future. its feet but fit for the future. what — its feet but fit for the future. what drives that is this sense of the future _ what drives that is this sense of the future. in the labour party, we look back_ the future. in the labour party, we look back so— the future. in the labour party, we look back so proudly at what we did 76 years _ look back so proudly at what we did 76 years ago. i want people in generations to look back so proudly at what _ generations to look back so proudly at what this labour government 2024 did. at what this labour government 2024 m it _ at what this labour government 2024 m it is _ at what this labour government 2024 did. it is that determination, drive, — did. it is that determination, drive, my— did. it is that determination, drive, my personal ambition and wes streeting's _ drive, my personal ambition and wes streeting's decision. lord darzi's conclusion is that there is no quick fix of the nhs. it is going to cost time and money that is going to cost time and money that is money you don't have and it is time, sick and suffering patients can't afford. if you were to speak to one single patient who has been suffering in agony for so long, what would you say to him or her about you are going to fix the nhs and make them better in the short term?

i am going to say we will fix this with the — i am going to say we will fix this with the small steps, we will make the long—term change. i'll accept your challenge. a long—term change takes _ your challenge. a long—term change takes too _ your challenge. a long—term change takes too long to tell me what youte — takes too long to tell me what you're going to do this christmas because — you're going to do this christmas because we will have nhs crisis, the trouble _ because we will have nhs crisis, the trouble is, _ because we will have nhs crisis, the trouble is, the last ten years, we have _ trouble is, the last ten years, we have gone — trouble is, the last ten years, we have gone round and round in circles — have gone round and round in circles so _ have gone round and round in circles. so we do short—term stuff to circles. so we do short—term stuff tojust _ circles. so we do short—term stuff tojust about get circles. so we do short—term stuff to just about get the nhs for the winter— to just about get the nhs for the winter crisis. but we the long term. we go _ winter crisis. but we the long term. we go round — winter crisis. but we the long term. we go round and round, gets worse and worse — we go round and round, gets worse and worse. so i accept the challenge to me. _ and worse. so i accept the challenge to me, which is it is going to take a long _ to me, which is it is going to take a long time _ to me, which is it is going to take a long time. it is going to be measured _ a long time. it is going to be measured in years, not months and we need to— measured in years, not months and we need to have _ measured in years, not months and we need to have something to say to someone — need to have something to say to someone who is ill now which is getting — someone who is ill now which is getting nhs back on its feet. but we can't duti— getting nhs back on its feet. but we can't duck the long—term change. that is— can't duck the long—term change. that is a — can't duck the long—term change. that is a problem. it is what i call sticking _ that is a problem. it is what i call sticking plaster politics, which is known _ sticking plaster politics, which is known that you need to do big change. — known that you need to do big change, thinking it is going to take too long _ change, thinking it is going to take too long so— change, thinking it is going to take too long so i won't do it, i will put it— too long so i won't do it, i will put it off, _ too long so i won't do it, i will

put it off, i_ too long so i won't do it, i will put it off, i willjust do little bits — put it off, i willjust do little bits here, pat things over and guess what, _ bits here, pat things over and guess what. it— bits here, pat things over and guess what. itjust— bits here, pat things over and guess what, itjust gets bits here, pat things over and guess what, it just gets worse. that bits here, pat things over and guess what, itjust gets worse. that is one of— what, itjust gets worse. that is one of the — what, itjust gets worse. that is one of the big mistakes of the last 14 years. — one of the big mistakes of the last 14 years. in — one of the big mistakes of the last 14 years, in my view and we will not repeat _ 14 years, in my view and we will not repeat it _ 14 years, in my view and we will not repeat it so— 14 years, in my view and we will not repeat it. so yes, we need to answer it now— repeat it. so yes, we need to answer it now but _ repeat it. so yes, we need to answer it now but we — repeat it. so yes, we need to answer it now but we also need to answer to those _ it now but we also need to answer to those he _ it now but we also need to answer to those he will be ill in a five, ten, 15 years— those he will be ill in a five, ten, 15 years and _ those he will be ill in a five, ten, 15 years and we need to do the long-term _ 15 years and we need to do the long—term change. harry from itv. a long—term change. harry from itv. question from on another important topic. gerard hamilton, former subpostmaster, said that almost all subpostmasters are yet to receive their compensation. not much has changed, he says, underyour their compensation. not much has changed, he says, under your new government. what is your new government. what is your new government still dragging its feet on delivering the conversation to these subpostmasters that they are entitled to? irate these subpostmasters that they are entitled to? ~ ., ., . ., entitled to? we made a commitment and we will keep _ entitled to? we made a commitment and we will keep that _ entitled to? we made a commitment and we will keep that commitment. l and we will keep that commitment. obviously. — and we will keep that commitment. obviously, almost everywhere we look, _ obviously, almost everywhere we look, there is a bigger problem than

we anticipated. everything has been broken _ we anticipated. everything has been broken by— we anticipated. everything has been broken by the last government so we are getting _ broken by the last government so we are getting on with this as quickly as we _ are getting on with this as quickly as we can — are getting on with this as quickly as we can but i did make that commitment, i stick with that commitment, i stick with that commitment and we will get on with it as quickly as we can. victoria from _ it as quickly as we can. victoria from channel 4.— it as quickly as we can. victoria from channel 4. from channel4. thank you. you talked about _ from channel4. thank you. you talked about integration - from channel4. thank you. you talked about integration of - from channel 4. thank you. you | talked about integration of health and social care and nhs and those who suck in hospital who don't need to be there. when it is your government going to tell us what your plans are for reforming social care? ~ ., ., ., ., care? we need a national care service that — care? we need a national care service that is _ care? we need a national care service that is our _ care? we need a national care service that is our ambition. i care? we need a national care i service that is our ambition. that was the — service that is our ambition. that was the work that we will start on. i was the work that we will start on. i want _ was the work that we will start on. i want this— was the work that we will start on. i want this to be done as consensually as possible because it is difficult, — consensually as possible because it is difficult, i want to be cross—party, i want to involve as many _ cross—party, i want to involve as many people as possible. i genuinely think that _ many people as possible. i genuinely think that start the for care is with— think that start the for care is with the — think that start the for care is with the staff and that is why we will have — with the staff and that is why we will have a — with the staff and that is why we will have a therapy agreement for staff because without the staff, we can't make the change we need ——

fair pay— can't make the change we need —— fair pay agreement. my sister works in the _ fair pay agreement. my sister works in the care _ fair pay agreement. my sister works in the care sector so i know this pretty— in the care sector so i know this pretty weii~ _ in the care sector so i know this pretty well. we won the national service — pretty well. we won the national service. we will start with a staff and build — service. we will start with a staff and build up from there with a vehicle — and build up from there with a vehicle for the content is that we need _ vehicle for the content is that we need but — vehicle for the content is that we need but the challenge is absently right, _ need but the challenge is absently right, we — need but the challenge is absently right, we have to fix social care because — right, we have to fix social care because i— right, we have to fix social care because i don't think it is possible to build _ because i don't think it is possible to build nhs for the future if day click social care as we do it. and that— click social care as we do it. and that makes— click social care as we do it. and that makes the challenge greater but the point _ that makes the challenge greater but the point of this report and the ten year plan _ the point of this report and the ten year plan is — the point of this report and the ten year plan is to look beyond the nhs itself and _ year plan is to look beyond the nhs itself and to broaden it out and social— itself and to broaden it out and social care _ itself and to broaden it out and social care is honestly part of that ten year _ social care is honestly part of that ten year plan. olivia from gb news. professor _ ten year plan. olivia from gb news. professorjohn bell said this morning that doctors in the bma have been a major drag on reforming health care. do you put it at the bma will now embrace productively reform with open arms? i bma will now embrace productively reform with open arms?— bma will now embrace productively reform with open arms? i have said we will do this _ reform with open arms? i have said we will do this with _ reform with open arms? i have said we will do this with the _ reform with open arms? i have said we will do this with the staff - reform with open arms? i have said we will do this with the staff and i we will do this with the staff and we will do this with the staff and we wiii~ — we will do this with the staff and we will. but i know from my old job

running _ we will. but i know from my old job running the — we will. but i know from my old job running the crown prosecution service — running the crown prosecution service that whenever you try to reform _ service that whenever you try to reform anything, there will be some people. _ reform anything, there will be some people. i'm — reform anything, there will be some people, i'm afraid, he will say don't — people, i'm afraid, he will say don't do — people, i'm afraid, he will say don't do that, it is better as it is, i_ don't do that, it is better as it is, iwouid _ don't do that, it is better as it is, iwould not don't do that, it is better as it is, i would not do that. keep things as they— is, i would not do that. keep things as they are — is, i would not do that. keep things as they are. we have to take that attitude _ as they are. we have to take that attitude on, in my view. it is an inhibitor— attitude on, in my view. it is an inhibitor of— attitude on, in my view. it is an inhibitor of change. so whilst we say we _ inhibitor of change. so whilst we say we will— inhibitor of change. so whilst we say we will do it with people and we will, do _ say we will do it with people and we will, do it— say we will do it with people and we will, do it together, and we will, i know— will, do it together, and we will, i know in— will, do it together, and we will, i know in my— will, do it together, and we will, i know in my heart of hearts, we will meet _ know in my heart of hearts, we will meet pockets of people he will say, don't _ meet pockets of people he will say, don't do _ meet pockets of people he will say, don't do it. — meet pockets of people he will say, don't do it, slow down, go over there. — don't do it, slow down, go over there. not— don't do it, slow down, go over there, not over there, don't do it, slow down, go over there, not overthere, leave don't do it, slow down, go over there, not over there, leave things as they— there, not over there, leave things as they are — there, not over there, leave things as they are. we will take that on, that is— as they are. we will take that on, that is part — as they are. we will take that on, that is part and parcel of the change — that is part and parcel of the change that we need to bring about. i change that we need to bring about. i have _ change that we need to bring about. i have got— change that we need to bring about. i have got natasha from lbc. lord darzi said this _ i have got natasha from lbc. lord darzi said this is _ i have got natasha from lbc. ii_f7"ic darzi said this is obviously going to take a very long time to fix. do you expect it to take two terms and what will you learn from the botched lancia reforms to make sure yours are not as his? abs, lancia reforms to make sure yours

are not as his?— lancia reforms to make sure yours are not as his? a lot. i mean, where to start? totally _ are not as his? a lot. i mean, where to start? totally misconceived, - are not as his? a lot. i mean, where| to start? totally misconceived, down from the _ to start? totally misconceived, down from the top and noble sense of where _ from the top and noble sense of where they were going. i think they were stripping the money out of the nhs, _ were stripping the money out of the nhs, lord _ were stripping the money out of the nhs, lord darzi touches on this, and pretended _ nhs, lord darzi touches on this, and pretended that these top—down reforms — pretended that these top—down reforms were going to somehow make up. reforms were going to somehow make up we _ reforms were going to somehow make up we are _ reforms were going to somehow make up. we are not going to make that mistake~ _ up. we are not going to make that mistake~ to— up. we are not going to make that mistake. to answer the first part of your question, yes, it is going to take _ your question, yes, it is going to take time — your question, yes, it is going to take time. that is why it is a ten year— take time. that is why it is a ten year plan — take time. that is why it is a ten year plan for that one of the parliamentary terms are five years but one _ parliamentary terms are five years but one of— parliamentary terms are five years but one of the problems in politics is that— but one of the problems in politics is that politicians pretending they can fix _ is that politicians pretending they can fix everything for the next election _ can fix everything for the next election. this is going to take ten years _ election. this is going to take ten years that— election. this is going to take ten years. that is why i want to be intentional— years. that is why i want to be intentional about it because i want everyone _ intentional about it because i want everyone on myjourney is that it is a during _ everyone on myjourney is that it is a during change. but as it goes take a during change. but as it goes take a decade? _ a during change. but as it goes take a decade? yes, it will take a decade to do— a decade? yes, it will take a decade to do it _ a decade? yes, it will take a decade to do it properly. we were of the cc the result— to do it properly. we were of the cc the result as — to do it properly. we were of the cc the result as we go along, make a permit— the result as we go along, make a permit as — the result as we go along, make a permit as we go along but that will be very— permit as we go along but that will be very uplifting but it will take more _ be very uplifting but it will take more than one financial return. chris— more than one financial return. chris from _ more than one financial return. chris from the times.—

more than one financial return. chris from the times. lord darzi is very clear — chris from the times. lord darzi is very clear that _ chris from the times. lord darzi is very clear that the _ chris from the times. lord darzi is very clear that the crisis _ chris from the times. lord darzi is very clear that the crisis is - chris from the times. lord darzi is very clear that the crisis is not - very clear that the crisis is not just in the nhs, it is in the broad have the nation and prevention is notjust have the nation and prevention is not just about the health service, it is about what the whole of government and society can do. so, you say you shut by this, you are prepared to take bold action on this. can we expect similar changes to things like obesity and activity, poor diet, social media or the other drivers of ill health, both physical and mental, and what will that look like? irate and mental, and what will that look like? ~ ., ., ., like? we need to go to the preventative _ like? we need to go to the preventative model- like? we need to go to the preventative model and . like? we need to go to the preventative model and it | like? we need to go to the i preventative model and it will be part of— preventative model and it will be part of the ten year plan. we mention— part of the ten year plan. we mention smoking, obviously, i think it is 88,000 — mention smoking, obviously, i think it is 88,000 deaths a year from smoking, — it is 88,000 deaths a year from smoking, huge imposition on the nhs, awful smoking, huge imposition on the nhs, awfut for— smoking, huge imposition on the nhs, awful for the individuals and that is only— awful for the individuals and that is only the — awful for the individuals and that is only the cases that end up in death — is only the cases that end up in death i— is only the cases that end up in death. i have to say, the teeth decay— death. i have to say, the teeth decav was— death. i have to say, the teeth decay was a real shocker for me. i did not—

decay was a real shocker for me. i did not appreciate that there are more _ did not appreciate that there are more children going into older hate to get— more children going into older hate to get the _ more children going into older hate to get the teeth taken out than anything — to get the teeth taken out than anything else. that is in easy vegetable. we are going to have to -et vegetable. we are going to have to get up _ vegetable. we are going to have to get up space because we've got more and more — get up space because we've got more and more conditions, we are living for longer, — and more conditions, we are living for longer, this is a good thing, but simply— for longer, this is a good thing, but simply putting more and more money— but simply putting more and more money into the nhs as it currently is configures is not going to work. when _ is configures is not going to work. when need — is configures is not going to work. when need preventative measures as well and _ when need preventative measures as well and we will set those out in the ten — well and we will set those out in the ten year plan. obviously, i know some _ the ten year plan. obviously, i know some of— the ten year plan. obviously, i know some of them will be welcome and i know— some of them will be welcome and i know some — some of them will be welcome and i know some of them will be controversial. they always are, but unless _ controversial. they always are, but unless we — controversial. they always are, but unless we shift the model, idon't think— unless we shift the model, i don't think we _ unless we shift the model, i don't think we can bring about the change that we _ think we can bring about the change that we need. so from the mirror. you say— that we need. so from the mirror. you say it— that we need. so from the mirror. you say it will take ten years to fix the nhs. does that mean people continue to sit in any for hours on end for ten years. can you tell those people when they will see a difference in their experiences? irate difference in their experiences? we are ready on this in terms of the

early— are ready on this in terms of the early steps _ are ready on this in terms of the early steps that we need to take. ana, _ early steps that we need to take. ana, lord — early steps that we need to take. ana, lord darzi and i discussed this on monday— ana, lord darzi and i discussed this on monday of this week, a&e is a classic— on monday of this week, a&e is a classic example that we will need different— classic example that we will need different technology. some people will have _ different technology. some people will have waited a very long time. mavbe _ will have waited a very long time. maybe albert you are waiting for results _ maybe albert you are waiting for results tests because the technology isn't quick— results tests because the technology isn't quick enough so you going and can we _ isn't quick enough so you going and can we wait— isn't quick enough so you going and can we wait a while to have a test and then— can we wait a while to have a test and then you wait forever for the test comeback before you go onto the next age _ test comeback before you go onto the next age. so some of this we can such— next age. so some of this we can such change more quickly because i accept _ such change more quickly because i accept that— such change more quickly because i accept that while the overall change need a _ accept that while the overall change need a ten — accept that while the overall change need a ten year plan, we've got change — need a ten year plan, we've got change the plan along the way. the lon- change the plan along the way. the long part _ change the plan along the way. the long part of the answer for any is what _ long part of the answer for any is what we — long part of the answer for any is what we do — long part of the answer for any is what we do have technology, much better— what we do have technology, much better use — what we do have technology, much better use of technology and getting those test results back quickly. i have _ those test results back quickly. i have got — those test results back quickly. i have got nowhere from the sun. how can some readers _ have got nowhere from the sun. hmnr

can some readers really expect you personally to stand up to resistance from the nhs unions to reform? because i have reformed before. i have _ because i have reformed before. i have reformed when i was heading up the crown— have reformed when i was heading up the crown prosecution service. i wanted — the crown prosecution service. i wanted to — the crown prosecution service. i wanted to change it to become much more _ wanted to change it to become much more victim — wanted to change it to become much more victim orientated and we faced challenge, _ more victim orientated and we faced challenge, we took it on and we changed — challenge, we took it on and we changed it. iwanted challenge, we took it on and we changed it. i wanted to drive up conviction— changed it. i wanted to drive up conviction race for violence against women _ conviction race for violence against women and — conviction race for violence against women and girls. we face resistance and we _ women and girls. we face resistance and we bursary that may change. i can give _ and we bursary that may change. i can give any— and we bursary that may change. i can give any number of examples. i worked _ can give any number of examples. i worked in _ can give any number of examples. i worked in northern ireland where we had to— worked in northern ireland where we had to create any police service. when _ had to create any police service. when i — had to create any police service. when i arrived as leader of the labour— when i arrived as leader of the labour party, i knew we had to change — labour party, i knew we had to change it — labour party, i knew we had to change it was that there was a lot of resistance but we pressed on and did it _ of resistance but we pressed on and did it if— of resistance but we pressed on and did it. if there is one common theme of what _ did it. if there is one common theme of what i _ did it. if there is one common theme of what i have done for a living some — of what i have done for a living some time _ of what i have done for a living some time now is coming in and bring about— some time now is coming in and bring about change and i am determined that we _ about change and i am determined that we will bring about the change here~ _ that we will bring about the change here~ laura — that we will bring about the change here. laura from the telegraph. in

here. laura from the telegraph. in the here. laura from the telegraph. the darzi here. laura from the telegraph. in the darzi report, he said that the nhs had been starved of capital funding and the lack of cutting tools means that paramedics are wasting time. given one of the first actions under your government was paying creases forjunior doctors paying creases for junior doctors and paying creases forjunior doctors and we have got gps now threatening to strike, isn't anything going to be soaked up by staff? i to strike, isn't anything going to be soaked up by staff?— to strike, isn't anything going to be soaked up by staff? i was struck be soaked up by staff? i was struck b what be soaked up by staff? i was struck by what lord _ be soaked up by staff? i was struck by what lord darzi _ be soaked up by staff? i was struck by what lord darzi said _ be soaked up by staff? i was struck by what lord darzi said about i by what lord darzi said about capitat — by what lord darzi said about capital funding which i think was very profound and of the sea that has got _ very profound and of the sea that has got to— very profound and of the sea that has got to be part of the ten year plan in _ has got to be part of the ten year plan in terms of investment and where _ plan in terms of investment and where we — plan in terms of investment and where we put it. simply continuing with strike — where we put it. simply continuing with strike action on the nhs was not going — with strike action on the nhs was not going to fix nhs. continuing with strike action, we have 3 million — with strike action, we have 3 million days lost a year under the last by— million days lost a year under the last by minister. every year to strike — last by minister. every year to strike action. i don't think that you can — strike action. i don't think that you can grow the economy. i don't think— you can grow the economy. i don't think you — you can grow the economy. i don't think you can fix their health service — think you can fix their health service whilst you carry on without strike _ service whilst you carry on without strike action. what we do is carry on,

strike action. what we do is carry on. do _ strike action. what we do is carry on. do the — strike action. what we do is carry on, do the sensible thing and launch the ten _ on, do the sensible thing and launch the ten year— on, do the sensible thing and launch the ten year plan. i cannot stand here _ the ten year plan. i cannot stand here and — the ten year plan. i cannot stand here and say there is a ten year pian— here and say there is a ten year plan while — here and say there is a ten year plan while we still didn't have workforce getting on with their jobs _ workforce getting on with their jobs it— workforce getting on with their jobs it is— workforce getting on with their jobs. it is a vital part of rebuilding as we go forward. one of the chancellor's _ rebuilding as we go forward. one of the chancellor's first _ rebuilding as we go forward. one of the chancellor's first acts _ rebuilding as we go forward. one of the chancellor's first acts was i rebuilding as we go forward. one of the chancellor's first acts was to i the chancellor's first acts was to put a pause on the present government has no plans to old 40 new hospitals by 2030. isn't that a case of the short term thinking that this report talks about? are you still committed to building or new 40 hospitals? irate still committed to building or new 40 hospitals?— still committed to building or new 40 hositals? ~ ., , ., 40 hospitals? we are. i will explain wh we 40 hospitals? we are. i will explain why we put — 40 hospitals? we are. i will explain why we put it _ 40 hospitals? we are. i will explain why we put it on — 40 hospitals? we are. i will explain why we put it on course _ 40 hospitals? we are. i will explain why we put it on course to - 40 hospitals? we are. i will explain why we put it on course to review, | why we put it on course to review, because _ why we put it on course to review, because the — why we put it on course to review, because the last government went on and on _ because the last government went on and on about 40 new hospitals. it sounds _ and on about 40 new hospitals. it sounds great but there weren't 40, they weren't new and many of them white _ they weren't new and many of them white hospitals. in the programme was undeliverable. —— many of them were _ was undeliverable. —— many of them were not— was undeliverable. —— many of them were not hospital. no wonder people lose faith _ were not hospital. no wonder people lose faith in politics if they are told over— lose faith in politics if they are told over and over again they are getting _ told over and over again they are getting a — told over and over again they are getting a new hospital and it is not

happening. we have reviewed it, we will deliver— happening. we have reviewed it, we will deliver but i want a realistic timetable for deliveries that i can let people in the eye, tell them we are going _ let people in the eye, tell them we are going to do it, this is how we're — are going to do it, this is how we're going to do it and when, not to make— we're going to do it and when, not to make a— we're going to do it and when, not to make a promise which is unbelievable their true set of the word _ unbelievable their true set of the word he— unbelievable their true set of the word. ,., unbelievable their true set of the word. ,. , ., unbelievable their true set of the word. ,., i. ., unbelievable their true set of the word. i. ., ., unbelievable their true set of the word. ., ., ., ., ., word. he said you want a national care service _ word. he said you want a national care service but _ word. he said you want a national care service but when _ word. he said you want a national care service but when will - word. he said you want a national care service but when will that i word. he said you want a national. care service but when will that come in and can you commit to campaign care costs? and secondly, you are heading to the us to meet the president. do you now support allowing ukraine to use storm shadow missiles to strike targets inside russia? �* . missiles to strike targets inside russia? . ., , missiles to strike targets inside russia? ., , ., russia? and social care, this has to be art of russia? and social care, this has to be part of the _ russia? and social care, this has to be part of the change _ russia? and social care, this has to be part of the change that - russia? and social care, this has to be part of the change that we i russia? and social care, this has to be part of the change that we bring | be part of the change that we bring about— be part of the change that we bring about and — be part of the change that we bring about and will be part of the change that we _ about and will be part of the change that we bring about. on the capping of the _ that we bring about. on the capping of the cost, — that we bring about. on the capping of the cost, promises were again made _ of the cost, promises were again made by— of the cost, promises were again made by the last government. they were delayed because they were undeliverable. we have looked at them, _ undeliverable. we have looked at them, we — undeliverable. we have looked at them, we don't think they are deliverable in the timeframe the last government said. that is why we

have taken— last government said. that is why we have taken them down and we'll review— have taken them down and we'll review it — have taken them down and we'll review it. it is an issue we have -ot review it. it is an issue we have got to— review it. it is an issue we have got to look— review it. it is an issue we have got to look at. i have accepted that _ got to look at. i have accepted that we — got to look at. i have accepted that. we will have it in the ten year— that. we will have it in the ten year plan _ that. we will have it in the ten year plan but again, it has got to be done — year plan but again, it has got to be done properly and be deliverable. i am be done properly and be deliverable. i am going _ be done properly and be deliverable. i am going to washington this afternoon for meetings tomorrow with the president. these are strategic meetings — the president. these are strategic meetings to discuss ukraine and to discuss _ meetings to discuss ukraine and to discuss the — meetings to discuss ukraine and to discuss the middle east. so it will be at _ discuss the middle east. so it will be at that— discuss the middle east. so it will be at that level of strategic discussion that will be involved tomorrow— discussion that will be involved tomorrow by the government. thank you very— tomorrow by the government. thank you very much for having me. enjoy the rest _ you very much for having me. enjoy the rest of— you very much for having me. enjoy the rest of your conference and thank— the rest of your conference and thank you — the rest of your conference and thank you for everything that you havem _ have... applause sir keir starmer they're laying out his plan for the nhs, what he called the biggest reimagining of the nhs since its birth. this is after this report by lord darzi going through all the difficulties that the nhs is

facing right now. very damning report and quite a lengthy one. sir keir starmer talked about how he wanted to fix it. did not put a huge amount of detail but he talked broadly about their needing to be three shifts in the nhs. three changes needed. first of all, a looked at how the nhs needs to move from analogue to digital so he talks a lot about the technology that he wants to see being used more universally, he talked about lifeless surgery and precision cancer scanners. lifeless surgery and precision cancerscanners. he lifeless surgery and precision cancer scanners. he talked about nina's technology to empower patients and give them control over their health care. the second chevy talked about was making good on the integration of hospitals and social care so he said that the care system was shift to a neighbourhood one, improving access to gps, bringing back family doctor and offering digital consultations. and the third chef that he talked about said that he needed to bring in, be bolder in

dealing with people before they get ill, presumably people seeking treatment at home without going to hospitals. he said that this is going to be a ten year plan that he has not laid out the details of yet. it means the government will make long—term investment in new technology that will prevent problems early like children public mental health and children's dentistry. obviously, a government elected for a five year term so a ten year i would have to involve the government after this one carrying on a plan. let's bring in our correspondent in westminster. a lot of criticism of the conservatives and what they have done to the nhs. these broad plans, as i mention there. but we have to wait to know exactly what they are going to do? that is right, it was very broad brushed. we had the intention and the ambition of this long—term plan.

it was very interesting to hear keir starmer say what his plan changes were not. he said he would not be abandoning the ideals of the nhs it would still be a fully funded service, free at the point of use. he said it was the right model, albeit working in the wrong way at the moment. he said it would not be a question of putting more money in, he said there would be investment in the nhs but it had to be tethered to reforms. he said it would not be just a top—down reform of the nhs he talked about bringing in the nhs and its entered the reform process. i think that is one of the challenges sir keir starmer, basically describing the reforms the conservative government brought in as misconceived and had a catastrophic consequences of nhs. the challenge now is the labour to set out what their changes will be

different. he talked about promising to invest. connected to reforms, so he was not going to be just pouring more money into this model without having changes and making sure that money is better spent. and i think it was interesting to note his answer in the questions on social care because that is the missing part of the puzzle. that is something that lord darzi's report did point out that i3% of hospital beds were taken up by people waiting to be treated inside in their communities. and the absence of a corresponding social care plan will surely undermine any future reform of the nhs. so we did promise that will be coming. he talks about his ambitions the national care service. very scant on detail besides just saying that he hopes for a cross—party consensus on what is such a crucial issue. cross-party consensus on what is such a crucial issue.— cross-party consensus on what is such a crucial issue. thank you very much. such a crucial issue. thank you very much- let's — such a crucial issue. thank you very much. let's bring _ such a crucial issue. thank you very much. let's bring in _ such a crucial issue. thank you very much. let's bring in the _ such a crucial issue. thank you very

much. let's bring in the head i such a crucial issue. thank you very much. let's bring in the head of i much. let's bring in the head of public affairs for the nuffield trust, an independent think tank. what is your initial reaction to what you have heard from the prime minister today? what you have heard from the prime ministertoday? he what you have heard from the prime minister today?— minister today? he has both very much reiterating _ minister today? he has both very much reiterating themes - minister today? he has both very much reiterating themes from i much reiterating themes from yesterday's review, which i think would recognise in terms of the problem is the nhs is facing, as many people across the country have experienced. he has moved on a bit in terms of pointing towards where he wants a solution is to be and what he is talking about, in terms of the shifts that we need to see to treat more people outside of hospital, the fact that we need to deal with a productivity problem the nhs has built up in the fact that it is proven to be very difficult to do this from whitehall by issuing guidance. all those are things that we would absolutely recognise. the critical question is how do you do this? because it is very difficult as a prime minister or a secretary of state at the top of the system of not far off 2 million people working

and for it to get things to change. how do you fund it? already done the agreement with the striking doctors, also what we are hearing from labour at the moment is how tight the budget is and how savings are going to have to be made. so he is promising all this change but where is he going to get the money from? that is right and those questions that he will come very soon, and about seven weeks' time with the budget. the nhs is already outspending the budget has of this year now and unfortunately, what we have often seen is precisely those overspends inside a year, resulting in politicians having to bail the nhs out. and it tends to end upjust propping up what is a very

happening. propping up what is a very happening-— propping up what is a very haueninu. ., , happening. one thing that is quite strikin: as happening. one thing that is quite striking as hearing _ happening. one thing that is quite striking as hearing that _ happening. one thing that is quite striking as hearing that in - happening. one thing that is quite | striking as hearing that in england, the cancellation, the routine operations were cancelled more in in them and they were and other countries. in terms of anger�*s response to the pandemic, are differed quite substantially to other areas —— england's. what are your thoughts on that? it is other areas -- england's. what are your thoughts on that?— your thoughts on that? it is always difficult to make _ your thoughts on that? it is always difficult to make those _ your thoughts on that? it is always l difficult to make those comparisons. england did struggle to keep landcare going during the pandemic. limited hand of birds, equipment and staff. when a shock like covid comes along, it is pushing nhs faster over the margin then what it can do there may be a country like germany. i think that is the reminder that as

keir starmer and knowledge and so did lord darzi's report, when the nhs is one quite short in investing in some those long—term providers of stability and capacity to treat patients. despite all the warm words on digital that we have had from successive governments, funding for it has not been stable and often that means you get systems that don't join that means you get systems that don'tjoin up very well. he that means you get systems that don't join up very well.— that means you get systems that don't join up very well. don't 'oin up very well. he sort of said don't join up very well. he sort of said that he _ don't join up very well. he sort of said that he was _ don't join up very well. he sort of said that he was going _ don't join up very well. he sort of said that he was going to - don't join up very well. he sort of said that he was going to carry i don't join up very well. he sort ofj said that he was going to carry on with the promise of the previous government of the 40 hospitals, although he said that many of them white even hospitals. what a surprise to hear him make a vague commitment on that? i surprise to hear him make a vague commitment on that?— surprise to hear him make a vague commitment on that? i think that was encouraging — commitment on that? i think that was encouraging it— commitment on that? i think that was encouraging. it underlines _ commitment on that? i think that was encouraging. it underlines that - commitment on that? i think that was encouraging. it underlines that he i encouraging. it underlines that he recognises that concern about your investment, notjust spending. i

think that is positive, deciding what counts as a new hospital and mating lists —— making lists. the need is all across the nhs. it is positive that that is notjust stepping back from the commitment to spend more on nhs buildings. the testis spend more on nhs buildings. the test is whether they can do a better job of making that happen without some of the bureaucracy and that is part of the wider problem, again, of how you get the nhs to make those long—term changes without always getting distracted by the day—to—day. when the day—to—day can be so urgent and matter to so many people. get be so urgent and matter to so many --eole. , , ., , people. get these new governments that come in. _ people. get these new governments that come in, want _ people. get these new governments that come in, want to _ people. get these new governments that come in, want to make - people. get these new governments that come in, want to make a i people. get these new governments i that come in, want to make a change, they are constantly having to reorganise and redo the way that they were, it must be so exhausting

for the nhs staff to make the changes over time. it seems to be such an issue in terms of morale, apart from anything else. this will be a crucial _ apart from anything else. this will be a crucial test, _ apart from anything else. this will be a crucial test, i _ apart from anything else. this will be a crucial test, i think, - apart from anything else. this will be a crucial test, i think, for- apart from anything else. this will be a crucial test, i think, for the i be a crucial test, i think, for the ten year plan that keir starmer spoke about. we have often not been good about having long—term plan in the nhs that makes a small amount of objectives and backs them up with the people, the investment the change and the equipment that they need. i think if they can set a steady course on that and make gradual progress towards it with the money going the right places to encourage things that they want, thenit encourage things that they want, then it should feel like an improvement from what has often under successive governments then a reality of just new under successive governments then a reality ofjust new initiatives all the time, they are quite short term, the time, they are quite short term, the way they are measured often doesn't really reflect what staff and patients think is the most important. i think there is space forfocusing on fewer important. i think there is space for focusing on fewer things with things that really enable them to be

achieved instead ofjust demand it they happen again and again but there will be a test of the long—term plan next year. there will be a test of the long-term plan next year. thank so much. long-term plan next year. thank so much- plenty _ long-term plan next year. thank so much. plenty more _ long-term plan next year. thank so much. plenty more on _ long-term plan next year. thank so much. plenty more on this - long-term plan next year. thank so much. plenty more on this issue, . long-term plan next year. thank so i much. plenty more on this issue, the nhs and the changes that we have been talking about, on our website so do check it out. just got some news into bring you that the grangemouth oil refinery will shut down by the middle of next year with a loss of 400 jobs over the next two years. workers at the plant, which is the only refinery in scotland, one latte that it has been making significant losses and the owner was planning to close it. the announcement confirms that plan with formal consultation becoming where staff and a schedule in place to wind down. shipping terminal in the

firth of clyde where the pipeline link to grangemouth will be closed and 20 of the jobs will go there. it is time now to get a look at the weather. hello again. it's been a rather chilly start to the day, but for many of us it's been a dry start. we have seen some sunshine already. showers, though, have been affecting northern and western areas of the uk and as we go into the afternoon, those showers will continue. so today, really, it's a mixture of those sunny spells and showers. some of them could be on the heavy side with the odd rumble of thunder as well. but why is it so cold at the moment? well, the air is coming in all the way from the arctic. you can see those blues there across the uk as we go through today. behind me, the milder air will start to move its way back in as we go into the weekend. but for this afternoon, you can see just a rash of showers, really, across the united kingdom. some of those, as i say, could be heavy, maybe thundery,

perhaps not quite as frequent or as heavy as they were yesterday. sunny spells in between. still that north westerly wind. temperatures below the average for the time of year at 13 to 15 celsius. now, through this evening and tonight, the showers will fade away, skies will clear and the wind will drop. and that means temperatures will fall away quite quickly through tonight. and actually, tonight into tomorrow morning could be even colder than it was last night. temperatures perhaps down to freezing across northern parts of england and into central scotland. those are the temperatures in the towns and cities — 2 to 7 degrees. but for friday, it's going to be a lovely start to the day with lots of sunshine. a few showers perhaps across northern scotland, one or two coming in towards east anglia, the southeast of england as well. but for most of us, it's a dry and a fairly sunny day on friday. maximum temperatures up by a degree or so on today — 13 to 17 degrees. but into the weekend, we will see that switch in wind direction, a south—westerly wind bringing milder air. high pressure sitting

to the southeast, keeping things settled, low pressure to the northwest. and that's going to bring in some pretty strong winds across the far north and west of scotland through saturday, along with some rain, which is going to gradually move its way in across scotland and northern ireland. cloud increasing in northern and western areas of england and wales, but down to the southeast, it's staying dry and fairly bright. temperatures up again a little bit — about 16 to 19 degrees on saturday afternoon. as we go through sunday and into the rest of the week, well, actually not looking too bad. sunny spells and temperatures more typical for the time of year. bye— bye.

live from london. this is bbc news. two private citizens are about to become the first ever to complete a privately—funded spacewalk — on a spacex which launched from earth on tuesday. this is the scene live at space x mission control — we'll bring the spacewalk to you as it happens. sir keir starmer warns the nhs is broken but not beaten — after a damning report into the health service in england. and pope francis calls

for respect for all as he leads mass with 50,000 people at the national stadium in singapore — on the final leg of his four—nation tour of southeast asia. hello. we start with a history—making space mission. in the next few minutes, the first ever spacewalk by non—professional astronauts is due to take place — after being delayed by several hours. this is the scene live at spacex mission control where the polaris dawn mission is being monitored. it has been funded by the billionaire, jared isaacman — and launched from the kennedy space centre in florida on tuesday. he and an engineer sarah gillis will wear a new type of space let's join the bbc�*s science correspondent, pallab ghosh —

who is covering this historic mission, as it gets under way.