a warning that household energy bills could rise again at the start of next year. and release the balls. and the national lottery celebrates its 30th birthday — it has created 7,000 millionaires and raised tens of billions of pounds for good causes. and coming up on bbc news: tottenham will be without midfielder rodrigo bentancur until boxing day as he's banned by the fa for seven matches, for using a racial slur about a team—mate. good afternoon. leaders of the world's 20 most

powerful nations, the 620, are gathering in brazil for their annual summit. the war in ukraine will dominate the agenda, after us presidentjoe biden finally decided he will let ukraine use american long—range missiles to attack targets deep inside russia. the kremlin has reacted furiously — it says mr biden is adding fuel to the fire of the conflict. from the summit, our diplomatic correspondent james landale reports. another night, another round of russian air strikes on ukraine. in sumi, ii russian air strikes on ukraine. in sumi, 11 people were killed including two children. many more were injured. a relentless bombardment in a war that's almost 1000 days old. but now perhaps a chance for ukraine to fight back in a new way, with permission to use these american long—range missiles known as atacms against targets in russia. translation:—

known as atacms against targets in russia. translation: strikes are not made with words. _ russia. translation: strikes are not made with words. such _ russia. translation: strikes are not made with words. such things - russia. translation: strikes are not made with words. such things are - russia. translation: strikes are not made with words. such things are not| made with words. such things are not announced. the missiles will speak for themselves, definitely. the announced. the missiles will speak for themselves, definitely.- for themselves, definitely. the us decision means _ for themselves, definitely. the us decision means britain _ for themselves, definitely. the us decision means britain and - for themselves, definitely. the us decision means britain and france | decision means britain and france may now allow ukraine to use their own storm shadow missiles can also long—range, also able to hit deep into russia, although there is no confirmation yet. all this means that the world leaders arriving in brazil for the g20's summit, the war in ukraine will once again figure highly in their discussions. all eyes will be on russia's foreign minister, sergei lavrov, here in place of president putin who is facing arrest by an international court for alleged war crimes in ukraine. president biden here visiting brazil's rain forests long resisted allowing kyiv to use us missiles in russia, fearing escalation. but he's

changed his mind, perhaps aware of what his successor plans. for donald trump may not be here in brazil but he wants the war in ukraine to end soon and his presence hangs heavy over the summit is the world prepares for his presidency. that uncertainty is one reason why sir keir starmer met president xi of china, the first british prime minister to do so for more than six years, seeking what he called a sensible and pragmatic relationship to boost trade and the economy at home. the international community isn't something of a holding pattern, until donald trump takes office. so this summit is a chance for world leaders to compare notes and prepare for whatever is coming their way in january. and prepare for whatever is coming their way injanuary. they and prepare for whatever is coming their way in january. they face and prepare for whatever is coming their way injanuary. they face a tough choice, do theyjust accept mr trump's agenda or try to set one of their own? president lula of brazil once his summit to discuss global

poverty and climate finance and reform of international institutions. but once again the focus will be on ukraine, the middle east and, yes, donald trump. james landale, bbc news, in rio de janeiro. in a moment we'll talk to our correspondent paul adams who's in eastern ukraine. but first live to moscow and our russia editor steve rosenberg — and steve, an angry response from the kremlin to mr biden�*s decision on the use of these american missiles? yes, indeed, ben. although i have to say compared to what one russian senator said yesterday when he suggested we were already on the way to world war iii, i thought his comments were quite low—key today compared to that. presidential spokesman dmitry peskov said he had noted the reports coming out of america aboutjoe biden permitting ukraine to strike russia with us supplied long—range missiles. he said that if such a decision has

been taken, that would mean a whole new spiral of tension. he said it would be a reckless decision, a dangerous decision. then he came out with that phrase, the criticism accusing the biden administration of adding fuel to the fire. western leaders would say that if anyone now was adding fuel to the fire, that would be russia, after nearly 1000 days of russia's war against ukraine and with russia now deploying reportedly thousands of north korean soldiers in russia's kursk region to fight ukrainian soldiers. but things are presented very differently here. in russia, russia is presented as the victim, not the aggressor. the kremlin controls the media landscape and the narrative here.— and the narrative here. steve, thank ou ve and the narrative here. steve, thank you very much _ and the narrative here. steve, thank you very much indeed. _ and the narrative here. steve, thank you very much indeed. steve - you very much indeed. steve rosenberg in moscow. and live to paul adams in dnipro in western ukraine. how is this decision byjoe biden on the use of american missiles being seen there in ukraine? to what extent do people

think it will change the course of the war? ., ~ ., think it will change the course of the war? ., ~' ., ~ think it will change the course of the war? ., ~ ., ~ , the war? you know, i think there is a weariness — the war? you know, i think there is a weariness and _ the war? you know, i think there is a weariness and perhaps _ the war? you know, i think there is a weariness and perhaps even - the war? you know, i think there is a weariness and perhaps even a - a weariness and perhaps even a cynicism because people here have watched as every stage of this process of providing weapons by the west has been agonising. first it was javelin missiles, then it was tanks, then it was f16s, at each step of the way the ukrainians have made their demands, the west has mulled them for ages, said it is likely to trigger some kind of russian reaction, delayed and delayed and delayed, and finally delivered. for ukrainians this is another such moment. i think military experts are somewhat divided. some saying that this could be something of a breakthrough, enabling ukrainian forces to hit targets deep inside russia which could definitely affect the operation, the expected rush in operation, the expected rush in operation in the kursk area, but possibly elsewhere, too. and others

who say that it's a fairly limited advance, that it helps to kind of a slightly equal the playing field, slightly equal the playing field, slightly level the playing field but that no one should assume that this is a magic bullet that is somehow magically going to change the course of the war. ., magically going to change the course of the war. . ., ~ magically going to change the course of the war. ., . ~' , of the war. paul, thank you very much indeed. _ of the war. paul, thank you very much indeed. paul _ of the war. paul, thank you very much indeed. paul adams - of the war. paul, thank you very much indeed. paul adams in - of the war. paul, thank you very - much indeed. paul adams in eastern ukraine. as we have heard, sir keir starmer has just become the first british prime minister in more than six years to meet president xi jinping of china, with bilateral talks at the g20 summit. sir keir said afterwards a strong relationship is important for both countries. it comes after a chill in uk—china relations, with the chinese government accused of human rights abuses, an of the aggressive use of cyber attacks and espionage. our deputy political editor vicki young is in rio for us. vicki, how significant was this meeting? this is certainly a significant

moment. as you say, the first time in six years that a british prime minister has met the chinese president. that meeting has now finished, and afterwards downing street said that sir keir starmer had talked about relations, he wanted them to be durable, to be consistent, to be respectful, and interesting he said they agreed to avoid surprises where possible which kindly gives you a little sense of this relationship has been over the last few years. they also talked in advance about the need to be firm and honest about areas of disagreement, and there have been lots of those, too. particularly, as you say, over human rights, the fact there are british parliamentarians to have chinese sanctions against them. this is certainly a relationship that has ebbed and flowed and there has been a lot of tensions over the years. if you think back to david cameron and george osborne, they heralded a golden era of relations with china. david cameron even took the president to a pub in oxfordshire to

share a pint, but things, as you say, have soured in recent years. the word we are hearing a lot from sir keir starmer is pragmatic. he wants trade relations, he wants to improve that with china, huge economy, labourwanting improve that with china, huge economy, labour wanting to boost growth after some pretty disappointing figures recently. there is going to be some tension here, though, between calling out those human rights in those areas of disagreement and wanting to have that good trading relationship, then throw into all of that donald trump, the possibility of tariffs, the possibility of a trade war, you can see how difficulty navigating this relationship is going to be full sir starmer. . ~' ., relationship is going to be full sir starmer. . ~ ., ., relationship is going to be full sir starmer. ., ., , , starmer. vicki young, a deputy olitical starmer. vicki young, a deputy political editor, _ starmer. vicki young, a deputy political editor, live _ starmer. vicki young, a deputy political editor, live in - starmer. vicki young, a deputy political editor, live in rio - starmer. vicki young, a deputy political editor, live in rio de l political editor, live in rio de janeiro. waiting lists for gynaecological appointments have more than doubled across the uk since the start of the covid pandemic in 2020.

there are now more than 750,000 outstanding appointments. our health correspondent, catherine burns, has been speaking to women who've long been suffering with debilitating pain. this goes way beyond just painful periods. anna cooper has had 17 surgeries, including having herwomb removed. and she is still in pain. she uses a morphine patch to deal with it. anna has to change her stoma bags every day. she has had her bladder and most of her barrel removed, all this because she has endometriosis, where tissue like the lining of the womb grows in other parts of the body. now, a visit to parliament. she says she is trying to turn her pain into power, campaigning for more support for women's health. the campaigning for more support for women's health.— campaigning for more support for women's health. , women's health. the delay in my care has cost me — women's health. the delay in my care has cost me some _ women's health. the delay in my care has cost me some of _ women's health. the delay in my care has cost me some of my _ women's health. the delay in my care has cost me some of my major- women's health. the delay in my care. has cost me some of my major organs. it's mentally tormented me for most

of my adult life because it's really difficult dealing with the condition where i look absolutely fine from the outside but internally i am just in despair. the outside but internally i am 'ust in desair. �* ., the outside but internally i am 'ust in desair. �* . . ., , ., in despair. anna has had lots of treatment _ in despair. anna has had lots of treatment on _ in despair. anna has had lots of treatment on the _ in despair. anna has had lots of treatment on the nhs - in despair. anna has had lots of treatment on the nhs but - in despair. anna has had lots of treatment on the nhs but says| in despair. anna has had lots of. treatment on the nhs but says she has also gone into debt, paying £25,000 for private care. there is not a day that _ £25,000 for private care. there is not a day that i — £25,000 for private care. there is not a day that i don't _ £25,000 for private care. there is not a day that i don't wake - £25,000 for private care. there is not a day that i don't wake up - £25,000 for private care. there is not a day that i don't wake up in i not a day that i don't wake up in pain. it's like somebody has a chain wrapped around my stomach and it's just being pulled tighter and tighter, and it's crippling. other women have — tighter, and it's crippling. other women have told _ tighter, and it's crippling. other women have told us _ tighter, and it's crippling. other women have told us how - tighter, and it's crippling. other women have told us how living. tighter, and it's crippling. other women have told us how living with gynaecology problems affect them. the impact on my life has been utterly— the impact on my life has been utterly devastating. | the impact on my life has been utterly devastating.— the impact on my life has been utterly devastating. i have liquid mor - hine utterly devastating. i have liquid morphine probably _ utterly devastating. i have liquid morphine probably on _ utterly devastating. i have liquid morphine probably on a - utterly devastating. i have liquid morphine probably on a day - utterly devastating. i have liquid morphine probably on a day to l utterly devastating. i have liquid l morphine probably on a day to day basis _ morphine probably on a day to day basis. it— morphine probably on a day to day basis. , ,., . morphine probably on a day to day basis. , ., ., basis. it is so hard to live with the symptoms- _ basis. it is so hard to live with the symptoms. they - basis. it is so hard to live with the symptoms. they don't - basis. it is so hard to live with l the symptoms. they don't stop. basis. it is so hard to live with - the symptoms. they don't stop. many have progressive _ the symptoms. they don't stop. many have progressive conditions that get worse the longer they are left untreated. across the uk, gynaecology waiting

across the u