so it is kind of heartbreaking if you have been a leader in the health service, anyone in the health e, and you have got those waiting this down, you have got, achieve the balancing act and lost all the capacity we are going to lose this week.- and lost all the capacity we are going to lose this week. what is our view going to lose this week. what is your view on _ going to lose this week. what is your view on the _ going to lose this week. what is your view on the stalemate - going to lose this week. what is | your view on the stalemate now? going to lose this week. what is - your view on the stalemate now? the bma is saying 35%, that is our negotiating position, that is where we are starting out. the government say that is completely unacceptable. the bma say, well, the government are not giving any suggestions as to where there is room for manoeuvre and the government are saying, we refuse to come to the table unless the bma move their position. i don't want to use the word blame, but if you had to pick it, where we it and where do they go from here? i think the --eole where do the

let's hone in on the health services. gnb and unison both accepted the pay off or given by the government. let's bring in our health editor. two unions, unite and the royal college of nursing have not adopted the pay deal. where does that leave morale within the service? >> it is a complex situation because of divided opinions among health unions. a few different unions across the national health service representing different professions. it does seem as if a majority of them, their members are accepting the pay deal. england is facing on a pay raise. a one-off payment. that still leaves a substantial majority that do not like it and say they will carry on with industrial actions. on the one hand, you have the gnb and unison, who are big unions repsenting many hospital workers, ambulance staff who have accepted it and you have the royal college of nursing who have rejected it, along with unite, who have nurses and others. the radiographers have rejected it. it all goes into a union committee, health unions that tell the

tv, the health service board welcomes participation. there will be an opportunity to comment on each agenda. for anyone waiting in-person, you're welcome to approach the podium now. each speaker will be allowed three minutes. all public comment are to be made concerning the agenda item presented. a caller may ask questions from the body but there is no obligation to answer. membersed of the public attending the phone p can dial this by dialing 415-655-0001, when prompted use code 2516 then press pound. you'll be prompted to enter the webinar password which is 115. for those watching the meeting on webex, press on the raised hand to unmute. when you're unmuted, the system will unmute you. once you hear the announcement me say welcome, you can begin speaker. please click on the raised hand icon to lower your hand. you may remain anonymous,. when your three minutes have ended, i'll say thank you for your call and i'll unmute the next caller. we want to say thank you to sf gov. services. we will begin with in-person public comment. and nobo

derives more appropriate and effective use of health care services and improved outcomes resulting in savings across the entire health care delivery systems. while cost prevention may not count in the scoring of congressional funding, it matters in real life. it matters in reality! health centers also have a significant financial impact or economic impact -- i know you hear a lot of that. you have a lot of that in writing. a study in carolina how scanners that was completed by capitol link in 2020 indicated 24 million in savings to the overall health care system. 456 jobs generated. 53 million in direct and indirect spending in our communities. a primary health care service area covers 370,000 square miles in seven rural counties. we were established in 1977. we now operate 12 medical practice sites, three of which are pediatrics, to community pharmacies, and we provide agricultural farmworkers services during the growing season. behavioral health and substance use disorder services are particularly important. they are provided through integrated, in

some good news is members have started to embrace mental health service delivery in service. about 30% through their provider but half overall of mental health visits and you can see the progression and how they varied in terms of utilization but about half being processed through blue shield is happening through virtual. so virtual is contributing for mental health needs support. and then pivoting the prescription drugs, claims per covered life had 11 percent increase. versus the prior, and it was fairly evenly split between cost and utilization, but no surprise and very consistent with what we see with other client data nationally, almost half is driven by especially medications and it's just an emerging, you know, cost concern that we're going to continue to see as drug manufactures continue to focus on expansion of available medications to meet member needs. drug class that's were driving, included dermatolgical drugs and cancer drugs. so with that, we go to three reserves for the self funded plans as you see. we addressed the ibr back in january and today's focus with thi

in the health service, we have to deal with _ list. we have to deal with this dual— list. in the health service, we have to deal with this dual challenge, i list. in the health service, we havej to deal with this dual challenge, to meet demand as it presents itself with gp surgeries and macro once departments, and to make

and a desire for mental health services is need. recommend out roach coupled with on going case management remain a high priority to build trust and meet the needs that are visible. community members suggested one time crisis response are lower prior than behavioral health care. they are all needed across the board. that is the last page of this recommendation. againful staying the course with the current programs as they are is important. i feel as though this is the best way to move forward. even though there is a financial shortcoming with this year's budgetary plan from the mayor's office. still the services are needed especially with mental health and the intersectionality of unhoused. >> thank you member cunningham, denning. we dp to public comment. empmember who is wish to provide in person comment line up now. each have 2 minutes to speak. for the record there are no in person public comments. members of public had wish to provide comment over the phone call 415-655-0001, access code: 2498 384 8814 ##. tile star 3 to speak.

again, i urge the san francisco health commission to take action to ensure that subacute care services remain available and accessible within the city. this may include exploring regulatory or legislative options for greater accountable. somen incentivized healthcare providers to keep subacute patients within the san francisco community. health commissioners, what steps are you taking to help ensure this vital care remains available in san francisco? thank you. >> all right. i believe that was the last caller. jeanette, can you confirm for me. yes. >> that was the last hand up. >> comments or questions, commissioner. >> commissioner giraudo. >> thank you. and i just want to thank you for -- for an excellent report and i'm sure it was very challenging to put together. my question, you may have have the question to, but i'm curious since there was, you know, the out of county transfers are significant for both skilled and subacute. they do have an idea of -- do you have an idea of what counties are the patients are going to? >> sorry. thank you for the question. so, we did ask if they ar

nurses in england go on strike on sunday night — action that the health service says will cause significantruption. with the eurovision song contest just weeks away — we report from liverpool on how the city is welcoming the lg bt+ community. hello, i'm lucy grey. it's become increasingly clear the ceasefire in sudan is not holding. air, tank and artillery strikes are continuing in parts of the sudanese capital khartoum despite the latest 72 hour truce. there's also fighting in the western darfur region. hundreds have now been killed and tens of thousands have fled in a conflict that's de—stabilising the entire region. one of the generals — who leads the rapid support forces — the paramilitary force fighting sudan's army, has told the bbc he will not negotiate until the fighting ends. mohamed hamdan dagalo — also known as hemedti — was speaking to zeinab badawi. i want to put it to you that the people particularly in khartoum are living in an ordeal, what would it take for you to allow humanitarian corridors? translation: first of all i would like to thank the bbc for the interview regardin

again, i urge the san francisco health commission to take action to ensure that subacute care services remain available and accessible within the city. this may include exploring regulatory or legislative options for greater accountable. somen incentivized healthcare providers to keep subacute patients within the san francisco community. health commissioners, what steps are you taking to help ensure this vital care remains available in san francisco? thank you. >> all right. i believe that was the last caller. jeanette, can you confirm for me. yes. >> that was the last hand up. >> comments or questions, commissioner. >> commissioner giraudo. >> thank you. and i just want to thank you for -- for an excellent report and i'm sure it was very challenging to put together. my question, you may have have the question to, but i'm curious since there was, you know, the out of county transfers are significant for both skilled and subacute. they do have an idea of -- do you have an idea of what counties are the patients are going to? >> sorry. thank you for the question. so, we did ask if they ar

schools, our criminal justice system whether it is our schools, our criminaljustice system or our health servicetives came into government and are any of the public services working better since the conservatives took power 13 years ago? of course, the answer to the question is no. with more on this — let's cross to the newsroom — and speak to our health correspondent, jim reid. tell us what this dispute is about and whyjunior doctors say they are fighting for this 35% pay rise. it fighting for this 35% pay rise. it is all about the money, but also about other aspects of their working conditions as well. on the money, junior doctors, their argument has been that over the past 15 years, since 2008, which forjunior doctors have fallen significantly below the rate of inflation. the figure they use is 26% below the cost of living. to bring that back up to where we were in 2008, that would involve a 35% pay increase. it depends on which figures you use. if you use a different measure of inflation, the cpi badger, that 26% comes down to 16%. it does completely depend on which way you want to view it.

we continue to heavily promote mental health services and with our health plans because we know that one of the problem that's still exist but it was great impact was the stigma that prevented people from mental health t.stablelized at a higher level so we have assurance that people are getting the help that they need. and then we're continue to go work with other initiatives that will help people earlier in their their mental health needs. >> if not, go to public comment. >> thank you, president scott. public comment is now open instructions are being displayed on the screen for those watching. in-person public comment will be first and then virtual public comment. for those callers on the line, please press star-3 to be add to the queue. for those on web ex, please click the raise hand icon to speak. we'll move to our in-person public comment and nobody has approached the podium so we'll move to our virtual public comment. and our moderator will notify us. >> madam secretary, we have three on the phone lines and zero have entered the speaking queue. you must star-3 now if you wish

the program is run in coordination between whole person integrated care and behavior health services in conjunction with hhh. services have been in place for a year. we started with a pilot of ten buildings scaled to 23 and currently providing services in 69 buildings, which is about half of the phs portfolios and looking to scale to serve all psh buildings. the goals of the program are three fold. we talk about facts actually, sort of being a triangle. the base of it, the bulk of services are really consultation and coaching for the on site supportive housing services staff, which has been a population that is really primarily to working with individuals, which doesn't have a lot of access to information in somebody's health record system. there's sort of, in the middle of our facts triangle, short-term onsite support services to help people stabilize and connect their resources in the community and the tip of the triangle are individuals that receive ongoing in-home services, either through our medical providers or through behavior health team. and, again, the goal to direct people

_ choice, or they go to health services and _ choice, or they go to health services and they— choicethe — services and they say it's to do with the quality— services and they say it's to do with the quality of— services and they say it's to do with the quality of health - services and they say it's to do i with the quality of health services you have — with the quality of health services you have got _ with the quality of health services you have got locally, _ with the quality of health services you have got locally, not - with the quality of health services you have got locally, not about i you have got locally, not about these — you have got locally, not about these broader— you have got locally, not about these broader determinants i you have got locally, not about these broader determinants of| these broader determinants of health. — these broader determinants of health. and _ these broader determinants of health, and that _ these broader determinants of health, and that is _ these broader determinants of health, and that is an- these broader determinants of health, and that is

chair for advocating that and his continued advocacy of advanced appropriations for the indian health serviceor fiscal year 24. i am alarmed about what could happen with regard to those healthcare services. chairwoman, the impact funding by 22%, do you have a sense of what that might look like actually on the ground for people who need to go in and get care customer. >> the services to be issued point out when you're looking at public safety and justice i'm so sorry. every capacity here whether or looking at public safety, justice, law enforcement, education, social services, healthcare, child welfare, all of this is subject to at least a 22% cut indian health services as we've talked about many times has been underfunded. we were able to do something about the advanced funding which was necessary. but if you begin to then pull back i just think it is backward to be able to hold these children at risk. to hold indian tribes at risk for their health. i want to see a greater support of health services on our tribal lands for children and for adults. i think we have a woefully let that go. i tho

the fourth recommendation youth navigation center recommended expanding behavioral health services atthe youth navigation center. the rationale based on feedback from the listening sessions, young people staying in the youth navigation center need and want clinical services. the needs assessment also found that youth and navigation centers want greater access to mental health services as well. proposed budget and implementation plan include mental health services for youth, but do not include mental health services at the youth navigation center. and youth and lgbt q. i a plus recommendations recommend prioritizing investments in mental health services for homeless youth, particularly lgbt. q. i a young people rationale. the needs assessment found that homeless youth are more likely to sorry i'm more likely than adults to identify with the l g b t q. i a plus community and that young people experiencing homelessness want greater access to behavioral health services. proposed budget maintains implementation plans, which funds new youth residential programs and beds and expansion and pe

medicine covers our health services in addition to our health services, special medical services are provided. let us talk to jafar qadri, the member of the islamic council, the representative of shiraz in the islamic council. you know that fars province was one of the provinces of the family doctor project . and mr. doctor, hello, good night to the dear viewers. i wish you to accept the prayers and prayers for hope. please let me know how it was implemented in your province and whether it was successful or not . what was the satisfaction of the people . during the past years, we from the parliament can almost be said that we were involved , or i think if i'm not mistaken, the 8th had strong protests from the people that the people behind you can answer . look at the family doctor plan at the same time. during the day, they cannot use the benefits of the notebook for the cases that they usually travel. there was always a conflict between the patient and the doctor, and the patient and his line declared an emergency and did not accept the doctor and pay the doctors' salaries. unfortun

orare disputes are going on in the health service? or are you going to give up on that pledge? ffer. but this is about the prime minister's this is about the prime minister�*s promised to the public. let�*s look another of the pledges he made, he promised to have inflation this year. since then, inflation went up. nobody said it is going to be easy to tame inflation. let�*s not forget why inflation is where it is, it is driven principally by higher energy prices, higher input prices driven by vladimir putin�*s invasion. let�*s not forget why we have a high inflation. ~ . ~ inflation. the prime minister knew all of that when _ inflation. the prime minister knew all of that when he _ inflation. the prime minister knew all of that when he made - inflation. the prime minister knew all of that when he made the i all of that when he made the promise. all of that when he made the romise. ~ ., . all of that when he made the romise. ~ . , ., ,, , promise. we are still working very hard to deliver _ promise. we are still working very hard to deliver all _ promise. we are still working ver

.— health service.hing. i'd _ leave it there. without nurses, we can't do anything. i'd also - leave it there. without nurses, we can't do anything. i'd also like - leave it there. without nurses, we can't do anything. i'd also like to l can�*t do anything. i�*d also like to say to you is what you need to remember is, people say it nursing is about being kind and caring — it absolutely is, that�*s the people we are, we are driven to do this... phil, we are at the near democrat of the programme, i�*m sorry to do that, we have to end, thanks so much for your time. we have to end, thanks so much for yourtime. i we have to end, thanks so much for your time. i went update you on a story i brought you a couple of hours ago in terms of the metropolitan police misconduct — the police in the capital admitting this evening they feared the public may not contact them in an emergency after eight police officers were today banned from policing for sending offensive and discriminatory whatsapp messages. all eight, se

making an overall investment of about $500 million to expand access to mental and behavioral health services for the people of wisconsin. >> 2022 report by the university of wisconsin population health indicates 440 people for each mental health provider in wisconsin. even before the pandemic 2019 reports from the institute indicated 55 of wisconsin colleges have significant shortages of psychiatrist. were also going to invest in making sure we have adequate available mental health professionals who can provide the treatment wisconsinites need a roster state. we are going to invest in developing a robust prevention strategy to reduce suicide, self harm and other mental and behavioral health related injuries and that includes state resources to support of suicide in crisis lifeline which went live in 2022 thanks to the senator tammy baldwin as well as increase support for. run and community-based services across the state. [applause] >> mental health deals with everybody here, not just the site, the site also. we cannot look back two years from now as we prepare the next budget and wonder whe

health services provide health services. it is possible to cut off health services, providing health services like normal days, dr. mohammadian said, it will become weaker, but what the ministry of health is insisting on, who has not admitted any emergency patients during these days, and i think that the emergency patients come and the hospitals determine it has been assigned in the poems of the officer of esadi doctors , dr. afshar, the chapter on the submission and provision of helium services in hospitals, training and at my disposal . i don't need to go to a specialist , i'm tired of the combination of the ministry of health in the hospital for government model schools and 600 government hospitals, we have 309 trainings that work in insta assistants, where they are all under the supervision of professors and subspecialty professors and specialists and the assistants will decide by themselves on the honeymoon line. the answer to these conversations has been received in yazd province. thanks to mr. dr. mohammadi , we are,

it is incredibly - important to have a health service thatis important to have a health service that hat people are asking is, of family better off then before the conservatives came into governments, and are our public services working better than when the conservatives came into govan? and as with anything else, the answer to those questions is no. —— came into government. i questions is no. -- came into government-— questions is no. -- came into government. i would like to start with the point — government. i would like to start with the point that _ government. i would like to start with the point that rachel- government. i would like to start| with the point that rachel reeves made, accusing the tories of running our public services into the ground, particularly the nhs. what is your assessment as a researcher into public policy of what has happened to the nhs since the tories have beenin to the nhs since the tories have been in power? it is to the nhs since the tories have been in power?— to the nhs since the tories have been in power? it is the nhs and ublic been in power? it i

we can do a better job of integrating mental health services primary care. or blood pressure and diabetes, we should be screening every visit for mental health issues so we can intervene before it becomes crisis. we could even get upstream at the doctor's office and school settings when we train teachers to recognize issues they can ward off negative problems including sometimes school shootings, suicides, bullying. we know even better being able to have mental health practitioners, social workers available to schools and now telehealth we can make it more available and found it to schools without a physical person on site, the teacher recognizes and they can set up telehealth visit for that student and/or their family. even upstream, adverse childhood experience, either negative events thatil occur to someone when they are young and include includeso over 250,000 people tt have happened to them during covid, abusive homes and far too many urban young people are recognizing extreme people so we canin intervene in their studies thate. show you can intervene wn

to me, you health care service? to weore— because they would die at maybe to weore oto. — because they would die at maybe 70 years old. but— because they would die at maybe 70 years old. but now you have all 70 years old. but now you have ott tmeee— 70 years old. but now you have all these people,— 70 years old. but now you have all these people, millions of geome— all these people, millions of geogte wreo— all these people, millions of people who will— all these people, millions of people who will get a number of mooerotetw— people who will get a number of moderately serious— people who will get a number of moderately serious conditions teuee— moderately serious conditions teuee thew— moderately serious conditions because they will keep living umttt—es.- because they will keep living umttt—es. eel because they will keep living. until—85, 90, 95 until maybe they're 85, 90, 95 weore— until maybe they're 85, 90, 95 weore oto. — until maybe they're 85, 90, 95 weore oto. amo— until maybe they're 85, 90, 95 years old. an

to me, you health care service? die at maybe 70 years old. but— because they would die at maybe 70 years old. but now you have all 70 years old. but now you have oti tneee— 70 years old. but now you have all these people,— 70 years old. but now you have all these people, millions of peopie— all these people, millions of peopte wno— all these people, millions of people who will— all these people, millions of people who will get a number of nooenotew— people who will get a number of moderately serious— people who will get a number of moderately serious conditions teeowee— moderately serious conditions teeowee tnew— moderately serious conditions because they will keep living untit— because they will keep living unit—no.- because they will keep living unit—no. 90] because they will keep living. until—85, 90, 95 until maybe they're 85, 90, 95 weon— until maybe they're 85, 90, 95 weon oto. — until maybe they're 85, 90, 95 weon oto. kno— until maybe they're 85, 90, 95 years old. and that is putting a etnoin— years old. and

services. you can file an appeal. speak to your mental health professional or provider. if it is an emergency, you have a right to request an expedited appeal. you can confirm with your insurance company that your services will be covered during that appeal. you can have your provider request written notification for the reason of denial within 30 days. you mentioned the national alliance for mental illness. there is more information on parity and things you can do as an individual. i want to empower you, but i also want people to understand we cannot put this on individuals alone. we need our leaders to make sure everyone understands the importance of parity. we need accountability for businesses that don't comply with parity laws. but you hit on a point. which is the workforce. that's what we begin the conversation with, rhitu. many of these companies are not fulfilling their parity obligations because have thousands of people on the waiting list and they don't have enough providers or resources to provide care, so they simply say, "ok, you have been stabilized, so i'm

health service in the uk.o on strike again as the uk government continues to refuse a 35% pay increase. the latest action led to 196,000 hospital appointments being cancelled. talks between the parties appear to be in a stalemate, so medical leaders have called for independent mediation to find a solution. hugh pym has more. what do we want? fair pay! there have _ what do we want? fair pay! there have been _ what do we want? fair pay! there have been two - what do we want? fair pay! | there have been two strikes what do we want? fair pay! i there have been two strikes by junior doctors in england, and more have not been ruled out. the doctors union, the british medical association says they need to be a 35% pay rise to compensate for inflation over 15 years. ministers say that is unaffordable. there are currently no talks planned. now the academy of medical royal colleges with leading figures in the medical profession say they are concerned about both a lack of a solution in the page row and the anticipated im

in an already stretched health service, months more strikes are now a real prospect.ship had recommended the pay deal. now, taking its cue from its members, escalating action is coming, with the government's call for strikes to be put on hold rejected. we'll absolutely not do that. we've strike action for the end of this month, beginning of may, and then we will move immediately to ballot our members. if that ballot is successful it will mean further strike action right up until christmas. chanting: what do we want? fair pay! junior doctors have also been striking. 0ne concern — that they and the rcn might coordinate action. there are no plans in place from the royal college of nursing to coordinate strikes with doctors. the offer the government made to help staff was a 5% pay increase plus a one—off payment. members of one union, unison, have accepted it. staff from two more unions will deliver their verdicts in the next fortnight. let's wait and see what the other unions have to say first. there's a lot of other staff out there. unison voted by 74%, as i said, to ac

we provided money for mental health services and we have a mental health crisis. there's more we can do. listening to the former v say t about firearms, not about guns? it is. we just make it way too easy. how about, you know, more background checks. here in the state of arizona or in texas or many places you can go to a gun show and get a gun without a background check. that doesn't make sense to most americans. >> we have to take a break here, senator. i want to talk to you on the other side of it about your recent trip to ukraine and other issues, so please stay with us. more from senator kelly in one minute. playing golf? it's expensive. we're outlawing golf. wait. can i still play? since we work with emower, we don't have to worry about planning for a third kid. you can still play golf... sometimes. take control of your financial future to empower what's next. hi, i'm karen. i lost 58 pounds on golo take control of your financial future and i've kept it off for over a year. it was so easy that the weight just kept coming off. that's when i knew that this is r

alongside a 25 million-dollar rate increase for practitioners to broaden access to critical health care services from obstetricians for pregnant women to behavioral health specialist or a struggling teen. delivering what matters for illinois residents and their families is what defines good government. we have all been asked to represent our constituents with tenacity and honor and to speak up when our common american values are challenged. our history is a series of stops and starts, of ups and downs in our ancestors getting it tragically wrong and courageously right. the only thing we can hope for in this work together is the values we attach our names to will make our grandchildren proud. after all this is the land of lincoln. we have a responsibility to that legacy. as elie wiesel said we must always take sides. neutrality helps the oppressor never the victim could silence encourages the tormentor and never the tormented. with that in mind i want to take sides on something that i feel obligated to speak out about especially given the history of anti-semitism and discrimination suffered by my

please, good in the increase package health service packages that may be formed on the date of the supreme council of insurance and a number of drugs will be added to the list of previously insured drugs. let's calculate other services such as occupational therapy, speech therapy, mental occupational therapy and psychology in iran's insurance sector, the aid packages were entered, and from the rehabilitation sector, we can claim that we are importing almost all of these in the insurance sector, and rehabilitation, both in the discussion of patients and also in the discussion of disabled patients well-being and also that rehabilitation is spreading little by little in incurable disease, that is, if someone has a serious heart disease and that serious surgery happens , the rehabilitation of the ms patient has been seen in the package of services we are developing in different parts and services. health does insurance in the private sector coverage by public funds. where did the private sector reach the private sector ? until now, with the same government tariff, when a person came to the hos

requires the health commission to schedule a hearing to determine whether that reduction in service is quote unquote well or will not have detrimental affect on san francisco's health, is in this commission's per view and body. one of the commissions going to schedule prop 2 hearing, my mother has access to therapy pool program to ease her arthritis before she was admitted for spilled nursing care at the end of her life. these minutes got my concern that dr. coalfax are asserting there were deficiencies in monitoring. 76 deficiency and explained variant through 48. you can comment on the health commission to explain publicly that discrepancy. thank you. >> thank you for your comments and again we're on general public comment right now. so this item is for is for topic that's are not currently on the agenda. next person, please let us know that you're there. caller, are you there? >> yes, i've got three minutes on the clock when i say stop. please finish your statement, you may again. >> good afternoon, health commissioners, i'm january he will, i was a public health worker for public h

in an already stretched health service, months more structure than a real prospect. to peter, now committing its cue from its members, escalating action is coming. the government does �*s conference tracks to be put on hold is rejected. me does 's conference tracks to be put on hold is rejected.— on hold is re'ected. we will absolutely — on hold is rejected. we will absolutely not _ on hold is rejected. we will absolutely not do - on hold is rejected. we will absolutely not do that. - on hold is rejected. we will absolutely not do that. we | on hold is rejected. we will- absolutely not do that. we have strike action for the and of this month, beginning of may, and then we will move immediately to ballot our members, and of that product is successful, it will mean further strike action right up into christmas.— strike action right up into christmas. ., ., , ., ., christmas. junior doctors have also been striking- _ christmas. junior doctors have also been striking. one _ christmas. junior doctors have also been striking. one concern, - christmas. junior doctors have a

this in a sense is a perfect storm in terms of the capacity of the health service. so we are hearing potential new of 350,000 cancelled appointments and operations. we'll have the latest on the walkout. also tonight: the mother of the british—israeli sisters shot dead in the west bank has died from the injuries she suffered in the attack. china carries out what it says is a mock air blockade of taiwan — using jets carrying live ammunition. and spain'sjon rahm celebrates, as he wins golf�*s masters in augusta, becoming the first european to win both that title and the us open. good evening. with just hours to go untiljunior doctors begin a four—day strike across england, a senior nhs leader says the health service is facing a "perfect storm" with hospitals struggling to cover shifts affected by the action, because staff have booked easter breaks. matthew taylor of the nhs confederation says the action, which runs from 7 o'clock tomorrow morning until 7 on saturday morning means 350,000 appointments and operations could be cancelled. he's called for the arbitration se

we can do a better job integrating mental health services into primary care practices. st as we screen for blood pressure and diabetes, we should be screening a at every visit for mental health issues so that we can intervene before it becomes a crisis. you can even get upstream of the doctor's office. we know in school settings when we train and empower school teachers to recognize issues, they can ward off negative problems including sometimes school shootings, suicides, bullying. even better is being able to have mental health practitioners from social workers available for schools. we can make that were available without having -- the teacher recognizes and they can set up a telehealth visit for that student and/or family. even upstream from the, there are things called adverse childhood experiences. these are negative events that occur to someone when they are young and it could include losing a caregiver. over 250,000 people have had happened to them during covid. it can include abuse at home. it can include seeing someone get shot, as far too many of our young peo