this time, if bma members back industrial action, the plan is to walk out for 72 hours in march, ande union says it's the only way to press the government on pay. the basic salary of a junior doctor in their first year isjust over 29,000, not including overtime and night payments. junior doctors in england received a 2% rise in april as part of a four—year deal, but the bma estimates their pay has fallen by more than a quarter over the last 15 years, as a result of rising inflation. while there's been a substantial increase in the number of students being accepted into medical schools, the junior doctor's salary has fallen in real terms, and these students leaving their studies with about 50 to £90,000 worth of debt. so it creates real problems in terms of how you recruit and retain these students in the nhs. the department of health says junior doctors' pay has risen by 8% in the four years to march this year, and there's been extra investment to provide more money for the most experienced junior doctors, as well as extra funds for those working frequent weekends and night shifts. t

the doctors union, the bma, has been balloting junior doctors over possible industrial action.eading, it is anyone under consultant level. 16,000 doctors across england. the bma say if that vote goes in favour of industrial action, they are planning to call 72 hour strikes in march. three days, back to back. unless some deal can be done, you can see it is likely to be done, you can see it is likely to be even more disruption to nhs services over the next coming months and weeks. . ~ services over the next coming months and weeks. ., ~ , ., you can check how many people are waiting at your local hospital service using the bbc�*s nhs winter tracker. just go to bbc.co.uk/nhstracker and wherever you are in the uk put in your postcode to see the latest published information on waits in a&e, routine operations and ambulances. the prime minister rishi sunak says he has invited striking union leaders for what he calls a �*grown—up' conversation on monday about what is �*affordable, reasonable and responsible.�* it comes as rail passengers face another day of disruption with members of

and lynch, team bma others. and i just want to be able to get to work on time it seems. on prince harry. this time he revealed his kill count in afghanistan. michael says i served in the royal navy , had served in the royal navy, had the pleasure of hosting the sas , royal marines and army on board the ships i was on board some the ships i was on and no one mentioned or bragged about how many killed . it about how many they'd killed. it was a taboo subject. harry has a target on all service. people at home and abroad. know. don't use any exaggeration. it seems absolutely ludicrous that he thought it was for him to mention that in his and potentially open us up to threats of a reaction in some way or another . anyway, thank way or another. anyway, thank you very much indeed for sending in your views. please do keep them coming. i love reading them out moving to out so i'm going to be moving to another that was covered another topic that was covered in week, but i thought in the press week, but i thought we as we should. digging deeper as rishi teacher has rishi sunak's ma

richard votary , bma, gp is dr. richard votary, bma, gp committee chair.show. thank you very much. we're hearing a lot about at lower end of the spectrum at the lower end of the spectrum in it were, lower end in the nhs as it were, lower end of the spectrum. i so of the spectrum. i mean, so you've got, know, says you've got, you know, says paramedics, nhs paramedics, what your nhs call handlers on that record is a huge sympathy for doctors in this economic got this economic climate has got pay this economic climate has got pay well is there that. pay rise as well is there that. well doctors as we know that health care workers are working harder than they'd ever done and are really concerned the service that they're to provide to their patients. we don't want to see patients. we don't want to see patients waiting long periods time for procedures. we don't them to be waiting unnecessarily . and we don't want them to be waiting hospital to be discharged into social. but we do need the government act on this very okay. i need you educate me. not for the first

this is the bma, the chair of the bma hitting back the number 10 political, to be fair 10 is very politicalause is of course. of course. because it's the guardian. yes. but i actually think hearing from the royal of emergency medicine, who once more power and more once had more power and more weight, just expected weight, the bma just expected them government bashing. them to be government bashing. yeah it's important hear what yeah it's important to hear what they're of course i do they're saying. of course i do think there's political think there's a political point to. i'm just to. absolutely i know i'm just reporting they're which is reporting what they're which is that they're hitting at that they're hitting back at number refusal or apparent number 10 refusal or apparent refusal there is a refusal to admit there is a crisis in the nhs. refusal to admit there is a crisis in the nhs . many of us crisis in the nhs. many of us feel that the more you know, there are different issues in there are different issues in the nhs. you pour billions and you the billions you report double the billi

and she insisted, despite what the bma, the british medical association, has said, that the nhs in scotlandshaw in edinburgh, thank yon — a new scheme to support firms with their energy bills will be announced in the house of commons today. the current scheme, which caps the unit cost of gas and electricity for all businesses, expires at the end of march. it will be replaced with a scheme that offers a discount on wholesale prices rather than a fixed price. britain and the european union are due to hold further talks today to try to reach a deal on a crucial aspect of post—brexit trading arrangements. the northern ireland protocol keeps the british province aligned with some eu trade rules in order to avoid border checks with the neighbouring republic of ireland. there are hopes london and brussels may be edging closer to a deal on relaxing some of the new rules. but there are also warnings on the scale of the challenge in agreeing reforms. there�*s still no comment from buckingham palace over prince harry�*s allegations concerning the royal family. the duke of sussex has now accused some m

let's get more on this from junior doctor and deputy chair of the bma, dr emma runswick.is behind this industrial action, or this vote for industrial action, or this vote for industrial action, or this vote for industrial action —— tell us a bit more. industrial action -- tell us a bit more. ~ , y industrial action -- tell us a bit more. x, , g ., industrial action -- tell us a bit more. _ ., .,, more. absolutely. junior doctors have faced _ more. absolutely. junior doctors have faced a _ more. absolutely. junior doctors have faced a severe _ more. absolutely. junior doctors have faced a severe peg - more. absolutely. junior doctors have faced a severe peg at - more. absolutely. junior doctors have faced a severe peg at of. more. absolutely. junior doctors i have faced a severe peg at of 26.196 have faced a severe peg at of 26.1% over the last years, which is contributing to serious staffing difficulties in the nhs. we cannot provide the care that we want to for patients any more because our colleagues leaving for other professions in the uk or other countries such as aus

so in 2004, the bma , the gp so in 2004, the bma, the gp contract and, basically gp's only work officework 9 to only work office, they work 9 to 5 and that's it. and they have no responsibility for clinical care and evenings and weekends or bank holidays . so no urgent or bank holidays. so no urgent responsibility at all during those times. that's really , those times. that's really, really tragic and that's put a huge pressure on the accident and emergency and that's part of the problem with accent. the wait no doubt to talk about it and because because a patient who cannot get an appointment with a gp takes his or her problem down to any absolutely but it's worse than that because the gp they have a contract but basically they run their own practises and as it comes as a consultant surgeon , i had a i consultant surgeon, i had a i had a contract, i had a job plan . i just stick to the job plan. i was appraised on the plan, etc. but gp's basically can almost as they wish and the almost do as they wish and the fact of life is that about 50% of gp's work three days or less . 50% of gp's

and that's not going to well with bma bma . to go down well with bma bma.ght with anybody , it's simply fight with anybody, it's simply the case that . we have to look the case that. we have to look at how we can have national health service that really works for the kind of health conditions, the kind of society have today. we've got to be have today. and we've got to be willing , able to put forward new willing, able to put forward new ideas that. i mean, ideas around that. i mean, sometimes even the sometimes even i think the proposals that put forward proposals that we put forward where would double where obviously we would double the number of doctors being trained in the nhs, not actually negative reaction at first when we put it forward. so look, they'll sometimes be that we're more than willing to have the conversation, but what we're trying to do, which is a modern health service, a national health service, a national health public, is health service in public, is delivered for public's delivered for the public's benefit. the past, we benefit. but

the ftse 100 was defense contractor bma systems we saw them get a few contracts across the uk. sweden, the likes of turkey as well, particularly the latter part of europe they managed to gain 56% of course, the turbulence in russia and the war in ukraine has played sa role another interesting one has been the miners, the likes of glencore going up. shares of miners, glencore going up 27% in 2022 with bhp also following onaround a 30% growth picture out on that front, outperforming last year. but the question on this one is whether that high dividend that bhp usually puts out is enough to keep investors sort of into that stock for the remainder then of 2023 will they get into that as they did last year outperforming, however, was the key factor not everything has been green, of course, in 2022 we saw the likes of the homebuilders go down they were all in the red for the most part. this was really around those recessionary fears, the high inflation numbers we saw people not necessarily going into the home market it's been affected quite dramatically you've seen around 47% retaile

the chair the bma didn't know the chair of the bma didn't know this conversation had this in a conversationing of with him 86% of the funding of the regulations country comes from people are from pharma people are well—intentioned. there are huge conflicts of interest wilful conflicts of interest is wilful blindness are burying their headsin blindness are burying their heads in sand. this vaccine heads in the sand. this vaccine very from the evidence very clearly from the evidence i've analysed, needs to be suspended or paused until this is investigated , said dr. is fully investigated, said dr. seema. your testimony is so persuasive and deeply . these persuasive and deeply. these keep doing what you're doing . keep doing what you're doing. often you seem like a lone voice, but i know not because i'm plugged into so many other people who are saying similar that keep doing what you're doing and come back soon doing and please come back soon and update us on campaign . and update us on this campaign. thank thank so thank you, neal. thank you so much. the i'll much. after the break, i'll discu

but a bma estimate that a has fallen by more than a quarter over the last 15 years as a result of the about 50 to £90,000 with a debt, so that creates real problems in terms of how you recruit and retain these students in the nhs. the department of health says pay has risen by 8% in the four years to march this year. and has been —— there has been x—ray investment to provide more money for the most experienced junior doctors, as well as extra funds for those working weekends and night shifts. the government says it will discuss pay once his current deal comes to an end by trusts leaders say they're asked —— they are still concerned. that means we will lose more and more staff, which makes the front line task more difficult. what we need is a fully funded, costed workforce plan and staff need to know the calories coming. junior doctors and _ know the calories coming. junior doctors and the _ know the calories coming. junior doctors and the rest _ know the calories coming. junior doctors and the rest of - know the calories coming. junior doctors and the rest of the i know the calories c

the chair the bma didn't know the chair of the bma didn't know this conversation had this in a conversationnding of with him 86% of the funding of the regulations country comes from people are from pharma people are well—intentioned. there are huge conflicts of interest wilful conflicts of interest is wilful blindness are burying their headsin blindness are burying their heads in sand. this vaccine heads in the sand. this vaccine very clearly from the evidence i've analysed, needs to be suspended or paused this suspended or paused until this is investigated , said dr. is fully investigated, said dr. seema. your testimony is so persuasive and deeply . these persuasive and deeply. these keep doing what you're doing . keep doing what you're doing. often you seem like a lone voice, but i know not because i'm plugged into so many other people who are saying similar that keep doing what you're doing and come back soon doing and please come back soon and update us on campaign . and update us on this campaign. thank thank so thank you, neal. thank you so much. the i'll much. after the break, i'll d

and we know, for example, the bma are looking at taking bma who are looking at taking strike action have clearly strike action have said they won'would any cover. clearly strike action have said they won'would be any cover. clearly strike action have said they won'would be difficult r. clearly strike action have said they won'would be difficult ifclearly that would be difficult if junior doctors on strike an accident emergency or wards are covered at all. so that's why we feel it's important we have a minimum level service so we can make people have the right to strike. but we have the ability to keep patients safe as well. and i mean, who decides what the minimum service required is in each individual hospital, minimum service required is in each individual hospital , for each individual hospital, for example, and who decides workers have to work and which ones are allowed to go on strike. so what normally happens is we kind of run like on a sunday kind of christmas service. so we know kind of the levels of staff that's often required at those times. and that's the sort of nebulous staf

the bma, thejunior doctors at, rock bottom that all groups. this drain on the health service this winter, government admits the nhs is facing unprecedented disruption. more rail strikes over pay, conditions and future services as rmt going straight. thousands of mourners queue in brazil to pay tributes to footballer pele. commuters returning to work after the christmas break face five days of rail strikes this week. members of the rmt union are taking industrial action again today over pay, jobs, working conditions and services. they�*re holding two 48 hour strikes this week in england, scotland and wales — while the train drivers�* union aslef will take action on thursday.0ur business correspondent theo leggett reports. a new year, but the same old story. travellers are facing another week of intense disruption on the railways, with strikes called by two unions, the rmt and aslef. it�*s a real headache for people like karine. she�*s on a zero—hours contract and needs to get to work. i�*m completely reliant on the trains. there is no other way

this time, if bma members back industrial action, the plan is to walk out for 72 hours in march, andot including overtime and night payments. junior doctors in england received a 2% rise in april as part of a four year deal, but the bma estimates their pay has fallen by more than a quarter over the last 15 years, as a result of rising inflation. while there's been a substantial increase in the number of students being accepted into medical schools, the junior doctor's salary has fallen in real terms, and these students are leaving their studies with about 50 to £90,000 worth of debt. so it creates real problems in terms of how you recruit and retain these students in the nhs. the department of health says junior doctors pay has risen by 8% in the four years to march this year, and there's been extra investment to provide more money for the most experienced junior doctors, as well as extra funds for those working frequent weekends and night shifts. the government says it'll discuss pay once this current deal comes to an end, but trust leaders say they're still concerned. what that mea

the bma _ not acceptable. just not acceptable. speak out about this. yes, 10096 wanted to speak out about this. yes, 100% because _ wanted to speak out about this. yes, 10096 because it _ wanted to speak out about this. yes, 10096 because it can't _ wanted to speak out about this. yes, 100% because it can't carry on like this _ 100% because it can't carry on like this it _ 100% because it can't carry on like this it can't — 100% because it can't carry on like this. it can't carry on. it is my brother— this. it can't carry on. it is my brother today, this. it can't carry on. it is my brothertoday, it this. it can't carry on. it is my brother today, it might be somebody's baby tomorrow or somebody's baby tomorrow or somebody's father, mother. it�*s somebody's baby tomorrow or somebody's father, mother. it's 'ust not acceptable. i we know this story is impacting patients and theirfamilies up and down the uk — and you've been getting in touch with breakfast to share your experiences. here's alison's story. and here's what natalie told

that's lois buckman, chairman of buckman, the former chairman of bma gp's committee called.proud that wasn't there with me. christys gb news me. patrick christys on gb news up. we finally seeing some up. are we finally seeing some on debate this on the trams debate this afternoon. nicholas sturgeon said a transgender man convicted rape will not serve in their sentence and scotland's only all female prison. i'll get that right eventually. but today is not day. also, we're going to be to talking lee anderson conservative mp because he's in calais has said that one calais and he has said that one of seeker charities, of the asylum seeker charities, as the traffickers as bad as the people traffickers . that was headlines. . that was the headlines. patrick, thanks very much indeed.the patrick, thanks very much indeed. the top this hour. at least 11 people have died in russian missile strikes in ukraine a day after the us and germany pledged to supply the country with tanks and infantry fighting vehicles. more than ten were wounded in the attacks, which covered 11 regions, includi

that's going to set you on a collision course with the bma.strikes. well, that's not our intention. our is to have a conversation and it's to say how do we get primary care working in the interests of the patient and also in the interests of the nhs? how do we reform it ? the nhs? how do we reform it? the 21st century we've set some ideas. we want to have feedback from the bma, from general practise as to whether that's workable and how we can achieve the aims of getting our nhs on a sustainable footing and reforming the nhs. so it's not this monolith but actually it's serving the needs of a modern population using technology , population using technology, using innovation and using care. the approach creates setting rather than just focusing on hospitals . that's our aim. hospitals. that's our aim. that's our ambition . and let's that's our ambition. and let's have that dialogue going. some interesting figures from you today. very, very interesting to see what it costs to do things at certain levels . i appreciate at certain levels. i appreci

i think doctors bma sympathy.will, doctors will consult very well paid consultants if people are dying as a result of nhs strikes, will they have public sympathy? and i think the teacher strike is going to infuriate mums and dads. enough dads. absolutely. sure enough already. yeah, well, and the head did want to head teachers did not want to strike. interesting. although there theories as there are conspiracy theories as to but postal strike to why, but a postal strike postal student kicking about that , she postal student kicking about that, she said postal student kicking about that , she said they have three that, she said they have three months to get those. i mean, even the prime minister managed to christmas cards in to get his christmas cards in within so three within about six weeks. so three months, delicious irony months, it's a delicious irony of the idea that you can't strike of postal strike strike of the postal strike stuff they have to have a stuff, that they have to have a postal ballot, but i do,

the bma is saying it's covid peak. the bma is saying ifs and it's intolerable and unsustainable. pressure and seven hospital trusts after they declared critical incidents. what is the government today right now to sort this out . well it was what sort this out. well it was what the government was doing before christmas actually. so in the autumn statement the chancellor recognising the pressure that the health services partly because of usual winter pressures , partly due to the pressures, partly due to the high level of flu but also because of the pressure still there from the backlog of all there from the backlog of all the patients that weren't treated. the pandemic found a huge amount of extra investment. £14 billion for health and importantly , care, an d £500 importantly, care, and £500 million specifically to deal with getting people who are well out of hospital or available today at home or in a social care that was done in newsome ministers are working at pace to make sure that money gets to the front line. i recognise it's very tough and challenging for those the front

and we've heard from the bma the british medical association , they're saying the association, they'reical choices are leading patients to die unnecessarily . and the chair of unnecessarily. and the chair of the of the association saying the of the association saying the current situation we're seeing in the nhs is intolerable and both for our patients and hardworking staff. now the government in response, they're saying they've invested £14.1 billion in 500 million to free up hospital beds and help with hospital discharges. so it's challenging . we're hearing this challenging. we're hearing this morning from saying this could last for months if anything isn't done about this . oh, not isn't done about this. oh, not good news. you can see . i thank good news. you can see. i thank you so much for that update. now we're going to join our. joining me now is nhs doctor, our top doctor bob gill and director of the great nhs heist. thank you for joining this morning dr. forjoining this morning dr. gill . how do i forjoining this morning dr. gill. how do i mean the headunesin gill. how do i m

redrawing the doctors contract so that they actually conform to what the patients want, rather what the bmaou do then . fix our nhs? would you do then. fix our nhs? well it's not something which you answer on the back of envelope because there are so many things that are wrong with the nhs. basically it will never be funded properly if it relies only on the taxpayers money and therefore we've got do what holland does, what australia , holland does, what australia, which is to wean people off this so—called free service we all pay so—called free service we all pay for through the nose but doesn't actually perform as it needs to. and as we want. so what we've got to do is have more diversity in the system and i don't mean by that in a rainbow flags and all the rest of it. what i mean is we need have a mix of public and private provision. so that we are not solely dependent upon the exchequer deciding how much the cake is going to cost this and then we have to slice it up as best we can. yeah what we need to get more money into system. but not only that money which is going to be more producti

he's willing to have a row with the bma, he's willing talk about effectively nationalising gp serviceslk about may reform , but only a labour government potentially can do that. the conservative are very, very nervous and they're very vulnerable on this because . of vulnerable on this because. of course we've got the strikes and they want a way out of that. there isn't. well the easiest way is to give in, of course, but they're not going to do that. they haven't got the money they're worried about inflation and while, the feeling and all the while, the feeling is, know, we taxes . is, you know, we pay taxes. taxes at a 70 year high, isn't it? paying for this it? we're paying for this service. at the moment we service. and at the moment we can't rely on receiving it . can't rely on receiving it. okay, catherine, thank you . will okay, catherine, thank you. will responding to the latest figures, the royal college of said ministers including prime minister, have so far to refuse to acknowledge that health care is in crisis . corridor care is in crisis. corridor care appears to have become

the bma which resents them has said if junior doctors do vote for strike action, as seems likely, thereof strikes, more disruption expected for the nhs over the coming months. thank more disruption expected for the nhs over the coming months.— over the coming months. thank you ve much over the coming months. thank you very much for— over the coming months. thank you very much for now, _ over the coming months. thank you very much for now, jim _ over the coming months. thank you very much for now, jim reed, - over the coming months. thank you very much for now, jim reed, our. very much for now, jim reed, our health correspondent. we will stay with this. i'm joined by the conservative mp, carolinejohnson who is a doctor and member of the health select committee. hello, good afternoon. my hope that you could hear a lot of what our correspondence was saying, because the audience listening to that, hearing those statistics and time lags, what reassurance can you give to people watching about how the nhs is operating? i to people watching about how the nhs is o eratin: ? ~ , ., to people watc

in 2021, one in nine nurses left the nhs, junior doctors are balloting for strike action, and the bmagislation have already put their lives at risk during the pandemic to save the lives of others. they are on the front line looking after us in times of need, and this legislation actually is going to turn people away from the nhs and make people less likely to actually go forward in some of these public—sector jobs. go forward in some of these public—sectorjobs. don't think go forward in some of these public—sector jobs. don't think this necessarily in the long term will lead to improvements in public safety. j lead to improvements in public safe . ., ., lead to improvements in public safe. ., ., , , safety. i mean, some are suggesting that in the run-up _ safety. i mean, some are suggesting that in the run-up to _ safety. i mean, some are suggesting that in the run-up to it, _ safety. i mean, some are suggesting that in the run-up to it, there - that in the run—up to it, there could be more industrial action, and after it there could also be more industrial action butjust of a differe

at the same time, the bma, which is the british medical association, which represents doctors, has beenoted on possible strike action. they say if that vote goes through and there's no resolution, there could be three days in a row of strike action byjunior doctors in england in march. what have the government got to say on this? because people will say, "look, we are a wealthy country, we pay our taxes. "the bare minimum we expect from government is that the health service works." well, downing street spokesmen this morning saying that those ambulance response times we are talking about in that report are obviously unacceptable. they point out the huge pressure on the nhs, following the pandemic and they say that, look, these pressures are notjust in england, you can see it in wales, scotland and northern ireland and in other countries as well. they say that this is now the prime minister, rishi sunak�*s, top, one of his top priorities, to improve performance in the nhs. and i should say there was a glimmer in this data today of some possibly better news. so on waiting lists, you know

i had a quick look at this before i came on i think it's around 2% the surveys that are done by the bmacan earn as much in australia and do less hours . so there's a earn as much in australia and do less hours. so there's a bit of a you know, there is a pull but at the same time , you know, if at the same time, you know, if the government paying you to train here and invested in the system , yeah, that could be some system, yeah, that could be some moral to fulfil that. secondly, what you also need to think aboutis what you also need to think about is looking of under the graph that within five years you're going to be earning a whole lot more by the time you get to consultant level, you'll be on figure salary with a platinum pension and a lot of study leave and so it's not just the junior doctor state stage that. the junior doctor state stage that . you need to look at same that. you need to look at same time , you know, inflation is time, you know, inflation is running high. time, you know, inflation is running high . you know, we're running high. you know, we're we're all suffering f

he's been getting the backs up of doctors and nurses and the bma, the british medical association, thengs like waiting lists, on things like gp who run a policy of everybody has to phone up at 8 am. to try and get an appointment. it becomes a lottery and your 40th on the on the phone call queue waiting on the phone call queue waiting on the phone call queue waiting on the phone while you're trying to get the kids school or get to get the kids to school or get to work or what have you. it's like a really onsen system. so a really onsen stupid system. so he's look, we do need he's saying, look, we do need radical reform , the nhs. and radical reform, the nhs. and it's interesting because it's quite interesting because now labour are coming out with a more costed policy with kind of long term plan. so you're saying it's going to take more than a decade to transform the nhs? that's longer than any parliamentary term. this is where would start. one of the where we would start. one of the things would do is fund the things they would do is fund the nhs through windfall tax on on nhs through