as the chief has resigned as the chief executive of nhs england. amanda prichard had led the health service for three and a half years and she will step down at the end of march in her resignation letter she said it been an privilege has been an enormous privilege to lead the nhs in england what has undoubtedly through what has undoubtedly been most difficult period we are c-ettin in history. we are getting some reaction that user and reactien. be that. user andrthgr— — ,, ~ ~ , ,, secretary west reestien. ts thet user snususw — ,, ~ ~ , ,, also ecretary west streaking reestien. ts thet user snususw — ,, ~ ~ , ,, also commented tstreaking reestien. ts thet user snususw — ,, ~ ~ , ,, also commented and eaking resstisn. ts thst user unurther— — ,, ~ ~ , ,, also commented and we ing resstisn. ts thst user unurther— — ,, ~ ~ , ,, also commented and we will has also commented and we will bring you those comments just shortly. wes streeting has shsrttys isles streeting lass ~ , , , ~ ~ . amanda can be enormously said, amanda can be enormously proud the leadership she is proud of the leadership she is given in the of the given in the face of the health emergency for in modern fiagoazr’n’iigts'rj, well 7 well as 7 well as; nhs england during turbulent political and six secretaries of during turbulent political in nd six secretaries of during turbulent political in no six secretaries of during turbulent political in no time ecretaries of during turbulent political in no time as etaries of during turbulent political in no time as chiefs of she ' 7 n 7 éhe has 7 7 " "';h;"h;;' ”fwith executive. she has lead with integrity unwavering wes 7 wes streeting the

secretary 7 secretary goes 7 secretary goes on v secretary goes on to the 77 the start 5 77 the start of 77 next say, the start of the next year the financial year and the publication of the ten year plan for health will be on the road reform. moments on the road to reform. we also require a new we will also require a new relationship between the rfilet'hhflfls sftmzn ths of rfiletlfih=hls hffflfih ths of health and rfiletlfih=hls hfszeeh ths of health and social department of health and social care agdu—w he goes to 7 7 to say, 7 7 to say, i 7 7 to say, i am delighted 7 on to say, i am delighted that jim mackie has agreed to step up jim mackie has agreed to step up to new leadership up to provide new leadership for a new era for the nhs. he knows the nhs in the inside out can see �* it needs to ehe eeh see hess it hesse ts ' '”' ’ and will shs ssh see hsss it hssss ts ' '”' ’ and will with shs ssh see hss it hssss ts ' '”' ’ and will with the 75’s? as: suurgency urgency we need. in speed and urgency we need. in the minute, that use comic the last minute, that use comic that amanda prichard the chief executive of nhs england is stepping down after three and a half years in the i know half years in the post. i know she's holding meetings she�*s tissn’hdlding meetings wes she�*s been’helding meetings wes streeting site�*s been’helg�*ing meetings wes streeting the —wltl�*g—\!-.lé—s streeting the health recently. he has been secretary recently. he has been very his plans for very public about his plans for the health service shared with 7 starmer

: starmer and 7 : starmer and these 7 : starmer and these meetings shortly but before this came shortly but before this by amanda prichard announcement by amanda prichard in an official statement is expected she is esuestes ts ssnfirm shels " "' ' down as fof 77 of nhs england. a executive of nhs england. a little bit more about what she in her response fetter, letter, talking about how her letter, talking ebsut st was her letter, talking absut st was a hugely difficult th'eseeehussle e'tt'flilt she th'hseeehussle e'tt'fljlt she said tb'sfiesekflfisle e'tt'he“ she said it has been decision. she said it has been an enormous privilege to lead the nhs in england to what has undoubtedly been the most period in its 5m,” neeéutf w , w i'm proud of nhs response j nhs response to j nhs response to vaid and �*we �* we have a steady how we have delivered a steady recovery from the inevitable of the pandemic urgent and performance in urgent and emergency care, elective and all improving of the counter all improving of the two years while nhs teams delivered record levels of activity in primary care, mental health meaning millions more fol; patients. i am appointments for patients. i am joined by our editor.

joined by our health editor. whew, what we know about the whew,. whet—we—khstu sssut the why amanda prichard is reasons why amanda prichard is stepping down? her reasons why amanda prichard is stepping down? _ stepping down? ~in.u;.-.,s.u.e. chair of nhs stepping down? ingteruefiegg - chair of nhs engm- stepping down? indteruefiegg - chair of nhs england and i the chair of nhs england and the chair of nhs england and the health secretary wes streeting she has made pretty clear that is, apart having done a huge amount -==: ==: the last 77 and 77 the last 77 and happier in the last three and happier since she has been in post, the towards nhs en-land 7 7777107777?" 7 ito'thie" closer to the department of health and social care, running health in england, has health and social care, running health in e that rd, has health and social care, running health in e that has as something that has been and i gather she happening and i gather she felt, because the two were moving closer together, it was 72 74 -777 for her to 7 for her to stand f'éphéftoééha'bécp 7 gdrneone take gogrneone take on the let someone else take on the role. the politics of this are i’i l ht role. the politics of this are right back to reforms in going right back to reforms in england under the conservatives and the coalition. health gndntnexcoalition. the healtil . was given a fair secretary was given a fair amount of to run the amount of autonomy to run the health service in england. that

heetth seruise in. eeatasesthet . — r——— 7—7 . ——— under hestth seruise in. eeatasssthet . — a, s. . 7— under the heetth seruise in. eeatasesthet . — r——— 7—7 . ——— under the last changed under the last government with matt hancock as of state for health secretary of state for health and lord stevens, amanda two predecessor, to prichard two predecessor, to bring them closer together it was felt actually it was not have them so far workable to have them so far apart. it is moving apart. but it is now moving even closer and quite probably amanda feels she has amanda prichard feels she has been working under the regime up been working under the regime up until now, it is going to be up until new. it is going to be and up until new, it is going to be and it up until now, it is going to be and it is time to different and it is time to go. told it is amicable and i'm told it is amicable and those letters have been and we will have to exchanged and we will have to see who takes on this very importantjob in due course. importantjobisduetsurse. in the meantime, sirjames and in the meantime, sirjames mackie is taking over as transition chief executive from 715i ' 7 7 istof 7 7 7 7 istof 7what7 7 7 71751 a 7 7 what7has7 7 7 77|7$£ 70f7 7 7 77 7what7has been the 1st of april. what has been said about him?— said about him? he's a very experienced _ said about him? he's a very experienced nhs _ said about him? he's a very experienced nhs senior- said about him? he's a very - experienced nhs senior manager. he will enter major health trust in newcastle, newcastle upon tyne and is also on the board of nhs england. he has

beenin board of nhs england. he has been in charge of trying to direct elective recovery. that means cutting list, direct elective recovery. that means more; list, direct elective recovery. that means more operations t, direct elective recovery. that means more operations done. getting more operations done. very pair of hands very experienced pair of hands there to step in. amanda prichard we told to leave the end at march. early at the end of march, early april, and the search goes april, and in the search goes i guess the important thing sn.. lguessthe'imasrtsht thing whoever takes it on will sn.. lguessthe'imasrtsht thing w to ever takes it on will sn.. lguessthe'imasrtsht thing w to ever t. really on will sn.. lguessthe'imasrtsht thing w to ever t. really who 'ill sn.. lguessthe'imasrtsht thing w to ever t. really who is 77 7- of 7and to what secretary of state? andto what there scope for nhs extent is there scope for nhs england to direct the more 77 _ 7 people iiore than a people employed 1 7 people employed in the 7 w 72i’,;fby .ma:ny by many trusts gi? 50 it gi? so it is a own gp practices so it is a really important role and there is speculation that good is sseculatisn. that could gees-----.-. . . . s. -.-. to be put off candidate to be put off because of the sense that the secretary st the sehse that the ss=rete¥ ~ . . 7 state wants st the sehse that the se=reta¥ ~ . . 7 state wants to run of state wants to really run show? or could be that iihéi sees.» it; iii-413 it he ihhi ls hhh sees.» fih hhulh h hh hhhh is a medium to there is a happy medium to make it work? a bit of a surprise that amanda prichard has stand down very she

to stand down very soon. she a tough time at a committee con71mittee recently select committee recently with a lot of about nhs a lot of questions about nhs productivity and where the nhs making efficiency but making efficiency savings? but a surprise that we have had this news this morning. thank ou ve this news this morning. thank you very much- _ this news this morning. thank you very much. our— this news this morning. thank you very much. our health - you very much. our health editor with a new set amanda prichard, chief of priche rot; chief executive of england, is ptiche rot; chief executive of england, is stepping nhs england, is stepping down at the end of march. let's show you what is going on somewhere yougwhat is going on somewhere in onugwhat is going on somewhere in central london. it else in central london. it is �* policy exchange, badenoch 7 7 had7e7rioch77wi7l71777777 7 had7e7r7ioch77wi7l717b7e777 7 badenoch will be spegking are very shortly. 7 are very shortly. you 7 there are very shortly. you will be about foreign will be talking about foreign policy that is due to be at 10:30am. it is running a little viqiqam.’ it isrr—uhhihg a little late. we will be back as bit late. we will be back as soon as she speaking. soon as she starts speaking. let's get more on domestic energy prices in the uk 6.1196 in a-ril under the ofgem's new cap. on people's finances.

and electricity bill rise by £111 a year. the cap, which puts a limit on the amount suppliers can charge for each unit of energy, affects the bills of 26 prices are going so thousands of homeowners are insulation down. laying insulation down. although it will be above price, it more peak price, it still... more customers are taking things their 7 7 their own hands. 7 their own hands7. wha7t their own hands. what are into their own hands. what are you it up to? hate into their own hands. what are you - it up to?— . it7 7 it7up to 270 building it up to 270 millimetre. it is a big duvet, tog duvet! 7 high tog duvet! here—5a , ., this high tog duvet! hal-eta, greets: _ this homeowner] high tog duvet! hal-eta, greetg _ this homeowner is fiahhhfltsrthehhmsfisehsr is for gra nt -:"s�* 5”- ties --:—�*~ her-4s ~ . . ..., ——— cost of -:"s�* 5-.. ties -h:—" her-4s hh h h h h hh cost of insulation because the cost of insulation because a heart condition. he writes of a heart condition. he writes to be looking at 25 to 35%. you

get77777777 h— hh get that7good up on the size there depending on the size of house, 250 £400 per year. the house, 250 £400 per year. that is not the only to that is not the only way to save because there are no fixed deals that are cheaper than the price gap if you shop around. are on 7are on that standard if you are on that standard tariff at moment, there are tariff at the moment, there are savings to be made out there so a comparison, see what is when a comparison, see what is out there �*you. when a comparison, see what is out there i you.— sutthere terysu is announcing an as 7 as well 7 as well as raising increase as well as raising charges and extra was; 7 7 whole7sale gas and levies. wholesale gas and electricity prices have been falling internationally but over the last couple of months we have seen more instability we havesee" mere ihstasilitv ukraine, are we haveseen res-he ihstasilitv ukraine, are colder than ifi—uhr�*élfle; are colder than winter across ianeraine; are colder than winter across europe ianeraine; are colder than presidenter across europe ianeraine; are colder than president from oss europe ianeraine; are colder than president from coming >pe ianeraine; are colder than president from coming back power in america has to power—in america has more global produced more global . and that means that instability and that means that we are all paying more for our

energy bills as result. energy bills as a result. disappointing, yeah, 111mm 7-——7777 7 —7777 the top do77n't often get the top do7n't often get to at the top don't often get to feel the same pinch we feel at m 1mm to not kee it on decision to not keep it on all day — decision to not keep it on all day but— decision to not keep it on all day. but it is something we have — day. but it is something we have to _ day. but it is something we have to to do. we day. but it is something we have to to do.— day. but it is something we have to to do. 7 last yeawas fine, that last year was fine, a cover_ that last year was fine, a cover goes— that last year was fine, a cover goes through - that last year was fine, a i cover goes through winter that last year was fine, a - cover goes through winter but 7== 7 -77 it is not covered so - it is not covered so now. 7 it is not covered so now we mm m paying extra. this increase are paying extra. this increase will be more _ are paying extra. this increase will be more pressure - are paying extra. this increase will be more pressure on - are paying extra. this increase | will be more pressure on those already working hard to keep we promised we be with kemi badenoch as she delivered her on foreign policy in london. itet’s london. let’s go to it central london. let's go to it now. ,, , , 555555 mm: 555555 mm must be realistic and we are in another era of that we are in another era of change. a reappraisal of how nation interact, n7ation interact, how the nation state interact, how much focus we must place on our

and how geopolitics defence and how geopolitics works. at the very least, the pax of over half a pas. americana sf sver half a hhhh hhhhhhhhhhh hhhhhh is pas americana sf sver hat? ahh h h hhh is evolving, century is evolving, potentially even ending. may potentially even ending. we may be witnessing 7 -777 777wo7rl7dofth7e77 7 world of the strong and the and in such a qanii irisuéhl; was 77 and in such a world we weak and in such a world we must not be weak. our foreign {rodd 77 77 should support 7 policy shouldsupport our interests. we should national interests. we should review those alliances, approaches 7 approaches which7 approaches which served us and approaches which sexved us three generations. h hhhthey they 7 weshould they 7 we should keep hh hh 7a7nd7 hh h—h h h hhhhh hhhh and where 77 77 7and7w7h7er7e7the7y7d7o777 77 77 7and7w7h7er7e7the7y7d7o7n7ot,7777 them, and where they do not, they should go. united must 7 m u7st a cce pt 7 mth accept reality. no kingdom must accept reality. no us a living. no one owes us a living. no process is an end in itself. we no longer hide behind vapid can no longer hide behind vapid statements that were at best

ambitious 20 years ago and are i irrelevant. i irr7eleva nt77. it i irr7elevant77. it is now today i irrelevant. it is time to speak truth, the time to speak the truth, the world has in the uk is world has changed in the uk is not ready. so we must change too. the first thing we must define our national 7 we need a first interest. we need a first approach that really principle approach that really recognises that a nation's purpose7 77777 purposeis 7 purpose is to primary purpose is to defend . 5 55 h .. h-.- borders, values primary purpose is to defend . hh 55 h 5 hh.h borders, values and primary purpose is to defend . 5 55 h 5 hh.h borders, values and its its hard-era. its salues ahd"its "*""""*”"”'* and its islanders. its salues ahd'its ” " ” and important as �* objectives may be, �*objectives may be, the other shjectiues mas heh the hhh — h— reality other objectives mas heh the hhh h h reality is other objectives mas heh the hhh h hh reality is that blunt reality is that everything else must be secondary. interest secondary. national interest means a strong military and a strong economy. a recognition means a strong military and a stro if economy. a recognition means a strong military and a stro if powermy. a recognition means a strong military and a stro if power supply ecognition means a strong military and a stro if power supply chains :ion means a strong military and a stro if power supply chains are that if power supply chains are overly to those who do h§erl¥7hh§hhh7§ 5137 ehhhhtehhhh share our values, averlv'espasep�* ts theses-these share our values, our is at risk. but relying country is at risk. but relying on goodwill is a errand, on goodwill is a fools errand, genuine prosperity is

genuine long—term prosperity is from real competitive advantage, not fake that peace is aspirations. that peace is obtained through strength. that others, even friends, will . put ultimately put themselves first. and before the inevitable pearl clutching of those who it was still those who wish it was still none of this is selfish 1995, none of this is a selfish objective. we have lived off inheritance 7— 7 inheritance of thatcher, the inheritance of thatcher, reagan and gorbachev far long. the world has changed too long. the world has changed and we �* must be realistic. and we now must be realistic. cannot help others if we simply cannot help others if you cannot help yourself. 7 britain be strengthening britain must be the principal objective at the heart of everything we do. that means not elevating internationalism or progressivism above our own national interest. when david 777tali7

championing ever more expensive approaches to international law gpproaches to international law expense of british at the expense of british interests. it means recognising sovereignty interests. it meansrecognising sovereignty matters, our that sovereignty matters. our above all. sovereignty above all. secondly, must stop being secondly, we muststop �*cneing about international naive about international affairs. where partnerships are supranational work supra national institutions work for us supranational institutions work for us and deliver in our national interest, we will support them. as a trading nation, we to protect the nation. we need to protect the . . that underpin global gglzezsztbartdgnderpin glo�*aal . i we should gglieisitbatggnderpin glo�*aal i i we should always commerce. we should always trading commerce. we should always as �*ading commerce. we should always as trade relationships. as trade i signed the trade hhhfhhhfh ih'hhhh hhh�*hh�*eh because it was deal because it was and strategically and economically strengthen our beneficial, strengthen our links in the indo—pacific where were concerns around there were concerns around china. so where international strengthen our alliances strengthen our security, we must continue them. nato remains vitalfor

european defence and we must new 77 7773564777 7 7l7ike7 7 77 7773564777 7 7l7ike7au7k7us7 7 our ew like aukus our ew allies. e aukus our ew allies. but ikus our ew allies. but we; with ou�*r closest allies. but we let be have let ourselves be fooled into believing that international law alone can a . reements areements or international agreements or institutions are somehow end in and of themselves. so when -744 with with no 7 for th7e than, 77 77 for th7e law, we respect for the law, we need more realism. international law should not become tool for 2727—777 2727-77 ngos and other critics to advance an activist political through international :i’: 7" :i’: ii; 7" :�*r�*j’: ii; “iii. bodies or our courts. just look at how the echr redefined climate protection a human climate protection as a human right or at the climate protection as a human right orat the in right or at the overreach in the advisory opinion of the court ofjustice mm the rulin of the andthe hulieo of the tribunal for andthe huliha of the tribunal for the lnternatisnal trihunal fsr the h555 55—55 on lhternatisnaltrilaunalfsrtheh .. . . h on chagos, or on raptors law on chagos, or on un raptors during the well claiming the us —— we are racist in you we

-77 77 clearly are not.7when are clearly are not. when h 5 h5. are clearly are not. when. h h .5 .. .h. are taken over by activists are autocratic regimes like china and- we must autocratic regimes like china and we must use our and russia, we must use our influence to stop them infjgence to stop them and if fails we will need to that fails we will need to disengage. the third thing we must is get cvs within our mu=t ds is set hhh sithin sur 5, a, we, nation. must d