the bbc goes inside gaza's largest hospital to see what israel says is evidence hamas has been using al—shifa as a command centre. they say that among the things they have uncovered are more than a dozen kalashnikovs, grenades, personal protective equipment some with the hamas military brigade insignia on it. both israel and the palestinians condemn the first un security council resolution calling for humanitarian pauses in the conflict. i'm sarah campbell in london. the other headlines: president biden holds talks with chinese leader xi jinping. they agree to resume high level military communications. the uk's new top diplomat — former pm david cameron — heads to kyiv, his first foreign trip in the role.

hello, welcome to bbc news, i'm mark lowen. we are live in southern israel. israel has promised to provide proof to back up its claim that hamas was using gaza's largest hospital as a command centre. hamas has repeatedly denied the allegations. president biden says the us has asked israel to be incredibly careful, as its military operation at al—shifa hospital, which began yesterday, continues. the one thing that has been established is that hamas does have headquarters, weapons, material below this hospital and i suspect others. our correspondent lucy williamson has been with the idf at al—shifa hospital where israel has promised to show proof of a hamas command centre at gaza's largest hospital.

she spoke to us from jerusalem. israel is really coming under pressure to prove why it carried out the operation it is carrying out in gaza and driving into gaza last night it was clear the scale of its military operation there. parts of city looked as if it had been hit by an earthquake. buildings decimated. roads churned up. rows of tanks moving through the streets. so, i think the scale of the operation is clear, but also israel's desire to triand show the world —— try and show the world why it is doing what it is doing. it is still tense. they took us into al—shifa hospital that has been the scene of some of the fiercest fighting. we had to go in

in darkness, through a hole in one of the perimeter walls. we were taken to one specific department, the mri department, we weren't allowed to talk to doctors or patients, we were shown the items that the idf said they had found there hidden among the medical equipment. but the real proof that israel is under such scrutiny for is to provide evidence of the network of tunnels beneath the hospital. that is something they haven't found yet. but they have said it is early days. there is a lot of hospital still to search and they and the us intelligence community believe those tunnels are there. we intelligence community believe those tunnels are there.— tunnels are there. we are in an israeli vehicle _ tunnels are there. we are in an israeli vehicle inside _ tunnels are there. we are in an israeli vehicle inside the - tunnels are there. we are in an israeli vehicle inside the gaza l israeli vehicle inside the gaza strip. they're taking us towards gaza city. we are passing through an area where the ground operation

first began and since then the israeli army has fought its way to gaza city and the gates of the shifa hospital. we are still being told to keep our lights off. are we going this way? the israeli army has been searching through this hospital, you can see they have had to force the door of the mri room to get inside. they have been looking for evidence of this being a hamas base, place where hamas planned attacks and they say that among the things they have discovered are more than a dozen kalashnikovs and personal military protection equipment. we are told there have been lap top found with files that suggest this may have

been a hamas operating base as recently as a few days ago. there has been pressure on israel for the humanitarian cost of its co—operation in gaza, not least in the shifa hospital, where doctors say they are struggling to keep alive new born babies without electricity, food or water. now is has control of the hospital and it is carrying out searches, it is under pressure to prove, to give some evidence about why it is actually there. lucy williamson there. israeli police say they have killed a suspect involved in an attack on a checkpoint injerusalem. at least four people were shot, including one who was critically injured. two others suffered light injuries. the police said all the injured were members of security services.

in the uk, the labour leader, sir keir starmer, says he "regrets" the loss of ten of his shadow ministers. they quit theirjobs over the party's stance on the gaza conflict. a total of 56 labour mps backed an snp amendment calling for a ceasefire. our chief political correspondent henry zeffman said he didn't think the resignations would change labour's stance on the issue of gaza. i think the resignations reflect the fact that labour's stance isn't changing. it is worth noting this is a big rebellion, it is the biggest parliamentary rebellion there has been against keir starmer�*s leader ship and his whip as they call it, since he became labour leader almost four years ago. that is embarrassing for him. but his supporters say,

look, he was under a lot of pressure from his mps, who in turn are under pressure from some of their constituents and he held firm. given he has gone lu the political pain of accepting these resignation, whole trying to whittle them down, i would be surprised if his position now changes going forward, unless the position of western allies, the us principally changes. in which case i think labour would change. [30 principally changes. in which case i think labour would change.- think labour would change. do you think labour would change. do you think the rebellion _ think labour would change. do you think the rebellion has _ think labour would change. do you think the rebellion has been - think the rebellion has been contained or is there a sense there could be further resignation and a escalation of the opposition? it is an interesting _ escalation of the opposition? it 3 an interesting question. the escalation of the opposition? it 1 an interesting question. the reason there were resignations last night was because a parliamentary vote took place and the mechanics of parliamentary time tables are such that that can't just parliamentary time tables are such that that can'tjust happen every day. so i think you would have to

have another parliamentary moment, which forced mps to take a side, to cast a vote and i don't see that happening any time soon. so, i think for now, yes, it probably has been contained. but it has also exposed a genuine divide within the labour party on foreign policy. you have more than a quarter of labour mps defy keir starmer on this and i'm sure they and especially those mps who felt strongly enough to quit shadow ministerial positions will continue to speak out and that will draw attention to the divide. the un security council has for the first time approved a resolution calling for humanitarian pauses in the fighting in gaza. the resolution prioritises access for aid and calls for the immediate and unconditional

release of hostages held inside gaza. both israel and the palestinians criticised the resolution. now back to sarah in london. around the world and across the uk, this is bbc news. let's look at some other stories making news. train drivers will stage a fresh round of strikes in their long running dispute over pay. the aslef union has announced a rolling programme of walkouts between the second and the ninth of december — with different train companies affected on each day. drivers will also refuse to work any overtime. bbc analysis shows that two—thirds of nhs maternity units in england don't consistently meet safety standards — as assessed by the health regulator. the care quality commission says maternity has the worst safety ratings of all hospital services it inspects.

the government said maternity care was of the "utmost importance". almost half a million women in england will be able to get the contraceptive pill from pharmacies from next month without the need for a gp appointment. treatments for urinary infections and other common conditions will also be on offer. nhs england said it was a safe and common—sense way of making nhs services easier for patients to use. you're live with bbc news. a bbc investigation�*s found that some of most widely—shared posts about the war in gaza on x come from just a handful of obscure accounts. these influencers have amassed millions of followers, often spreading misinformation, denying the hamas atrocities and using materialfrom previous conflicts, or doctored and ai—generated content to illustrate current events.

experts say the meteoric rise of the accounts is down to x's new policies that allow people to earn from viral posts. joining me now is grigor atanesian from bbc�*s global disinformation team. it is fascinating this. very difficult to get to the bottom of what is true and what is untrue on social media these days? it always has been difficult, _ social media these days? it always has been difficult, but _ social media these days? it always has been difficult, but i _ social media these days? it always has been difficult, but i think- social media these days? it always has been difficult, but i think with | has been difficult, but i think with this new israel/gaza war we are seeing unprecedented levels of misinformation and calls from influencers who have no expertise in the region and are not on the ground, who don't know either language, but they want to be seen as the trusted source of news on this. they're succeeding, because their posts are some of the top posts. you can see somebody like

jackson, who gets over a million followers on x, on twitter, just posting about this conflict. he has no knowledge of it, he is very partisan. he spreads fakes, like denying hamas atrocity. but others are not spreading necessarily partisan content. one person is, his background is in kitchen appliances and wellness. now he has over a million followers and he pos news about the war. some of the pos are fake. —— posts are fake. they are seen by 18 million followers. [30 fake. -- posts are fake. they are seen by 18 million followers. do we know about — seen by 18 million followers. do we know about their _ seen by 18 million followers. do we know about their motivation? - seen by 18 million followers. do we know about their motivation? the | know about their motivation? the point of an influencer is to get as many followers as possible, do you think that is what is behind this?

you look at x, and ask yourself what has changed? you see under elon musk they introduced money for this. they get, they participate in the revenue scream. —— stream. the real incentives to go, as well as possible, to get as many tweets and likes, because you will be paid in proportion to that.— likes, because you will be paid in proportion to that. presumably there is no way for — proportion to that. presumably there is no way for people _ proportion to that. presumably there is no way for people to _ proportion to that. presumably there is no way for people to know- proportion to that. presumably there is no way for people to know what. proportion to that. presumably there is no way for people to know what is| is no way for people to know what is verified information and what isn't? it has always been difficult on the internet, but i think after the changes when people can pay to be verified, to get the blue tick, it has become more difficult. oned advise is to take to the trusted

news organisations like the bbc. thank you. president biden has described his talks in san francisco with the chinese leader, xijinping, as their most constructive and productive discussions yet. mr biden said they agreed to resume high level military—to—military communications. he said "clear and direct contact" was necessary to avoid accidents or misunderstandings. mr xi described china's relationship with the us as the most important in the world. our north america correspondent gary o'donoghue reports from san francisco. it's the first time in a year these two men have even spoken, let alone meet face—to—face. they spent around four hours together, discussing everything from taiwan and technology, to ukraine and the war in the middle east. both sides agreed to resume high—level communications between the two militaries. and china agreed to crack down on chemicals used to make the opioid fentanyl, the biggest

killer of young americans. at the press conference afterwardsjoe biden was asked if he trusted president xi. do i trust? i trust and verify, as the old saying goes. that's where i am. at times he read from prepared briefing cards. but off—script he was more forthright about president xi. would you still refer to president xi as a dictator? well look, he is. he's a dictator in the sense that he... some advisers won't have liked that one bit. after the meeting chinese state media said president xi had told his counterpart planet earth was big enough for both countries to succeed, and that conflict and confrontation would be unbearable for both sides. the meeting is in itself a sign of improving relations, but what really counts is what comes next. events can easily derail progress. gary o'donoghue, bbc news, san francisco. china's president xijinping

later gave a speech in san francisco, where he spoke positively about meeting president biden. he also said his country has no intention of challenging the united states. translation: it is wrong to view china, which is committed to peaceful development, as a threat and thus play a zero sum game against it. china never bets against the united states. and never interferes in its internal affairs. china has no intention to challenge the united states, or to unseat it. instead, we will be glad to see a confident, open, ever growing and prosperous united states. likewise, the united states should not bet against china. or interfere in china's internal affairs. it should instead welcome a peaceful, stable

and prosperous china. whatever stage of development it may reach, china will never pursue expansion and will never impose its will on others. china does not seek spheres of influence. our news correspondent, helena humphrey has been following the events in san francisco, and said expectations were low going into this meeting. coming out of the talks the white house said that the conversations were candid and they were also constructive, with agreements for co—operation on a range of issues. firstly talking about that military to military co—operation, perhaps making the world feel like a slightly safer place, particularly bearing in mind the close calls we have seen between us and chinese military assets, with regard to planes in recent months over the south china sea. now they military to military co—operation, perhaps making the world feel like a

slightly safer place, particularly bearing in mind the close calls we have seen between us and chinese military assets, with regard to planes in recent months over the south china sea. now they can pick up south china sea. now they can pick up the phone, army to army, and make sure things are not misinterpreted essentially. that it isn't seen as an act of war. as for al and the creation of a working group, and when it comes to fentanyl and an agreement to work together on countering narcotics. that felt more personal for the united states, particularly as this country is still in the grip of an opioid ep epidemic and president biden is going to an election year. so, what has the reaction been in beijing to these talks? our correspondent stephen mcdonell sent this update. one thing that is interesting, you know, you might expect that in state media there would be some reference or condemnation ofjoe biden

answering a question about whether xijinping is a dictator. he was askedif xijinping is a dictator. he was asked if he believed that, he said yes. but i have not seen any reference to that in the media here. sometimes when the government wants a problem to go away, itjust tells the media, after all all controlled by the party, just to be quiet about something. in fact the coverage has been positive and here is one service coverage and it is in the adjectives. a reference to a picturesque backdrop. a high stakes meeting. the most relationship. etc. this shows you that the party here wanted a good result from this, because xijinping wanted a good result from this, because xi jinping needs wanted a good result from this, because xijinping needs it, he has had had a pretty terrible 12 months politically, he has had sack some ministers the economy is in the doldrums and people want to see that

xijinping is steering china, us relations into calmer waters and hopefully it may lead to greater economic act #yi69. ivity. both leaders said there will be business visits, so there is hope that there will be a sort of normalisation of relations here. and so i think xi jinping would be happy with the way it's all panned out, apart from that one question and answer. let's go back to our top story now, the israel—gaza war. we can go live to southern israel to our correspondent mark lowen for all the latest. thank you. as the israeli military operate continues inside al—shifa

hospital. live now to drjane crawley, a paediatrian who helped train medical staff in gaza. and you were originally intending to go back to gaza. can i ask you, have you had any contact with your colleagues on the ground in gaza around al—shifa or any other hospital and if so what have they been telling you?— hospital and if so what have they been telling you? yes, we as a group of medics we — been telling you? yes, we as a group of medics we have _ been telling you? yes, we as a group of medics we have been _ been telling you? yes, we as a group of medics we have been visiting - been telling you? yes, we as a group of medics we have been visiting gaza| of medics we have been visiting gaza for 12 years and teaching students, we have kept in touch with them through a platform and we have heard a couple of things. commune ications have been quite bad in the last a8—hours, because of the shut down. but we heard on 13th from a doctor working at the only operational

hospital in northern gaza, al ahly. they are having to deal with everything, because the other hospitals are none operational. they're seeing is huge amounts of bad trauma, on top of patients with severe problems and pregnant women and children who are dehydrated and malnourished, because of the the lack of safe water and poor sanitation. so they're pretty overwhelmed and having to make contingency arrangements with deal with this huge influx of patients. we have also heard from the head of the emergency role at shifa, who describes shooting and shelling every where. to the point some of the medical stores have caught on

fire. so it must be pretty terrifying to be trapped inside shifa at this moment. yet, the doctors are also having tolike after patients under these —— to look after patients under these incredibly impossible conditions. some carrying out operations without anaesthetic, we understand. you know shifa hospital well, when you have seen some of the images, particularly of the premature babies without incubators. sorry i have to stop you, because the un human rights chief is laying out his latest findings.— rights chief is laying out his latest findings. rights chief is laying out his latest findinus. _, ., ., latest findings. good morning. there were many member _ latest findings. good morning. there were many member states _ latest findings. good morning. there were many member states that - latest findings. good morning. there were many member states that still| were many member states that still wanted _ were many member states that still wanted to— were many member states that still wanted to speak, so we got delayed with the _ wanted to speak, so we got delayed with the stake out. i will pass the floor_ with the stake out. i will pass the floor to _ with the stake out. i will pass the floor to the — with the stake out. i will pass the floor to the high commissioner. a few opening remarks and we will take questions _ few opening remarks and we will take cuestions. ,., ., ., ~ , few opening remarks and we will take

cuestions. ., ~ , i. questions. good morning. as you know, i visited _ questions. good morning. as you know, i visited cairo, _ questions. good morning. as you know, i visited cairo, rafah, - questions. good morning. as you | know, i visited cairo, rafah, aman know, ivisited cairo, rafah, aman last week and met senior officials from egypt, the palestine, jordan, but i also had a chance to engage with human rights defenders and civil society actors. as i mentioned i visited the hospital where we had a number of palestinians who had been evacuated because of grave injuries. i was struck by the horrific wounds that i saw of many patients from gaza. i heard in the past from a number of israeli familiars whose loved ones had been abducted by the palestinian armed groups about their anguish. as i told this morning, we have seen a

conflagration of violence that has been unleashed in the occupied palestinian territory, both in gaza and the west bank and in israel. there has been a break down of the most basic respect for humane values. the killing of so many civilians cannot be dismissed as collateral damage. the only winner will be extremism. was have seen this in many lessons from the past. warnings by my office and others about human rights violations over many years have been ignored. not only in israel and in the occupied palestinian territory, but also by states with influence on the parties to this crisis. this needs to change. forthis to this crisis. this needs to change. for this conflict to be unduringly resolved, we need justice, accountability and the

prevailing and the strong voice of human rights. the voice of reason, our work to report and document violations and our advocacy for hum rights will persevere until this work is done. i should share a couple of urgent calls for action. it is clear with the adoption of the security council resolution that was adopted last night, the parties must give immediate effect to what the security council has asked them to do and that was made very clear in the resolution. but there must also be a ceasefire based on humanitarian and human rights grounds. there needs to be an end to the fighting, not only to deliver the urgently needed basic necessities of life — electricity, water, fuel and so forth — but also to create the political space for a path out of this horror. international human

rights and humanitarian law one respected. all forms of collective punishment must come to an end, all hostages the must be released. we need rapid humanitarian assistance... inter national tional national national national human rights must be respected. all hostages must be released. we need rapid and up impeded humanitarian assistance throughout gaza, including fuel at the scale required and this must be facilitated. i understand that the

unrwa head of the... will talk to you later today. but we also need more entries into gaza, including through israel. i also stress the importance of full access to israel and the occupied palestinian territory for my office to ensure full and independent monitoring and documentation and to co—ordinate the protection work. israeli authorities must take immediate measures to ensure that the security, israeli security forces, comply with their obligations as an occupying power to protect palestinians in the occupied palestinian west bank. including from violence by settlers. all states with influence must seek common ground to disempower

extremists by offering hope to build an enduring peace through justice and the guarantee of human rights. we know that contested narratives cannot be resolved a people would be unable to contemplate a shared common future alongside each other. and it is clear that the status quo was untenable and that the israeli occupation must end. my office will continue to do its utmost to assist all parties to step back from the precipice to which extremism and violence have led. our strongest efforts will remain our principle of independence, our consistent standing on the international laws that can ensure peace through through respect for every human life. thank you.

thank you, high commissioner. regarding — thank you, high commissioner. regarding the un security council resolution on gaza, adopted yesterday, demanding humanitarian causes _ yesterday, demanding humanitarian causee i_ yesterday, demanding humanitarian causes. i want to ask how binding you think— causes. i want to ask how binding you think this decision will be for israei. _ you think this decision will be for israei. and — you think this decision will be for israel, and what will be the consequences if the state does not follow? _ consequences if the state does not follow? and considering the current humanitarian situation, how long should _ humanitarian situation, how long should it — humanitarian situation, how long should it take to turn this resolution into action? it is very clear what _ resolution into action? it is very clear what a _ resolution into action? it is very clear what a security _ resolution into action? it is very clear what a security council - clear what a security council resolution itself says. it needs to be implement it immediately. it also has a monitor, a mechanism by which the un is asked to report back on implantation. it is absolutely clear, it is the beginning of what is needed to mitigate the extremely precarious... this

is needed to mitigate the extremely precarious- - -—