the network of general practitioners free to visit at the point of need the yuki's health system one of the most accessible in the world for its citizens. it also saves money they keeping out of hospitals we are sort of one of the front doors of medicine really there's anybody two front doors one is general practice and one is a any. one of the. each appointment with a general practitioner because the health service thirty one pounds or forty eight dollars. is attending the x. intern emergency remark is about four times that at one hundred ninety one dollars . killick street has an average fifty three thousand five hundred appointments pay a year each schedule to only ten minutes. we have a lot of training in dealing with problems in ten minutes the challenge comes when either it's a very very difficult problem very complex you don't know what's going on as a doctor so we have the ability to refer patients in to see a specialist or go for a test or whatever it may be patients can't really get into those systems without seeing the g.p. patients can only see a hospital specialist with

percent of the population are registered with a general practitioner. like george has signed up to kill extreme health center down on the two of them and it seems to. me the british special i don't know but that's what makes me feel. i'm going to look at both of. them if it's a dance that's linda stay in is a senior practice nurse to save money and free up doctors time patients who need minor ongoing treatment are cared for by nurses get to take the show off george if that's ok george has been coming here for seventeen years ever since he's been really. except that. there are babies quite a few years and i've been there and i've been tree with dr rock. the whole time and she's been really really great sibylla about it and made sure she's very very it's just how painful is it. what that's one thing is hopeful if you're in pain it's the lack of circulation you get sort of like an eighty x. mark if it breaks down infection can get it and then the cells around the leg getting infected so the leg swells up threats to fluid and we have to put one and biotechs

talk to go is one of a new wave of specially trained general practitioners providing a level of primary care expertise new to china years you know to me yeah i don't know yeah since you're now getting off now it's unlike hospitals community health centers are funded directly by the state and they're not profit driven missy's dongs consultation at the health center costs about forty percent of what a specialist hospital would charge or how to get on. what's more by going to the health center she can claim back more of the costs from her state health insurance. or polar or doctor and brother when he or the ward. where what the people there who are most in that you fall through are the for the. three cos all you've got. to deal with or a portion are going to be wow. all are actual to do that and it's here the hour before the end of a hot literally out of water. into what going to the room for the hot bad up out its ass the usual for it in our how to deal with her off without her tootsies untruth. why it's not just the treatment the time the talk to go devotes to her patients and the trust

and the general practitioner, in three months, will most likely see you and look again with a specialistane. we spent two and half years with only one medical centre inside the largest area of sao paulo. our idea was, let's go to the hardest area, if it works and there it is going to be able to work in sao paulo. the toughest market in brazil, then we can roll out nationally. our view is that there is a lot of waste in the system. we have nailed the model. we have close to1 million unique patients. this places us as million unique patients. this places us as one of the largest healthcare companies in south america. that was dr consulta, a healthcare company online in sao paulo, brazil. looking at the markets. selling pressure in early asian trade as wall street stocks retreated after the labour paid —— labour day holiday. investors also worried about the china us trade dispute. the nikkei falling by 64 points in early tokyo trade and the all ordinaries index losing 16 points in mid—morning sydney trading. a0 summitfor mid—morning sydney trading. a0 summit for investing your time with us,

dr rachel hopkins is one of eleven general practitioners of g.p.'s at the killick st health center in central london well other been arriving here on a regular basis for seventeen years this month and eighteen years ago this was nothing it was a car park here and the health authority with foresight snapped up the land and built the building the health authority advertise for g.p.'s to start the new practice at their planned only week after the cancer quite stiff competition from other people who were interested in this great opportunity to build a new practice in an area that was very under doctor's omarion need and he would be evident building up our practice. or you could actually help a guy who. calls you get. an hour just over ten thousand patients they normally killing three health center and all kids but there's quite a high turnover certainly will come and go but there are people who've been with us for years about a quarter of our patients go each year to rear placed by new ones so it's a continual battle to keep up with everybody and to and

some have picked and the fact that people can't go directly to a hospital specialist their general practitioners must affair them first i decided to go to a new health care is killing st i was able to go to the nose and throat specialist where i was told that i had cancer. dr trevor yellen has had to support pay pay through three bites of cancer. very hard i'm ok with the a.n.c. so where are you in the process of treatment of fish. first of all and. nine zero zero zero. tell me all it's well different it's a big worry for him comes from a is that he will get a recurrence of cancer as you already have three that's more than enough for any person in their lifetime probably maginot stressful is for him to be thinking about that. since the birth of the n.h.s. the work of the g.p. has changed and increased they are never of aging more key here that used to be given in hospitals we do our own investigations blood tests x. rays scans we have people in this building who can look after your feet. pregnant see your psychological how yeah if you've got alcohol problems that you got drug problems we've got

talk to go is one of a new wave of specially trained general practitioners providing a level of primary care expertise new to china years you know to me yeah i don't know yeah since you. do nothing now it's unlike hospitals community health centers are funded directly by the state and they're not profit driven missy's dongs consultation at the health center costs about forty percent of what a specialist hospital would charge her health at all. what's more by going to the health center she can claim back more of the costs from her state health insurance. or whole hour or the often brother went here or the ward. where what the poor there who ought to say that you fall through are the for the. three cos all go. to jail for a poor child under. wow. actual to powder with our shoes and got a hot literally out of water. into it going to the room to the talk about how it's as usual for it in town how to deal with or without a two thousand and three. why go no it's not just the treatment the time the doctor go devotes to her patients and the trust between doctor and patient is also at the heart

doctor go is one of a new wave of specially trained general practitioners providing a level of primary care expertise new to china years you know to me yeah i don't know yeah since you know nothing now unlike hospitals community health centers are funded directly by the state and they're not profit driven missy's dongs consultation at the health center costs about forty percent of what a specialist hospital would charge her out of it all. what's more by going to the health center she can claim back more of the costs from her state health insurance. or hold our or doctor and brother went here or the ward. where what the people there who are most in that you fall through are the for the three cos all you've got. to deal with or a portion are going to be wow. all are actual to do that and it's here the hour before the end of a hot literally out of water. into it going to the wrong target or bad up out its ass the usual for it into our house either with or without the tootsies untruth. why it's not just the treatment the time the doctor go devotes to her patients and the trust between doct

a lack of highly trained specialists in ghana means a general practitioners like iraq are expected to fill the gap. this fairly. district always that's a very white house still. that we have to live with that's because it will be back in our stations. if a woman suffers excessive hemorrhaging after giving birth a hysterectomy is often the only way to stop her bleeding to death in uk encountered this once in the far northeast of the country but couldn't save the new mother though mom didn't complete it in front of interest. if i knew that if i knew this will not happen now i would go i would absolutely lie. to that. general practitioners are often expected to do the work of medical specialists because most highly skilled medics prefer to live in ghana as few big cities and more than half seek work abroad well opportunities and wages are better but toys feeling the impact of this brain drain. even basic medical care is not available in certain field. such as of neurology and your a-g. . which is why these two german doctors have come here for your religious. and washed down karma our vo

dr rachel hopkins is one of eleven general practitioners of g.p.'s at the killick st health center in central london well other been arriving here on a regular basis for seventeen years this month and eighteen years ago this was nothing it was a car park here and the health authority with foresight snapped up the land and built the building the health authority advertise for g.p.'s to start the new practice that they planned only we got it i can't quite stiff competition from other people who are interested in this great opportunity to build a new practice in an area that was very under doctor's omarion need and he would be evident building up our practice. or you could actually help a guy who. calls you get. an hour just over ten thousand patients they normally killing three helps and they're all good but there's quite a high turnover circle will come and go but there are people who've been with us for years about a quarter of our patients go each year to rear place by new ones so it's a continual battle to keep up with everybody and to and help th

dr rachel hopkins is one of eleven general practitioners of g.p.'s at the killick st health center in central london well other been arriving here on a regular basis for seventeen years this month and eighteen years ago this was nothing it was a car park here and the health authority with foresight snapped up the land and built the building the health authority advertise for g.p.'s to start the new practice that they planned only we got it i can't quite stiff competition from other people who are interested in this great opportunity to build a new practice in an area that was very under doctor's omarion need and he would be evident building up our practice. or you could actually help a guy who. calls you get. an hour just over ten thousand patients they normally killing three health center they're all good but there's quite a high turnover certain people come and go but there are people who've been with us here is about a quarter of our patients go each year to rear placed by new ones so it's a continual battle to keep up with everybody and to and h

that's why the general practitioner always accompanies his patients on their daily walk twenty to forty people take part depending on the weather some are overweight others have heart problems or diabetes but after three quarters of an hour they all feel great . my friends are all round like barrels drink too much beer and then it's cough and here we come carlos our doctor says move around don't eat so much and don't take so many pills that's healthier and i'm trying to do that . for the three little hears you don't want to end up like your friends no i still have some fight me. you need to be pretty optimistic to believe that our compass weight thousands of people to change their lives at first people used to say carlos is crazy but the physicians got neuron moving in this small town in calista in the far northwest corner of spain almost four thousand people taking part in this collective exercise young and old healthy and sick. and they've discovered a new sense of community along the way. and sowing beans is pretty tough work but this group of preschoolers doesn't seem to mind now it

do you believe that general practitioners and positions should now be changing their advice to patientsaven't had any strokes ora people who haven't had any strokes or a reason to take aspirin, as a result of this study, they shouldn't consider starting. professor, explained to us how this research came about. this was a large create -- clinical came about. this was a large create —— clinical trial with over 19,000 people in the united states and australia. half of them took low—dose aspirin and half took a placebo. after 11.5 years, we added up placebo. after 11.5 years, we added up to the number of medical events in each arm. very interesting to hear about your findings. thank you for joining hear about your findings. thank you forjoining us. pleasure. it's nowjust six months until britain is due to leave the european union. to mark the milestone moment, bbc news has put together a special series, trying to answer some of the questions many people across the country still have about brexit. nick robinson has been to the town of chesterfield, in the east midlands, where the question on

dr richard hopkins is one of eleven general practitioners of g.p.'s at the killick st health center in central london well other been arriving here on a regular basis for seventeen years this month and eighteen years ago this was nothing it was a car park here and the health authority with foresight snapped up the land and built the building the health authority advertise for g.p.'s to start the new practice that they planned only we got it i can't quite stiff competition from other people who are interested in this great opportunity to build a new practice in an area that was very under doctor's omarion need and he would be evident building up our practice. or you could actually help a guy who. calls you get. an hour just over ten thousand patients they normally killing three helps and they're all good but there's quite a high turnover certain people come and go but there are people who've been with us for years about a quarter of our patients go each year to rere place by new ones so it's a continual battle to keep up with everybody and to and help

been drunk so you could do a lot in hospitals and the main you know area to to invest in is general practitioners who have a lot of contact with people with problems as well thank you so very much anders has director of the clinic for psychiatry and psychotherapy at the shite a hospital thank you. and we're going to shift our attention to china now we're up to eight million muslims have been sent to so-called reeducation camps in the last year there are reportedly dozens of them enjoying jang province where mostly members of weaker muslim minority are thought to be held for political indoctrination china has defended the camps as part of a vital security move guarding against militants and separatists something human rights groups refute germany and france have called for the camps to be closed while now there is new evidence that weaker children are being detained and sent to state run orphanages far away from their parents activists see these practices as an attempt to dissolve the identity and culture of a proud ethnic minority. with its music and cartoon characters so tun kindness kindergarde

is a general protection -- practitioner we not only bear the cost of servers we have to pay for humanand all of that put together with the current packages, they are not really sustainable for the long run. so far, almost 4000 private hospitals have come on board. but if the government wants to use modicare to win over voters in the elections next year, it is in a race against time to provide enough hospitals as millions rush to receive medical treatment that have been out of their reach for so long. you're watching newsday on the bbc. still to come on the programme: anyone for mooncakes? we taste the pastry behind a $2 billion industry. also on the programme: what's the strangest thing you've ever bought online? we talk to an australian couple who got themselves a warship. benjohnson, the fastest man on earth, is flying home to canada in disgrace. all the athletes should be clean going into the games. i'm just happy that justice is served. it is a simple fact that this morning, these people were in their homes. tonight, those homes have been burnt down by serbian soldiers and police.

the goal is not to have a sole practitioner operating as a general massage establishment. is is what we are finding during our inspections. there will be two to three practitioners there at a sole establishment permit that do not have permits at all. we want to eliminate that confusion. in addition, we needed to clarify the enforcement language and eliminate loopholes, which have allowed a legitimate massage establishment to continue operating in our city or able to move locations within other san francisco neighbourhoods to continue the same bad practices. there are instances where others continue to refuse. therefore the enforcement by the city attorney language was added we continue to recognize that the massage practitioners may be victims and the ordinance places the burden for compliance and penalties for noncompliance on the business owner. we have partnered with the community health equity and promotions branch to develop a program for massage practitioners who have violated article 29, to connect them with assistance and resources to help them with housing, legal a

although seen a whole generations of doctors simply never learned about the importance of communication because medical school is having on science many practitioners especially in the older generation of doctors simply are not aware that discussing a diagnosis with the patient is also a therapeutic activity and it can be a very influential one. martina son was born twelve weeks too early for a long time she feared for his life but it eighteen months she figured the worst was over until i mishandled routine check up with the specialist. and first. shortly before the end of the appointment with a developmental neurologist offhandedly asked me if i had already applied for a caroline's and a disabled. this was i felt as if the ground beneath me had opened up and that was the first time in those eighteen months of. the doctor told martina that has son would probably never will and even if he did he would need to work on his entire life the words burned into her mind to this day. i could have simply said i'll stick him in the corner and i won't push him. after all what's the point of going to physio therapy three times a week and doing all the exercises

the enemy of the people and i am very worried that media in general is coming increasingly under fire both the profession and the practitioners of that profession becoming increasingly under attack you are having people who describe incredible journalism as fake news and conflating journalism to terrorism these are hugely dangerous things to be doing and we completely condemn them just turned over into indeed speak to thanks for coming in to join us. now libya's u.n. backed government has declared a state of emergency after almost a week of fighting in the capital tripoli at least forty one people have been killed and one hundred others injured most of them civilians forces backed by the government of national accord have lost several locations to a breakaway faction groups of battling for territory near the city's only functioning airport with reports from tripoli. has so long he's in mourning. a stray rocket killed two of his nephews when they were playing in this garden. they were fifteen and fourteen years old he said as. the boys were torn apart by the rock at their pleasure are scattered everywhere why is that it just c

consensus on a national data privacy law that will help consumers and force shady practitioners to clean up their act. >> with generalsensus that regulation is inevitable and that federal laws are better for businesses than a patch work of state laws, amazon's representative pushing to avoid the comprehensive approach of california's privacy law set to go into effect in 2020 google saying that complying with new european privacy regulations is a tremendous challenge, that law is similar to that in the u.s. would hurt startups senator klobuchar pushing companies for a 72-hour window for data breach notification most companies do not support the idea of making consumers have to affirmatively opt in to having their data used and shared, saying it would inconvenience users and hinder their businesses this is a story that is not going away any time soon. >> apparently not, with the degree of disagreement out there. julia boorstin in los angeles. for more reaction let's bring in scott galloway scott, great to have you with us. >> thanks for having me. >> if you were asked by this committee what can we do, what should we do

in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std diagnosis treatment for sex workers. there's been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. there were some public health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in san francisco. >> when you're at the clinic you're going to wait with whoever else is able to register at the front desk first. after you register your seat in the waiting room and wait to be seen. after you are called you come to the

the solicitor general during the obama administration called judge kavanaugh of brillion jurist who was a gracious person on and off the bench. and bipartisan group of appellate practitioners praised his unfailing courtesy to counsel to the other judges and his colleagues. other appellate judges have act like rough advocates judge kavanaugh has been a model of the proper judicial disposition. the chief justice also understand the proper role of a federal judge to me and independental neutral arbiter. during his confirmation hearing the chief justice famously described as umpires who apply the rules without fear or favor and it is fair to say the chief justice has done so at various times both sides of the aisle have denounced his rulings the same thing that happens to umpires. judge kavanaugh has similarly demonstrated impartiality and fairness in his 12 years on the d.c. circuit. he repeatedly ruled against the bush administration where he worked prior to becoming a judge and hiss first three years ruled in favor of an al qaeda terrorist with a pro-choice interest group and against the republican party and to this a prize of some even the aclu has recognized judge kavanau

don really, solicitor general obama administration call kavanaugh a brilliant dress is a gracious person on and off the bench. and a bipartisan group of appellate practitioners praise his unfailing courtesy to counsel and to the other judges in his colleagues. in an era where some appellate judges have behaved like broth advocates for one side during world arguments, judge kavanaugh has been a model of the proper judicial disposition. the chief justice and judge kavanaugh understand the proper role of a federal judge. to be independent, neutral, and arbiter. during his confirmation hearing, the justice described judges as umpires apply the rules without fear or favor. i think it is fair to say that the chief justice has done so at various times, both times of the aisle have denounced his rulings. just like the same thing that happens to umpires and judge kavanaugh has demonstrated impartiality and fairness in his 12 years on the dc circuit. he repeatedly ruled against the bush administration where he worked prior to becoming a judge in his first three years on the bench area he has ruled in favor of an al qaeda terrorist, in favor of a pro-choice democratic

practitioner health programme for their staff." we will talk more about that later in the programme. if you are a doctor, a particular a doctor, but a medical professional generallye'll be speaking to a mother and her ten—year—old son about the huge costs that come with getting your child to and from hospital if they have cancer. reality star lucy mecklenburgh is here for herfirst reality star lucy mecklenburgh is here for her first interview since here for her first interview since her boyfriend ryan thomas was accused of physical abuse on celebrity big brother. time for the latest news — here'sjoanna. up to 80,000 paedophiles in the uk pose a sexual threat to children online — according to the home secretary sajid javid. in a speech this morning he says he's shocked at the scale of child sex abuse and has vowed to make it his personal mission to tackle it. new figures show a 700 % rise in the number of child abuse images referred to the national crime agency in the last five years. borisjohnson has attacked the prime minister's brexit strategy — describing it as a fix, and claiming that the uk will get what he calls "two thirds of diddly squat" from the negotia

don really, solicitor general obama administration call kavanaugh a brilliant dress is a gracious person on and off the bench. and a bipartisan group of appellate practitioners praise his unfailing courtesy to counsel and to the other judges in his colleagues. in an era where some appellate judges have behaved like broth advocates for one side during world arguments, judge kavanaugh has been a model of the proper judicial disposition. the chief justice and judge kavanaugh understand the proper role of a federal judge. to be independent, neutral, and arbiter. during his confirmation hearing, the justice described judges as umpires apply the rules without fear or favor. i think it is fair to say that the chief justice has done so at various times, both times of the aisle have denounced his rulings. just like the same thing that happens to umpires and judge kavanaugh has demonstrated impartiality and fairness in his 12 years on the dc circuit. he repeatedly ruled against the bush administration where he worked prior to becoming a judge in his first three years on the bench area he has ruled in favor of an al qaeda terrorist, in favor of a pro-choice democratic