information on behavioral health services, drug and alcohol treatment resources. the referral process to receive treatment and then transitional supportive housing. presentation by craig murdock, director, sf health network, and edwin batongbacal, director, adult and older adult systems of care. public comment is welcome. break, the dowel 0 will take a 15-minute break. item 7, information item. city agencies, deaf advocates and represent testifies from community-based organizations come together to give input on the san francisco police department's department general record. a brief overview of best practices for officers. presentation by captain troy dangerfield, san francisco police department. public comment is welcome. item 8. information item. san francisco disability community cultural center survey. the study of san francisco is building the first municipally funded disability community cultural center and long more institute is working to plan for it. we'll shear about the project and explain opportunities. presentation by catherine kudlick, director and e

if you want world-class health service, you have to do find it at world—class levels. health service,not doing that? no. independent analysis has shown that with £20.5 billion over five yea rs that with £20.5 billion over five years amounts to aboutjust over 3% per year. that is less than the 4% per year. that is less than the 4% per year. that is less than the 4% per year on the independent health expert and economists suggest is needed. it actually lower than the average annual investment in the nhs since its conception. it's really important that while the money sounds a lot, it's important to recognise that it's not even at historic average levels that the nhs has received since its inception. while it is more than receive during austerity, is certainly not a lot less. as with important that we are realistic about how this money will be used. in my view, itjust isn't as high as the government might be promoting. thank you forjoining us this afternoon. the headlines on bbc news: theresa may says she is still seeking reassurances from the european union for her brexit deal — and say

in the last ten years, when you have cut the health service to the bone. have been an mp, each year, in the coalition years and under the conservative government. demand is running faster, and hence we need to increase the amount of funding going in which is what we are doing. the funding to the nhs has gone up but it is also about making sure the nhs delivers and we don't see it as a hospital service but helping people staying healthy in the first place, i mean, yes, the nhs is under pressure, but it is doing more than ever before, and we have got to make sure we stay ahead of these demands. two british soldiers serving with special forces in north east syria have been seriously injured. reports say they were hit by an islamic state missile in deir al—zour. 0ne kurdish fighter is thought to have been killed in the incident. another senior official at the pentagon has resigned following president trump's announcement last month that us troops would be withdrawn from syria. the departure of the chief of staff, kevin sweeney, follows that of the defence secr

and our mental health services are similarly a system of care comprised of a range of services.cross all of our services, the 25,000 or so clients that we serve, 1/5 or 20%, are homeless. this speaks to the devastating impact of mental illness and substance use on our population. there are 300 behavioral health problems. one-third is drug. you can see, the homeless individuals are in every one of our services. but we do have special programs -- homeless-based for example -- that are based in shelters. we have behavioral health services that are based out of drop-in centers. we also do street outreach. and we have management programs that specifically dedicated to the homeless. and most importantly our programs, all of our programs work collaboratively with all of the city homeless outreach initiatives, for example, the department of housing and supportive housing, homelessness and supportive housing, that runs the homeless outreach team. and we're very much involved in departmental initiatives, such as hsoc. -- it's a county initiative. and we're there. what is the referral proc

in the last ten yea rs, health service in the last ten years, when you have cut the health service to bone. well, we have increased funding to the health service, each year, that i have been an mp, each year, in the coalition yea rs an mp, each year, in the coalition years and under the conservative government. demand is running faster, and hence we need to increase the amount of funding going in which is what we are doing. the funding to the nhs has gone up but it is also about making sure the nhs delivers and we don't see it as a hospital service but helping people staying healthy in the first place, imean, yes, staying healthy in the first place, i mean, yes, the nhs is under pressure, but it is doing more than ever before, and we have got to make sure we stay ahead of these demands. good to talk to you. matt hancock, the time now for click. music plays. yeah, we did all that and more last year, and this week we're going to look back at some of our favourite moments, and also look ahead to what we might expect from 2019 — which doesn't quite roll off the tongue yet, does it? 2018 w

those come to the health service system. once those are reviewed.e nominees will be notified directly of their status. on february 21st. on the 28th candidates notified of the nomination have an orientation session in the department of elections. this is currently scheduled on that date from 2:00 to 4:00 p.m. march 27th is the deadline for candidates to submit election statements to the department of elections by the close of business. on april 30th ballots are mailed to eligible sfhss members. may 9 to 29, voting can take place. those ballots go to the department of elections, we will not accept them at hss. ballots are counted on may 30th. winner announced. new elected members begin the term at the meeting on jun june 13th. i think that is really it. natalie will be steering the ship from the hss perspective. we have set up an elections e-mail for that purpose so she can answer questions that she is permitted to respond to and is in close correspondence with the department of elections. there is the resolution in your packet. i don't know that i n

tomorrow theresa may will announce a ten—year plan for the health service, with the budget due to rise2023. nhs patients in england are being promised access to what the prime minister says will be "world class" treatments as our health correspondent dominic hughes reports: two... jenny knows first—hand how hard it can be to live with poor mental health. for years she has struggled with anxiety and depression. when she has needed help, she has had good support from her gp and the wider nhs. but she says mental health is still only second—best when compared to physical problems. it feels like we're making a start, but it still seems to me like there's a long way to go, and... i don't know, i don't have the answers, but it seems to me that waiting months and months for treatment can't possibly be right. improving the provision of mental health services for people likejenny is one of the areas the prime minister is outlining today. it's all part of long—term plan for the nhs in england, highlighting the priorities for the health service over the coming decade. they include improved matern

i also want to thank the director of behavioral health services and the department of public health. i know with ye strongly worked conjunction with either team, and lisa pratt from jail services for taking the time to do this, as miss mcdonald mentioned. i do want to come back to the amount -- the 2200 patients that are in the -- that are taking the emergency services and that -- that are in need of mental health and have severe diagnoses that are accounting for over 50% of the cost. i do want to come back to that conversation. i think the citizens of san francisco will, you know, out of our budget, almost $400 million being spent on behavioral health services, and are we getting the best bang for our buck? are we really using those dollars in an appropriate manner, particularly when 2200 individuals out of 44,000 are 50% of the cost for -- in our urgent and emergency services. so i want d.p.h. to speak and do their presentation, but i want to come back to that point. i also want to emphasize the point on the slide that was presented about the jail bookings and those involved in -- i

it is hoped the £20 billion a year boost will see more money for community care and mental health services transforming survival rates from some of britain's biggest killers. our health correspondent dominic hughes reports. the health service is treating more people than ever before, but it is struggling in the face of unprecedented demand. so nhs managers in england along with health charities, medical royal colleges and patient groups have been working on a plan for the next decade to try and improve services and to ease those pressures.” decade to try and improve services and to ease those pressures. i think it isa and to ease those pressures. i think it is a really important moment for the nhs, to plan is to choose. what we need is a plan that is ruthlessly priorities, that we know could be afforded and that we know we have enough staff to deliver. what we must avoid is a plan that has a very long wish list of overinflated expectations that the nhs can't deliver. the 10-year plan includes the promise of more money for community, gp and mental services. every child with cancer will have

she's promised an extra £20 billion for the health service budget by 2023, phased in over the next fivehere'll be greater emphasis on community and gp care and mental health. it's hoped the strategy will improve the early diagnosis of cancers, and the prevention of heart attacks and strokes. our health correspondent, dominic hughes, reports. the health service is treating more people than ever before. but it is struggling in the face of unprecedented demand. so nhs managers in england have been working on a plan for the next decade, to try to improve services and ease those pressures. it is also about addressing on met need, particularly in services such as learning disability services and autism. mental health services, services that for too long have been squeezed from the national debate and unsupported by the nhs. the ten year plan includes the promise of more money for a community, gp and mental health services. every child with cancer will have their dna tested to identify the most effective treatments. and more patients will be cared for closer to or at home, reducing the pressur

critical funds to reopen the department of interior, the environmental protection agency, indian health service, and other important agencies. our national parks, america's crown jewels, are under threat. this administration continues to allow visitors to enter as if everything is normal. our park service does not have the funding to ensure visitors' safety and address the most basic standards of cleanliness and protect park assets. joshua tree national park is experiencing significant damage because there are not enough rangers to stop off-road driving in the park. new tracks are being cut into the sensitive landscape and many of joshua's trees, the precious namesake of this park, have been destroyed. just this past week, the department of interior announced an illegal plan to forest parks to start redirecting funds from entry fees. now, those fees are designated for capital improvement projects and now they will be used to clean toilets. there is no substitute for the park system's annual operation budget of $2.5 billion. and as i said, lasting damage is being done to our national parks, and

prime minister says the publication of the plan this week marks an "historic" moment for the health service extra £20 billion a year by 2023. labour says staff shortages and cuts to the health and social care systems in recent years will make it very hard to deliver what's being proposed. here's our health correspondent dominic hughes. one... two... jenny ray knows first—hand how hard it can be to live with poor mental health. for years, she's struggled with anxiety and depression. when she's needed help, she's had good support from the gp and the wider nhs. but she says mental health is still only second—best when compared to physical problems. it feels like we're making a start, but there still seems to me like there's a long way to go, um... and i mean, i don't have the answers, but it seems to me that waiting months and months for treatment can't possibly be right. improving the provision of mental—health services for people likejenny is one of the areas the prime minister is highlighting today, mrs may outlining measures that she says secure the future of the nhs and will deliver world

first is health service board 2016 evaluation survey.at document as commissioner scott mentioned represents the last time the board conducted this survey and per the governance committee wishes we have prepared an electronic version of the survey using the same questions and rating scale that would be sent out to you to complete. the benefit of using the same questions from year to year is that you are able then to track your progress over time, compare yourselves to how things were going in a previous year. i think that makes a lot of sense. the second document i would like to draw your attention to is the timeline that we prepared. it is an expedited timeline that the governance committee has endorsed based on your goals to complete this process rapidly. today you are reviewing these documents and matador action to move forward. upon your action we could as soon as tomorrow send out the survey to the commission with instructions and a link for you to complete. in order to be able to provide a comprehensive report on the results for you

the health service is treating more people than ever before, but it's struggling in the face of unprecedenteds in england, along with health charities, medical royal colleges and patient groups have been working on a plan for the next decade to try and improve services and to ease those pressures. i think it's a really important moment for the nhs, but to plan is to choose. what we need is a plan that's ruthlessly prioritised, that we know could be afforded and that we know we have enough staff to deliver. what we must avoid is a plan that has a very long wish list of overinflated expectations that the nhs can't deliver. the 10—year plan includes the promise of more money for community, gp and mental health services. every child with cancer will have their dna tested to identify the most effective treatments. and more patients will be cared for closer to or at home, reducing the pressure on hospitals. lift up with me. and push me away. getting help at home has made all the difference to pauline hogarth. for two decades she's lived with multiple sclerosis. last year an illness meant she was ad

it is hoped the £20 billion a year boost will see more money for community care and mental health servicesnsforming survival rates from some of britain's biggest killers. 0ur health correspondent dominic hughes reports. the health service is treating more people than ever before, but it's struggling in the face of unprecedented demand. so, nhs managers in england, along with health charities, medical royal colleges and patient groups have been working on a plan for the next decade to try and improve services and to ease those pressures. i think it's a really important moment for the nhs, but to plan is to choose. what we need is a plan that's ruthlessly prioritised, that we know could be afforded and that we know we have enough staff to deliver. what we must avoid is a plan that has a very long wish list of overinflated expectations that the nhs can't deliver. the 10—year plan includes the promise of more money for community, gp and mental health services. every child with cancer will have their dna tested to identify the most effective treatments. and more patients will be cared for close

preventing ill health, it depends on a very strong, robust public health service. tage at the moment. exactly. we need a short time, urgent plans we can secure and recruit and retain current staff. in general practice, four out of ten gps intend to retire in the near future because they feel the workload is too great and unsustainable. unless we deal with pressures now we aren‘t going to see the long—term aim is realised. the elephant in the room is also brexit, because if you talk about workforce, we are very because if you talk about workforce, we are very worried, the bma‘s owner survey showing that three in ten doctors from the eu in ten to leave asa doctors from the eu in ten to leave as a consequence of brexit. each year, we take on doctors from abroad, from europe, in a no—deal scenario, there will be restrictions on new doctors coming into the uk from europe. ijust bike to the health secretary about exactly that. health secretary about exactly that. he gave two assurances, if you like. he gave two assurances, if you like. he said anyone working in the nhs no

she's promised an extra £20 billion for the health service budget by 2023, phased in over the next fivefrom labour's health spokesman jon ashworth, who is at westminster. the prime minister says this is a historic moment for the health service. it is certainly historic that we have a5 million people on the waiting lists and 2.5 million people waiting beyond four hours in a&e. this is because of almost nine yea rs of a&e. this is because of almost nine years of the tories running down the nhs, cutting back public health services, privatising elements of it, failing to invest in social care and failing to get the staff we need. we are short of 100,000 staff across the nhs with projections the staff vacancies are set to get worse. what we did get today was £20 billion, would labour spend that much money on the nhs? yes we would, but that 20 billion is in five yea rs. but that 20 billion is in five years. this year you will see deep swingeing cuts to public health services, the sort of services that provide sexual health services, smoking cessation services, obesity services, the type of se

nhs england says problem drinkers and smokers cost the health service £6 billion every year.tive of the british heart foundation to get his reaction and hopes of this new scheme for the nhs. the independent office for police conduct has opened an investigation after a 31—year—old man was shot dead by armed officers in coventry last night. the man has been named locally as sean fitzgerald. two other men were arrested at the scene, on burnaby road in the north of the city. west midlands police say it was a pre—planned operation. our reporter katharine da costa joins me. give us a background to what happened. west midlands police say and officers raided a property on the residential street in the north of coventry city centre. about 620 yesterday evening. one man shot and pronounced dead at the scene, two other men, both aged 26, remain in custody in suspicion of a drugs related offence. witnesses described emergency vehicles and a large number of police cars in the area. residents were told to stay indoors as part of the street was closed. pa rt as part of the street was closed

if they are not met it is a serious problem for the health service and labour can say only we can be have a point in making it clear that the amount of money that is being given to the nhs is only taking it to the levels that it was getting five, six, seven, eight years ago. this is the big challenge, it has a lot of strengths, but it has serious challenges, and part of what is being announced today is about trying to make the nhs more relevant in the 215t century, people having appointments via skype, booking things on your phone, lots of things just emerging other people are taking advantage of, but there are still hospitals where wards are falling apart. a friend of ours recently, the sun has gone in for treatment, and he will be in for ten daysin treatment, and he will be in for ten days in a room on his own with no tv. this is a 14—year—old boy stuck in hospital for nine days with antibiotics going in regularly. you would expect a tv. i am sorry. i think that is a basic kind of need for a child of that age that needs some sort of entertainment rather than being stuck in a room on

nhs england says problem drinkers and smokers cost the health service £6 billion every year.r richard piper, ceo of alcohol change uk, a leading uk alcohol charity. thank you forjoining us on bbc news. first off, your reaction to this announcement. first of all, we will welcome the announcement the investment in the alcohol care teams. they have been shown to work and the fact that we will see them in up to 50 hospitals is a really good thing. the announcement also includes rolling bows out to all hospitals within five years. we would like to see that accelerated. alcohol care teams can work with people with alcohol poisoning, with people with alcohol poisoning, with people who have mild dependency weighed you can nip it in the bud, also with those who have chronic conditions as a result of drinking too much, such as cancers or liver disease. liver disease is the fastest growing cause of death in the uk though this is welcome. inevitably, we would like to see a slightly quicker roll—out to all hospitals and i suppose there is one big thing missing from all this which is the i

chief operating officer of the health services system. the dependent how -- audit report is behind the director's report. as you recall starting around the end of 2016 and 2017, we began a discussion on doing the first full denverificatio depent verification audit. however, looking at not only your fiduciary responsibility but the system fiduciary responsibility doing a complete audit. which is typical in industry standards and benefits and administration as well as the public sector. i wanted to present some of these results for you. >> president breslin: do you want to pull the slides up? >> on the first slide, reminder our audit began in april 2018. it included just over 26,000 employees and retiree who have enrolled legal spouse or domestic partner. the audit was performed by a benefits administration company that we contracted with by the name of life solutions. the division of their dependent verification centre. we chose this route because hhs not only have the staff to handle 26,000 pieces of mailing that needed to be monitored or

when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i al

nhs england says problem drinkers and smokers cost the health service £6 billion every year. on smoking and health — a health charity working to eliminate the harm caused by tobacco use. what is different about this scheme? dedicated funded for services to sick smokers in the nhs. historically, community services provided by public health budget through local authorities which u nfortu nately had through local authorities which unfortunately had their budgets cut in recent years. this is making smokers at a point they are most likely to change their behaviour, when they happened diagnosed with something. doctors can say, if you can quit smoking this will help improve your health. it cannot reverse the damage. is it better to put the money into preventing? you need both. it will reduce their pressure in the nhs. smokers are i can smile likely to get through, the result in winter bed pressure. a pilot in manchester, between ten and 30,000 beds. it is cost saving. lung cancer, something like 50% of people diagnosed with lung cancer are still smoking. if they quit smoking at that

unmet need, particularly in services such as learning disability services and autism, mental health servicest for too long have been squeezed from the national debate and unsupported by the nhs. the ten—year plan includes the promise of more money for community, gp and mental health services. every child with cancer will have their dna tested to identify the most effective treatments. and more patients will be cared for closer to or at home, reducing the pressure on hospitals. this plan is in part about how the nhs in england will spend the extra money it was given last summer, more than £20 billion by 2023. scotland, wales and northern ireland also got extra cash and will develop their own plans. and the prime minister says it's a key day for the entire nhs. this is an historic moment. our vision is clear. our commitment is assured. so let's deliver the nhs of the future. many have welcomed the ambitions outlined in the ten—year plan. but labour says the health service lacks the resources to see it through, and there are concerns too about the big issues the health service faces right now —

>> san francisco health services systems board will come to order. please stand for the pledge of allegiance. i pledge of allegiance, to the i ted states of america and to the republic for which stands, one nation under god, indivisible, with liberty and justice for all. roll call please. [roll call] >> item number -- >> item four is an action ti its of the minutes set forth below. >> are there any corrections to the minutes? >> i move minutes be adopted as distributed. >> second. >> is there any public comment on this matter? seeing none. all those in favor. >> aye >> any opposed? it's unanimous. item number five. >> discussion item. general public comment on matters within the jurisdiction. >> i received a letter from united healthcare. if you haven't gotten it, you probably will get it. it will confuse the hell out of you. i gotten calls from our members. i'm sure clare has. saying that we can change our health plan from january to march. we can change our prescription drug plan. it's open enrollment is octobe october 15th to december 7th. all the

nhs england says problem drinkers and smokers cost the health service £6 billion every year. of action on smoking and health, a health charity which works to eliminate the harm caused by tobacco. i asked her how this approach differs from previous attempts to curb smoking. because it is about dedicating funding for services to sick smokers in the nhs and historically there are community services provided by the public health budget through local authorities, which u nfortu nately have local authorities, which unfortunately have had their budgets cut, and this is meeting smokers at a point where they're most likely to change, when they have been diagnosed with something and doctors with say if you quit smoking it will help. suspect it better to put the money into preventing. you need both. it will reduce bed pressure, smokers are five times more likely to get flu, that is a major cause of winter bed pressure. there is a pilot in manchester where they estimate they will save ten million and 30,000 beds. so it is cost saving. not cost causing. lung cancer, which is aer the ying

. >> our communities rely on federal funding to administer key government services, health care facilities, public safety, housing access, nutrition, and food distribution and social services. amy: all that and more, coming up. welcome to democracy now!, democracynow.org, the war and peace report. i'm amy goodman. house speaker nancy pelosi called wednesday for president trump to cancel his state of the union address later this month, arguing the government shutdown has left the secret service and the department of homeland security starved for funds and unprepared to simultaneously protect all three branches of government. >> that we would have the president of the united states, the vice president of the united states, the entire congress of the united states -- house and senate -- the supreme court, the joint chiefs of staff, the cabin of the united states -- did i say that? and the diplomatic corps all in the same room. this requires hundreds of people working on the logistics and the security of it. most of those people are either furloughed or victims of the shutdown. the president's

if you put money into health services without social ca re into health services without social care itg and that is some of the problems... until the government has a plan for social care, just how much improvement can it bring about? the prime minister at least will hope that is a distraction from the other big woe, which is the brexit vote. and your own story in the independent, rob, mps to block repeat vote on may's brexit deal. yes, we did not learn a great deal from the prime minister's comeback interview before mps come back to westminster tomorrow. we know the vote will be next week. she promised it would. she said at last i. we know that if the vote takes place she will lose. there doesn't seem place she will lose. there doesn't seem to be any doubt. she has out to secure seem to be any doubt. she has out to secure the guarantees she promised in the new talks in brussels. therefore mps haven't been won over to their doubts about the deal. 0ne thing we appear to learn is a hint that if she loses next week she will bring the vote back again and again and again until she wins and

nhs england says problem drinkers and smokers cost the health service £6 billion every year. e of action on smoking and health — a health charity working to eliminate the harm caused by tobacco use. i asked her how this approach differs from previous ones. because it is about dedicated funding for services for smokers to six services in the nhs. historically there are community services provided through local authorities, which have had their budgets cut. this is meeting smokers at the point where they're most likely to change their behaviour, where they have been diagnosed with something. they can't reverse the damage, people might think suspect it better to put the money into prevention. you need both. it will reduce bed pressure, smokers are five times more likely to get flu, thatis five times more likely to get flu, that is a major cause of winter bed pressure. in manchester there is a pilot where they reckon they will save ten million. and you know lung cancer, which is a terrible thing to be diagnosed with, 30% of people diagnose rd still smoking. if they quit smoking th

disease and a shift in resources from hospital—based care to community facilities and mental health servicesers have announced a budget increase of £20 billion a year by 2023. but critics say the strategy has unrealistic goals based on the resources available, as our health editor, hugh pym, reports. good boy. this could be the nhs of the future. alex has a digestion problem. his mother's worried it could be something more serious. but she can see a consultant visiting the local gp surgery, so she doesn't have to go to hospital clinics with possibly long journeys. we don't have to go and wait, and it was less time—consuming and it was very fast arrangement that we got an appointment instead of waiting in hospital for an appointment. the consultant came to us. we have really built this model around our dissatisfaction with outpatients, the frustration that patients were having to wait a long time and although the episode of care they got, i hope was good, it was done in a very disjointed way. this initiative is part of the new nhs plan for england. the aim is to reduce the number of daytime h

. >> money to indian health service facilities was cut off when the shutdown started 25 days ago. abc 7 news reporter david lieuo looks at the impacts. >> san jose's indian health center provides services tailored for native-americans. however, some of those services are facing cuts. indian health center receives $1.4 million in grants and contracts from indian health service, a federal agency but billions of funding for urban programs were lost when a continuing resolution was approved last month that would have kept the government open. >> it's frustrating when we're depending on the indian health services funding and we're not able to get it. it's frustrating because ultimately it's the patients that are really >> reporter: three quarters of a million native-american indians call california home. there are ten centers impacted across the >> we are among the most vulnerable communities being impacted by this. health care being, you know, lifesaving. and we don't have access to those funds. >> reporter: they say the federal government has an obligation to provide health care. >> t

the department of health services. the funding actually comes to the department of interior. >> yes correct. >> thank you for clarifying th that. >> thank you for clarifying that. and i hope all moments are heard. >> i think we're done. >> i asked the unanimous consent to include in amendment 37 in the statement in support of the congresswoman. and without rejection of the to submit the record of statements from mr. thompson and thank you very much for being here. would you like to testify. while you're coming up i am just going to say a few words about an amendment that i have submitted. i have submitted amendment along with representatives of alaska, hastings, boros, and escobar to make clear that disaster money should find real disasters and that new funds in this bill should be used for the presidents wall. and no matter what you feel about the wall i think we should all agree that this money should go where it's intended to families and communities rebuilding for future disasters. and that is my amendment. we appr

health and safety of our native american brothers and sisters. once again, we have failed to meet our treaty responsibilities to tribal nations. basic services like health clinics, tribal justice services, food assistance for seniors are being put at risk for nearly 1.9 million americans throughout indian country. approximately 54% of the indian health service budget goes to tribal organizations to run their own programs. during the trump shutdown, critical programs in indian country run by tribal organizations stop. this includes domestic violence prevention initiatives, indian children programs, the suicide prevention program, and alcohol and substance abuse program. native american lifelines is an example of a health care program that is under contract with the indian health service. clinics focus on care for the needy and the elderly, and i am outraged to report that as of today, these remarks that i deliver, well, those clinics have been forced to close. and they will not be able to coordinate care for their patients. like the 80-year-old woman who depends on native american lifeline to help her manage her type 2 diabetes. it's time to

nhs england says problem drinkers and smokers cost the health service £6 billion every year.hutdown — now entering its third week — could last months or even years. democrats are refusing to agree to the funding the president needs to fulfill his promise of building a wall on the border with mexico. officials from the white house and congress will meet again this afternoon in a further attempt to end the budget row. ryanair has been voted the worst short—haul airline for the sixth year running, in a survey by the consumer group which?. the airline had to cancel scores of flights last summer because of a series of strikes. ryanair has called the research "irrelevant" because it says it's carrying more passengers than ever. police have confirmed that a climber who died on ben nevis on new year's day was a 21—year—old student from germany. she was in the uk studying at bristol university. another climber — patrick boothroyd from west yorkshire — died on the mountain in december. mountaineering experts are warning of the dangers of winter climbing. it is nine minutes past nine. f

the measures are part of a new long—term plan — aimed at reducing demand on the health service.t the health service six billion pounds every year. donald trump says that the partial us government shutdown, now entering its third week, could last months or even years. democrats are refusing to fund mr trump's wall along the border with mexico. officials from the white house and congress are meeting again now. mr trump says he is considering declaring a national emergency in order to build the wall — without congressional approval. our correspondent david willis is in washington. they did meeting in the building behind me to try to find an end of the partial government shutdown that is now entering its third week. at the heart of this dispute, of course that wall that you mentioned along the border with mexico. president trump may be issued a signature campaign issue for him. and he says it is vital in the interest of national security. indeed he tweeted this morning saying that the only people who did not want to see a border wall were "criminals, drug dealers and human trafficke

the guardian also has the nhs ten year plan as its top story, saying that health service bosses are pushingacts within the nhs. the daily mail focuses on the technological solutions put forward in the ten year plan to help reduce strain on the health service. the times says digital consultations could become the norm. the express says the government's plan will make the nhs fit for the future, but raises the concerns regarding staff shortages. the nhs proposal seems to be on the front page of most newspapers. the daily mail, what do you think of that? it is interesting. i run a business and there is a challenge around fitting in staff that needs to go for appointments, often they are simple things that they could have a conversation with a dr and they do not need to be in a room, but it does worry me. while there are advantages, there are also lots of conversations that happen in the gp room, particularly with mental health, that conversation starts, and because of the comfort of the gp's surgery as opposed to a corner of your office, you wonder if people will see as much as they might see

health service and how millions of patients will be able to use skype for hospital appointments in ae face—to—face consultations by a third and save billions of pounds. the buisness insider says amazon has stolen microsoft's crown as the world's most valuable company. the online retail giant capped a strong holiday sales period with a 3% rise in its stock price, bringing its market capitalization to $793 billion and edging past microsoft's roughly $788 billion valuation. on the guardian website, more than 5,000 people were stung by bluebottles on queensland's gold and sunshine coasts over the weekend as weather drove a wall ofjellyfish onto the shore. vast numbers of the sea creatures forced the closure of swimming spots with many people treated for painful stings but are typically not life—threatening. and final also in the times, the power of positive thinking has apparently been backed up by science. the more meaningful you believe your life to be, the faster you will walk, the stronger your grip will be and the less chronic pain you will suffer, a study says. that's according to

mental health services are underfunded and understaffed. prime minister, i don't want to hear what you have done because clearly it has failed. i want to know what you are going to do differently so no homeless person dies this year. >> primus do. >> every death of homeless on our streets is one too many and that is why we have the commitment in relation to leaving or entering by 2027 and halting it by 2022. we have committed -- we have committed over $1.2 million to tackle homelessness. she mentioned mental health service. what are we going to do in the future? what we are doing in the future is putting an exit $2.3 billion in mental health services to provide those mental health services to those people who are not able to access. >> more londoners voted to leave the eu then voted for the current mayor of london. talking about brexit rather than crime, housing and transport. will my friend agree with me that if he doesn't us on being a brexit diva he should concentrate on setting sites on voting for this deal? >> prime minister? >> i abso