if patients need a gp appointment in the afternoon, and we're finding out more and more gp practices the afternoon, then people are going to go to a&e. that's why we have the busiest a&e attendance records. we need to take the pressure off that system. there needs to be a change in terms of being able to book appointments. you know, only 7% of gp practices offer online facilities. for people who are working very long hours now, the general public, working nights, days, weekends. you know, we need to make it easy for them to get to gp practices. it's not always a case of opening practices for longer, but making it as easy as possible to get an appointment. if they can't, they will go to a&e instead. are you in danger as a party of pitting one side of the nhs against the other? ie, the a&e hospital side against the gps? no, absolutelyi ie, the a&e hospital side against the gps? no, absolutely i disagree with that. what we're trying to do is use all the tools in the box. we're trying to use all the resources so when one aspect we're trying to use all the resources so when one aspect and

unless gps comply. they will withhold extra funding unless gps comply. i have worked as a nurse for many years in the nhs and i know every winter is difficult, but this winter in particular, i have seen the highest number ever attending a&e so we have to make best use of resources. funding is tight and if gps will not be open when the public need them to be open when the public need them to be open, the funding can be directed to other places in the nhs such as a&e. but gps say they are being made a scapegoat for the government's failure to fund the nhs sufficiently. if all practices were expected to open seven days a week using five days worth of funding and staffing, all that would happen is we would undermine the quality of ca re we can we would undermine the quality of care we can provide to the vast majority of our patients and we would stretch an already overstretched service more thinly. some health experts have supported claims by doctors that congestion in a&e department has been caused by find

gps to opt out of out of working? gps are still offering out of hours service.interviewed today have referred to the reality gps working today. with respect, theresa may's government has been promising a seven—day gp service for six and a half years now. they have not delivered on that. if anything, they have cut back because they're not put the investment into the training necessary , investment into the training necessary, they had not planned for what will be a scalable time and amongst gps and have completely ignored the needs of elderly people by cutting back their social care packages, which is now why we have literally huge pressures on our nhs today, we are lacking competent leadership and a competent response to this crisis, which is why is it a cup ability for the situation we today lies at the doors of ten downing st. so you're not taking any responsibility from when labour were in power? when labour were in power, we more than doubled investment into the nhs but now it is going through the nhs but now it is going through the largest financial squeeze

my gp is the only gp in the practice, so he cannot be expected to work from atm to 8pm, although it would be great that evening appointments. in rural areas doctors may have to go from one village to another. they also have other responsibilities, such as admin. i was looking at the national audit report and its 92% of those with that in two kilometre is a gp's surgery, with that in two kilometre is a gp's surgery, which i thought was all well and good, i live within two kilometre is but i cannot get an appointment for two weeks. kilometre is but i cannot get an appointment for two weeksm kilometre is but i cannot get an appointment for two weeks. it is also axis. it will do not work near to theirgp, so also axis. it will do not work near to their gp, so for most people going to be gp means taking a day off work. another option would be to let people register at other gps. some people have gps at their work which means people can pop out. some people have gps at their work which means people can pop outm said they are trying to shift the blame onto the public, but don't we have a responsi

is it fair to say that however much we love our gps, doctors and know the hard work they do, gps arere than the average wage and people will remember when it was a lot easier to get appointments from doctors and even have home visits which you just cannot do for many people. for those stuck at home nowadays they can get a home visit. it is still available to patients who really cannot get to their gp. but it is more efficient to provide ca re but it is more efficient to provide care ina but it is more efficient to provide care in a surgery but it is more efficient to provide care in a surgery had we can do more to patients if they come to us rather than sleeping equipment behind and going out to do visits. in years gone by it was easy to get an appointment. because in proportion to patients and gps it was higher. the demands being made on gps were also less. a vast amount of care is going on in the community which used to be done in hospitals. yesterday 1.3 million patients or a gp or one of their team up and down the country which has a big number of patients and a lot of work alrea

and also the accusation that even when weekends gp appointments are available, gps are not telling patientsout them. doctors are furious, seeing this as an attack. as you heard on the report, the bma is accusing ministers of scapegoating. the conservative mp mgp sara woollaston is calling this an attack on overstretched and tired gps. in a few mintes we'll be speaking to the chairman of the british medical association's gp committee. the government should publish its brexit plan by mid february at the latest, according to a cross party group of mps. the exiting the eu committee also says parliament should be given a vote on the final deal. here's our business correspondent, joe lynam. next week, theresa may will give a major speech on britain's life outside the eu, which could give us more detail on what kind of brexit she'll be seeking. she is under pressure from key parties in the commons, including leavers such as michael gove. the brexit committee says this. it should set out its planned by mid—february. it should press for a transitional arrangement with the eu if it cannot get a full

we need gps to keep up important work. we need gps to keep up to date. taking on the doctors, the gps we see all the time, politically this is quite risky, one would think. i'm not a specialist but taking on the medical profession often ends badly. one might be sympathetic if it solved the problem it set out to deal with. the issue in accident and emergency is waiting for bed admissions. that is about social care and acute medicine in hospitals and the ability of community services to deal with it. general practice has been under massive pressure in the last five yea rs. we massive pressure in the last five years. we do not have the doctors. the issues of spreading the current number of appointments over a longer period of time in the week does not solve the problem. it might solve other problems but it is a strange one to go to battle with. if part of the problem, there are a lot of problems, but it part of the problem isa problems, but it part of the problem is a lack of gps, then threatening a loss of funding is possibly not a big incentive to say, th

we really need gps keeping up to date. work. we really need gps keeping up to date. i was thinking theresa may taking on the doctors, the gps we see all the time, politically this is quite risky, one would have thought.” time, politically this is quite risky, one would have thought. i am not a political specialist but taking on the medical profession often doesn't end well. one might be more sympathetic if it solved the problem it set out to deal with. the issue in accident and emergency is people waiting for admissions to beds and that is more about social ca re beds and that is more about social care and acute medicine in hospitals and the ability of community services to deal with it. general practice has been under huge pressure in the last five years, they do not have the doctors. the issues of spreading the current number of appointments over a longer period in the week does not actually solve the problem. it may solve other problems but it is a strange one to go to battle on. if the problem, if part of the problem,

why is theresa may saying this to gps now?e seen to be on the side of patients, but the woman i was chatting to earlier, who had a stopwatch on her mobile phone, she had been waiting for seven hours to get her elderly mother checked into a bed for care. she was full of praise for the staff, they were doing as much as possible, she said, but the problem was that were not enough of them. theresa may is facing criticism from all angles, patience, the opposition and trade unions and the conservative chair of the health select committee who said it was not right to be going after and scapegoating gps. tonight, in the observer, the former head of the civil service, he chairs a london hospital, said there is enormous fragility across the nhs. she might expect politically this would be very dangerous for theresa may, not least because historically the conservatives have polled very badly when it comes to trust in the nhs. tonight, there is an opinion poll, just a snapshot, from the independent and sunday mirror suggesting theresa may

thousand gps short. 0ne where we are several thousand gps short. is running with almost permanent vacancies. more than eight in ten gps say that the care they provide is not safe because of the pressures . is not safe because of the pressures. and what we should be doing is addressing this root cause of the problems rather than scapegoating or deflecting blame on one part of the system. scapegoating or deflecting blame on one part of the systemlj scapegoating or deflecting blame on one part of the system. i think many of your patients, i don't mean you personally, but many patients of gps will see some of the problems. will appreciate what their doctors do, but there is also, as you have seen this week in particular, a sense of outrage is probably the right word, outrage is probably the right word, outrage that some gps services are just not available in the afternoon. why should that be? just not available in the afternoon. why should that be ?|j just not available in the afternoon. why should that be? i think going beyond us, the headlines, some

there aren't enough gps. young doctors aren't enough gps.ren't coming into general practice. a recent survey by the national gp committee showed that over 80% of gps worry that they are not able to provide a safe service as they are overloaded. to stretch that more thinly over seven days is crazy. evenif thinly over seven days is crazy. even if you got extra funding it is still not possible? if we got extra funding, it was reason wrist properly, i think it would be excellence, but where are the doctors going to come from? it is not going to happen quickly enough. but extra funding is always welcome to encourage more doctors. if the demand is there, and the necessity is there as patients want appointments at weekends because they more convenience, fine but a lot of pilots have been undertaken which show that the demand is not there on a sunday. they have been pulled. the demand end a&e is between eight o'clock and i2 pulled. the demand end a&e is between eight o'clock and 12 o'clock during the week and four o'clock and six o'clock. the main d

but those who represent gps see today's announcement as an attack on their profession.o point in blaming hard—working doctors or nurses in the nhs. there's no point blaming one part of the system when clearly, we know what the reasons for the problems are. the reasons are we have too few doctors — lower than any other part of europe. we have too few hospital beds. we have cuts in social care. so patients who are in hospital can't come out into the community. jeremy corbyn today defended gps and argued the solution to pressure in hospitals is to improve funding in the care system. a labour government would give social care the funding it needs and give a firm commitment to take failed private care homes into public ownership to maintain the social care protection that our people need. applause. it's the very least we can do to guarantee dignity for people who have given so much to our country. ministers say stopping people from using a&e inappropriately should ease pressure on hospitals and they say other parts of the nhs, including gps, must play their part in making th

my gp is the only gp in the practice, so he cannot be expected to work from atm to 8pm, although it wouldctors may have to go from one village to another. they also have other responsibilities, such as admin. i was looking at the national audit report and its 92% of those with that in two kilometre is a gp's surgery, with that in two kilometre is a gp's surgery, which i thought was all well and good, i live within two kilometre is but i cannot get an appointment for two weeks.

a downing street source said, "most gps do a fantasticjob.ever, it's increasingly clear that a large number of surgeries are not providing the access that patients needs and that patients are suffering as a result because they are then forced to go to a&e to seek care". the doctors' union, the british medical association, said the remarks amounted to scapegoating during what it called "a very serious crisis." there are thousands of gps out there visiting patients at home. we provide a 21w, 365 days a year service, and it's almost an insult to all of those hard—working gps that are propping up the nhs on a daily basis. the association added that a third of gp surgeries in england had unfilled vacancies because the existing workload put doctors off wanting to go into general practice. let's talk to our political correspondent, tom barton, who is in our london newsroom. so tom, we're hearing gps reacting angrily to theresa may's suggestion that it comes off the back of a week in which the nhs has very much been in the spotlight? yes, charlie. it

she is siding with those working in a&e over gps and saying that gps should do more.is politically risky, particularly among a profession that seem to rank highly in terms of what professions we trust the most. politicians and journalists tend to be at the bottom. you describe the patient there when you were speaking to the patient, but then we have a poll that says voters still think the nhs would be better off under the nhs would be better off under the conservatives and theresa may. it is very interesting. we should insert the usual caveat, they can be com pletely insert the usual caveat, they can be completely wrong. they are a snapshot. but this poll for the sunday mirror and the independent hast people who they trust the most and the conservatives and theresa may are in the lead over labour. the conservatives surrender lead overall in the majority of polls, but what is interesting here is that labour usually considered the nhs is an area where they do well. even under ed miliband, who is defeated badly at the general election, he was outpouring the conservatives

the association added that a third of gp surgeries in england there are thousands of gps out there visitinge in their homes. we provide a 365 day service and it is almost an insult to the hard—working gps that are propping up the nhs on a daily basis. the association added that a third of gp surgeries in england had unfilled vacancies because the existing workload put doctors off wanting to go into general practice. let's talk now to our political correspondent tom barton, who is in our london newsroom. we have had all week the stories about the nhs. now the spotlight from first lady on gps? right, charlie. earlier in the week we heard that too many patients in november waited more than four hours at a&e. then on friday, we heard that in the first week of this year, four out of ten hospitals in england declared a major incident on at least one day. now, today's announcement is really an attempt by downing street to show that they are dealing with this issue. officials say that as many as a third of patients who show up at a&e would be better off dealt with elsewhere in the nhs. ministers se

there are five partime gps here, earning less tha n are five partime gps here, earning less than 59,000tioned. ten minutes a patient. if i had 15 their time is rationed. ten minutes a patient. ifi had 15 minutes their time is rationed. ten minutes a patient. if i had 15 minutes to see all my complex patients with half a dozen different medical problems, i'm sure i could improve their quality of life. but you basically have to do what's feasible. the average waiting time in england for a routine appointment is now almost two weeks. it can be stressful at times. i can understand when people are poorly, they want to be seen. it's hard if you try to say there's no appointments left. you notice everything. a couple of deep breaths. there's all sorts of squeaks and rattles. you knowl don't like steroids, i don't mind a short period of them. ok, doctor... i'll go on your recommendation. the commissioning group that funds hospital services recently began paying gps to reduce their referrals to specialists. mike thinks it's wrong. inevitably, some people who should have been referred will not be

today, the government said that gp surgeries we re government said that gp surgeries were partly twofold fault to provide access for patients in need forcing them into emergency departments. the government wants gp surgeries open from eight a.m. until eight p.m. surgeries open from eight a.m. until eight p. m. seven surgeries open from eight a.m. until eight p.m. seven days a week unless they can prove there is no demand. they say they will withhold extra funding unless its compliance.” have worked for many years in the nhs and every winter is difficult. this winter in particular has seen the highest number of people ever attending a and e. we need to use oui’ attending a and e. we need to use our resources to the best they can. funding is tight and if gps will not be open when the public needs to be opened and that funding can be directed to other areas. doctors say they are being made scapegoats to they are being made scapegoats to the failure of the government to fund nhs efficiently. if our practices were expected to open seven days a week using five days worth of funding and staffin

it is gps draw up plans for patient charging. that sounds alarming. not one of the official college of gps or a proposal by a large group of them. this is a senior gb in oxford who is working with colleagues to develop this proposal to charge patients for weekend or even appointments. there has been a long—running dispute between doctors, between gps and the government. theresa may once a seven day with access for all of us who are hard at work during the day to be able to go to our gp in the evening or at weekends and gps are saying is not possible with the money they have got. what they are suggesting is for particular types of work, of procedures that they need, things like this actually and non—cancerous mole removal, they could have that done at their gp and be charged. alarm bells start ringing about privatisation and lots of people are not as sympathetic with gps as with other doctors, because the average salary is over £100,000. they feel they should be there to provide a service when it is needed. they would get a third party to provide, a pr

there are about 13.5 million referrals for treatment by gps every year.ent centres. more than 84,000 were rejected for clinical reasons, or because of clerical errors. really it is a form of rationing. that's not to say that we don't need to perhaps rationing within the nhs but i would rather it was done explicitly and that the public were involved rather than every purchasing authority making its own individual decisions and sometimes using private companies to do that. the logic of the system is that at a time of rising patient demand and stretched resources local health commissioners have a mechanism for scrutinising decisions which could lead to expensive hospital treatment. but they acknowledge that once you've taken on board the cost of the centres there's no way yet of assessing whether they do provide value for money. some local health bodies are limiting certain types of careful stop the referral centres are reinforcing those decisions. we don't want to squander any money, we have limited resources, so it's really important resources we have we s

are to continue even just considerably if gps are to continue evenjust doing what considerably if gps do at present and let alone the huge ex pa nses present and let alone the huge expanses that are being suggested in terms of you know seven day working. if the government is unable or unwilling to recognise a huge increase in workload in general practice and unable or unwilling to fund the increase, it is natural that gps will look at alternative ways of getting that additional funding. if there is a resistance to seven day working people watching this will think, why do you not want to do that on one hand, some gps, not want to do that on one hand, but you're prepared to work until 10pm at night to carry out some minor operations because it brings in money? clearly, it is going to be different for different practise, but the point is this. a lot of nhs work is so poorly paid that practises might be able to find ways of creating time to do additional work streams if they were better funded and this money is not necessarily going to go directly into gp pockets, it will be a way of gett

this is a very senior gp.op gp sagging there is not the need for it, this is an empty promise —— saying. nobody wants to book a gp appointment on a sunday afternoon. equally, where are the resources? something will have to give. she says herself, there is no point filling a surgery with medical knowledge and experience if on sunday afternoon, where is the person on tuesday morning? these gaps will be showing. they talk about ringing people in from abroad. she says it is not sustainable. she was warning people would have to wait up to four weeks for an appointment —— bringing. wait up to four weeks for an appointment -- bringing. very interesting that one of the junior ministers of the outgoing coalition, the liberal democrat norman lamb, was saying absolutely but the gp seven days a week is a superficially attractive gimmick. the emperor has no clothes. it really was an extraordinary piece of typical david cameron flannel for propaganda. that at the other help story on the daily express. thousands face hip ope

there were over 13.5 million gp referrals in england last year. on behalf of the nhs. a rise of almost 30% compared to two years before. 4% — more than 84,000 — were rejected. mostly for admin reasons, like missing information. doctors' leaders are strongly opposed to what they say is a blunt form of rationing. these centres, which are taking a crude approach to scrutinising all gp referrals, can be inefficient, cost more to run than any potential saving, but crucially, in the process, delaying patient care. referral management centres are used by one third of england's clinical commissioning groups. there are 61 of them in england and wales. gatekeeping what are often expensive, hospital—based service. we have not found similar set ups in scotland, or northern ireland. those who commission nhs care say the system delivers value for money. we don't want to squander any money, we have limited resources, so it is really important the resource we have we spend most effectively, and get the best value for our population. referral management is, for no

how unique are these problems to gps? you could say these problems to gps? at many professions these days and a lot of people, especially in the public sector, are feeling the pressure and i think it is great if those individual employers for mental healthcare services for those employees. i would argue the nhs should take some responsibility and say, actually, we are putting general practice under an unsustainable workload and we were pleased for mental healthcare services. i think it is the least. what it is like pouring spangles of water on this raging fire. what would you change? should it be settled completely differently? we are still with this ancient model of ten minute consultations. we have to think outside the box. what would i do? firstly, we need more gps. the amount of gps per patient is going down. it doesn't add up. i would spread this out. as a society, what we are seeing is the tip of the iceberg. we are seeing a huge amount of lifestyle driven problems and we we re of lifestyle driven problems and we were talking before about things like d

gps are being warned they could face funding cuts if they don't keep their surgeries open for longer.le are going to accident and emergency departments, who're already hard—pressed because they can't get gp appointments. doctors say they are being made scapegoats and have accused the government of failing to address a deepening nhs funding crisis. 0ur health correspondent robert pigott reports. hospitals have faced a winter crisis like none before. unprecedented pressure in the new year led almost half to declare a major alert, with doctors warning that patient safety was being compromised. today, the government said gps‘ surgeries were partly at fault, failing to provide the access for patients in need, forcing them into emergency departments instead. the government wants gps‘ surgeries to open from 8am in the morning until 8:00pm in the evening, seven days a week, unless they can prove there is no demand. they say they will withhold extra funding unless its compliance. i have worked for many years in the nhs and every winter is difficult. this winter in particular has seen the highe

the man was supposed to be wearing a gps ankle bracelet after a 2012 robbery conviction. police found the cutoff monitor in his backpack but he was not sent back to jail. >> you cut it off, you're going to jail. you cut it off, you're going to be prosecuted. there will be consequences. >> reporter: last year after the murder of tricia mccally, the judge ordered that he wear a gps ankle bracelet but he did not return to the courthouse as ordered the next day to get on been a lot of finger pointing about this in the wake of the murder. last week we were told on background by a knowledgeable source that duane johnson was not on gps because he had no fixed address to tie the gudevi to. in a statement, head of d.c.'s pretrial program told me, a pretrial defendant not having a fixed address would not automatically disqualify them from being placed in the gps program, end quote. all of which is moot of course because johnson never showed up to get it. >>> new tonight, president-elect donald trump again using twitter to make headlines. >> and again apparently questioning whether

surveys of gps suggest that it the same? surveys of gps suggest thatitis the same? spending more and maintaining free access to gp practice. it is not just the nhs, it is what does society want from their health care providers? if they can only get it privately, we have failed. david whiteley, bbc news. and throughout the day we'll be bringing you reports on the nhs from our inside out teams and viewers across england can also see a special programme tonight at 7:30 on bbc one or on the iplayer. we'll have another report in the next half hour. now the other developing stories today. a turkish cargo plane has crashed in kyrgyzstan killing at least 32 people. the boeing 747, which was en route from hong kong, crashed into houses near manas airport in the kyrgyz capital bishkek. rescue workers say the dead included all members of the crew, as well as several children. visibility was poor because of thick fog at the time, but the cause of the crash has not yet been confirmed. a funeral is being held today for two young cousins who died after being hit by a car on new ye

mccauley's case, offender had not gotten the gps device. even if he had, that does not mean that he and ms. mccauley would not have crossed paths. now, the mayor also called on the court system to be more efficient, quicker in putting these gps devices on offenders once they are ordered to wear them. opposition,o some given these -- giving these agencies to enforce these devices. the aclu may be opposed to it. the mayor said if they are going to fight this new law, she will see them in court. stephen tschida, abc 7 news. jummy: taking a news around the nation, the penalty phase begins today for dylann roof, who has been convicted of killing nine people. jurors are deciding whether to give him the death penalty. he is representing himself, but he is not allowed to approach the jury, the witness stand, or the bench. overseas we have new developments in a deadly nightclub attack in turkey. the foreign minister says the gunman has been identified. suspect, still on the loose, has not been released. five more people were arrested overnight. they

can i ask you about the job of being a gp. a i ask you about the job of being a gp. working together to make sure the true story of what‘s going on in the nhs is heard. do you think theresa may is out—of—touch then? heard. do you think theresa may is out-of-touch then? i don't know what the truth of those comments is. so it is not for me to comment. what i do know is the health service is in a very difficult place and we need to work together to fix it. how many gps are needed to fix that? theresa may is promising 5,000, is that enough? 5,000, no, it is not enough to cu re enough? 5,000, no, it is not enough to cure things for the future. it will make a huge difference. we have been promised 5,000 more whole time gps by 2020. it will be hard enough to find those because it takes a long time to train a good gp. probably in the reality in the medium—term is we need 10,000 gps to make the service sustainable, but 5,000 would be a great start. ok, thank you very much. coming up in a moment on the bbc news channel is business live. here on breakfast. we‘ll hearfrom the ma

. number of gps have been leaving the service.deteriorated in the last year and we know that one in three gp practices in the country have permanent vacancies where they cannot fill gp places. depending on the situation, some will be looking to close practices and patients who are used to access in their local gp for a period of time will no longer be able to see their gp. hazel, i mentioned you had been a patient at that surgery for more than 40 years, how do you feel about and closing? quite angry, and so do and closing? quite angry, and so do a lot of residents, and it is an anger that really escalated, because studley seems to be losing all these services. we have lost the fire service, the library, which is now manned by volunteers. we have at the banks close, you name it, we have lost it. and really, this was really angry, it made people really angry that this was happening now, that the doctors were going, especially those doctors, because they are well regarded, highly respected, because they knew, or as a patient you knew

three gps have told this programme they‘ re having to sell their sell their equipment to avoid goingto personal debt after their surgery closed. the studley health centre in warwickshire shut permanently on the 31st of december because the partners that ran it claim they were no longer able to make a living. the doctors are trying to raise around £40,000 to cover the costs of closing. the department of health says it has invested an extra £2.4 billion into primary care. and we'll be speaking to one of the gps from that surgery, and a former patient, just after 9:30am this morning. the taxman‘s failure to get tough with the super—rich could undermine confidence in the whole system, according to mps. the public accounts committee says the amount raised each year from wealthy individuals has

when you go under, you lose your gps signal. you can test how well you maintain the gps, for how long and how quickly you recover. host: when you talk about gps, you are talking about satellites? debbie: yes. it is getting gps and we are in fact upgrading our devices. gnsf really takes our system, the american version of the gps and adds more satellite. instead of just having our satellites, there is a bigger set of satellites that would be more accurate. host: we have perfected the four wheels and the air-conditioning in the car but now they are becoming very sophisticated. >> next week, the communicators talks with the president of audi of america. o to c-span.org. there are new congress starts today. watch all of the opening day events and activities on c-span live from the u.s. capitol starting at 7:00 a.m. eastern. you'll meet new representatives and hear from returning members. the house gavels in at noon. opening day business includes the election of the house speaker, his address to the whole house and later a debate and

when you go under, you lose your gps signal. you can test how well you maintain the gps, for how long and how quickly you recover. host: when you talk about gps, you are talking about satellites? debbie: yes. it is getting gps and we are in fact upgrading our devices. gnsf really takes our system, the american version of the gps and adds more satellite. instead of just having our satellites, there is a bigger set of satellites that would be more accurate. host: we have perfected the four wheels and the air-conditioning in the car but now they are becoming very sophisticated. >> next week, the communicators talks with the president of audi of america. if you would like to see some of our previous communicator programs, go to c-span.org. >> the new congress starts tuesday. watch all of the opening-day events and activities on c-span. we are live from the u.s. capitol starting at 7:00 a.m. eastern. you will need new representatives and hear from returning members. the house gavels and at noon. opening-day business includes the elec

there are about 13.5 million referrals for treatment by gps every year.s, or because of clerical errors. really it is a form of rationing. that's not to say that we don't need to perhaps ration within the nhs but i would rather it was done explicitly and that the public were involved rather than every purchasing authority making its own individual decisions and sometimes using private companies to do that. the logic of the system is that at a time of rising patient demand and stretched resources local health commissioners have a mechanism for scrutinising decisions which could lead to expensive hospital treatment. though they acknowledge that once you've taken on board the cost of the centres there's no way yet of assessing whether they do provide value for money. some local health bodies are limiting certain types of care. the referral centres are reinforcing those decisions. we don't want to squander any money, we have limited resources, so it's really important resources we have we spend most effectively and get the best value our population. best valu

in the case of antwon pitt charged in a beating and rape, he had taken off his gps guys. in the case of dwayne johnson charged with killing trisha mccauley, he never showed up to get the device ordered by a judge ten days before the murder. but officials say even if the gps devices had been in place, they may not have prevented those crimes. >> even if he had the gps device, that didn't mean that he and mis-mccauley would not have crossed paths. >> reporter: but frs saying johnson never should have been on the streets. a judge said the reason johnson was released just days before mccauley's murder is because federal prosecutors were not ready when they appeared in court. so the judge had no choice. today the u.s. attorney said he's looking into why prosecutors weren't ready. >> there was a quick turnaround in terms of the case that was in the court and communications were are made to try to get the witness that was available or needed rather for the detention hearing as to whether the communications were actually received sun cleis unclear. but we feel a huge loss and we

a loophole that allowed people equipped with gps monitoring device to go unpunished after removing, disabling or tampering the device. >> coming after last month's brutal murder of of tricia mccauley. he was arrested five times in 2016. and just a week before he allegedly killed mccally was ordered by a judge to wear ankle bryce let and never returned to the court to get that bracelet. there's a break in the case that haunt aid femalely for weeks now. a man was last seen as family bethesda home last month. answers about his disappearance is in custody. "fox5" melanie alnwick live in bethesda with more. what's the latest, here, mel. >> reporter: december 14 when john donnah oz was seen between his apartment here and his parents onel moore two miles away. police are not releasing name of the woman who was placed under arrest because they were still trying to get information from her. where did these credit cards come from. who else might be involved in this investigators will tell us that john donnaho and this woman did not know each other. 36-year-old with bethesda native works at un

some gps have said they would have given hera smear some gps have said they would have given her a smear an across—the—board guideline to say if someone has symptoms, yes, you can refer them from a smear symptoms, yes, you can refer them from a smear even symptoms, yes, you can refer them from a smear even if they are under 25. so you think there is a postcode lottery depending on where it happens? definitely. when you say if somebody wants a smear under 25 they should get it, would you say that should get it, would you say that should be based on actual symptoms orjust if somebody has any concern? ido orjust if somebody has any concern? i do think it would go down to symptoms but i think people would have concerned if they have symptoms, i don't think a lot of people are just generally concerned they have it for no reason. i don't understand —— i do understand all of this, but we want to make it available for people who do have symptoms and are concerned, there needs to be a guideline and some kind of... something to allow doctors to put people forward for smears because a lot of them f

theresa may says funding to gps will be cut unless they can prove there isn't a need for a 12—hour seven—dayvice. good morning. it's saturday the 14th of january. also ahead: thousands of people have been evacuated from their homes but towns and villages along the east coast escape serious flooding. mps call for the prime minister to publish its brexit plan by mid february at the latest. in sport. chelsea drop their top scorer costa. it follows a dispute over his fitness, but also comes amid reports he is being offered £30 million a year, to play in china. it is rock and roll sport. that is how i explain it. and bringing motocross, to the great indoors. i've been meeting some of the people involved, in arenacross to find out how it works. good morning. first, our main story. the prime minister has said gps in england should keep their surgeries open for longer to ease pressure on accident and emergency departments. downing street says too many family doctors are closing early and failing to open at weekends, forcing patients to seek treatment in hospitals. our political correspondent, chris

there are about 13 and a half million referrals for treatment by gps every year.tres. more than 84,000 were rejected, for clinical reasons or because of clerical errors. really, it's a form of rationing. and that's not to say that we don't need to perhaps ration within the nhs. but i would rather it was done explicitly. and that the public were involved, rather than every purchasing authority making its own individual decisions and sometimes choosing private companies to do that. the logic of the system is that at a time of rising patients demand and stretched resources, local health commissioners have a mechanism for scrutinising decisions, which could lead to expensive hospital treatment. they acknowledge that once you've taken on board the costs of the centres, there's no way yet of assessing whether they do provide value for money. some local health bodies are limiting certain types of care. the referral centres are reinforcing those decisions. we don't want to squander any money. we have limited resources. so it's really important the resources we have, we sp

we were told to either go to a&e or your gp and it is the only way we can come back, we had no directo the specialist services. that is wrong. the prime minister, theresa may, has described mental health care as a burning injustice and today a promise of a major overhaul. left unaddressed it destroys lives, separates people from each other and deepens the divisions within our society. changing this goes right to the heart of our humanity, to the heart of the kind of country we are, the attitudes we hold and the values we share. the plans include mental health first aid training for secondary schools, employers and organisations will also be given additional guidance in supporting staff who need to take time off. and there will be greater emphasis on community care. the prime minister says this is an historical opportunity to right a wrong but for those on the front line of mental health services, funding is a major concern. mental health is still very underfunded compared to other areas of medicine. it generates probably 20 to 25% of the total disease burden of all diseases and yet th

tomorrow morning's papers but first, a reminder of the headlines: first, the government has warned gpsgland that they must keep their surgeries open longer, or face a cut in some of theirfunding. ministers say the plan would help relieve pressure on a&e departments, but the british medical association says family doctors are being made scapegoats. a teenager who was stolen as a newborn baby from a florida hospital 18 years ago has been found in south carolina. the woman who raised the girl has been charged with kidnapping. mps overseeing the brexit process have called on the government to reveal details of its plans by next month. and england's east coast has been spared widespread flooding after last night's storm surge failed to materialise. thousands of people had been advised to leave their homes, but the high tide didn't breach flood defences. hello and welcome to our look ahead to what the the papers will be bringing us tomorrow. with me are political editor of the sunday mirror and sunday people, nigel nelson, and political commentatorjo phillips. we will be going through the ne

. >>> this is gps, the global public square. welcome to awful you in the united states and around the world. i'm fareed zakaria. we have a big show for you today. starting with james baker, the great elder statesman of the grand old party. i will ask the former secretary of state, former chief of staff what he makes of president-elect trump and his foreign policy. >>> then some startling, depressing new facts and figures from the arab world. there is some hope. >>> also, welcome to 2017. what will the new year bring? predictions, trends, new topics, with a terrific panel. tina brown, ian bremmer, bret stevens, and the great kneel degrass tyson. >>> but first, here's my take. i'm glad that donald trump has finally gotten a briefing on the unanimous conclusion of america's intelligence agencies that the russian government was behind the hacking of the democratic national committee and hillary clinton's campaign chairman. but, he should also request and receive a political briefing on russia that can shed light on the backdrop to t

you are from the pm a's gp committee.ment of health has said that it has a list in the case of gp practices open, close and merger with time, but what is important is that patients continue to get access to the services they needin to get access to the services they need in different parts of the country. in the end, if a practice is unviable, this is the only sort of outcome, isn't it? well, that's a very short—sighted comment from the department of health. the reason is that over the la st two health. the reason is that over the last two years, we have up and down the country's workload has been increasing significantly, partly due to the fact that the nhs in a way has been a victim of its own success, because has been a victim of its own success, because people now live a lot longer with more health conditions, meaning they need a lot more care in the community. unfortunately, funding hasn't kept pace with that, and we have want the government that it does not keep pace to provide the level of service of the patient's'

how can we make sure when a defender is ordered to get a gps device that offender gets it immediatelying space and time available in our jail, if that's what their first landing spot for the supervising agencies to have their staff available, to put on the gps monitoring devices. signing a bill into law this morning, you talked about it earlier. basically, it throws the book at people that cut off or tamper with a gps device, believe it or not, that happened in the past and they haven't faced penalty. now, in the future, they will. and they could face an extra six months in prison for cutting off that device. we're live at the wilson building, matt ackland, fox 5 local news. >>> donald trump's controversial former campaign manager is now opening a political consulting firm steps to the white house. we remember corey lou endowski, fired by trump >> now he's be working inside the same building where you'll find the trump transition headquarters. ronica cleary is live at the white house with the story. >> reporter: well, corey lendowski never backed down as a trump reporter even when he

the majority of time you don't come back to a gp.s the difference you mess around with igi and you catch our attention. you're not going to go back. you're going to get validated and in permanent shu. >>> coming up, you can take the inmate out of the gang, but can you take the gang out of the inmate? >> see if i'm going to get i.d.'d or not. >>> and angel gives clement an ultimatum. >>> with robert kofman one point >>> with robert kofman one point away from validation, the igi continues its crackdown on other suspected 2-5 members on the sny, including luis dunchez. >> inmate dunchez was identified as a 2-5. i put together a validation package for him. it was submitted to the office of correctional safety and the points were good enough to validate him. he's now validated as a member of the 2-5. he had tattoos on him. with a 2-5. he had other written material in his property, 2-5. so slam dunk with that guy. he's now validated as a 2-5 member. >> luis is brought before an institutional classification committee in ad seg to determine

gps not pulling their weight. if there is an issue, it is one precipitated by legacy.m government before. there is a lot of dishonesty, political fear and partisanship. politicalfear, we know that one person who went in to see tony blair to be promoted was terribly worried he would get health. to get it is a bit of... maybe that is why they have not replaced jeremy hunt after all these yea rs. replaced jeremy hunt after all these years. no—one else raised his hand in cabinetand years. no—one else raised his hand in cabinet and said, i will take it. jeremy is doing such a noveljob, someone jeremy is doing such a noveljob, someone has to fix it. it is a very difficultjob. someone has to fix it. it is a very difficult job. very difficult job. nhs, after the monarchy, the thing that defines being a modern brit, the sense of pride in the nhs...m the sense of pride in the nhs...m the opening ceremony of the nhs.” come from america and went last if i would never move back, i think, how much money, even with some form of obamacare, which would be around in a month, but the amo

there were over 13.5 million gp referrals in england last year.nt centres on behalf of the nhs. a rise of almost 30% compared to two years before. 4% — more than 84,000 — were rejected. mostly for admin reasons, like missing information. doctors‘ leaders are strongly opposed to what they say is a blunt form of rationing. these centres, which are taking a crude approach to scrutinising all gp referrals, can be inefficient, cost more to run than any potential saving, but crucially, in the process, delaying patient care. referral management centres are used by one third of england's clinical commissioning groups. there are 61 of them in england and wales. gatekeeping what are often expensive, hospital—based service. expensive, hospital—based services. we have not found similar set ups in scotland, or northern ireland. those who commission nhs care say the system delivers value for money. we don't want to squander any money, we have limited resources, so it is really important the resource we have we spend most effectively, and get the best value for