the _ like that from anyone in power about the teachers, about the nhs - like that from anyone in power about the teachers, about the nhs staff. . the teachers, about the nhs staff. we need _ the teachers, about the nhs staff. we need to— the teachers, about the nhs staff. we need to think _ the teachers, about the nhs staff. we need to think bigger. - the teachers, about the nhs staff. we need to think bigger. me i the teachers, about the nhs staff. we need to think bigger.— the teachers, about the nhs staff. we need to think bigger. we can look to female astronauts _ we need to think bigger. we can look to female astronauts for _ we need to think bigger. we can look to female astronauts for inspiration i to female astronauts for inspiration in the future. thank you very much.

joan got in touch to say, "i was so annoyed to hear rishi sunak�*s speech about the government giving the nhs in england a £2.4 billion investment. northern ireland however has had our budget cut dramatically. senior civil servants are having to make the tough decisions." of course there is not a functional government in stormont at the moment. david writes... gordon shared his experience working in the nhs saying...

god and closing his thought with computer says no. it drives our love us mad. a lot to think about this morning. —— drives all of us mad. so, a lot to think about. thank you for all your emails and messages and for watching. thank to my panel — beeban kidron, james bethell and michael mosley. there'll be many more conversations about the health service in the next few days before the anniversary of the nhs on wednesday. more frustrations for those waiting for treatment, more displays of pride in the fact it exists at all, and more challenges for politicians and the services' managers to meet that basic conundrum — demand is bigger than supply. we wa nt we want more health care. and how they propose to work that out will always be a big part of our political conversation. lanes coming up. struck after all, health care is neverfar from the top of your list so it's never far from the top of politicians' lists.

to hear our conversations, head to iplayer, and of course there's tonnes on bbc online. thank you for your company. have a great sunday, and see you next week — same time, same place.

good morning. it's sunday. it's 10 o'clock. welcome to politics northwest. on the menu this week, a supermarket supremo,

fossil fuels and a spat over cycling