the history of last week of the program the long-term recruitment of the workforce for the national health service has been announced. the national health service has announced that it will be easier to arrange the examination time for cancer patients , but it will continue for people like this who need other types of treatment . dear viewers, good morning. in the last 24 hours, the hottest places in the country in ilam province are mehran and dehlran, both with a maximum temperature of 49 degrees, and the hottest and coolest place is lalezaar in kerman province , with a minimum temperature of 90 degrees between the centers of the provinces. ahvaz is also the hottest with a maximum temperature of 47 degrees and ardabil with a minimum temperature of 14 degrees, it is the coldest center of the province, and the report is currently calm and stable in the regions of the country . we will have parts of our country, including parts of the caspian sea coast, central alborz highlands , parts of ardabil province, as well as areas of central zagros highlands , southern parts of fars province, and highlands

for the national health service was unveiled. the national health service has announced that it will be easier to schedule an examination for cancer patients, but it will continue for people like this who need other types of treatment. allocated 800 million dollars for the budget for the construction of settlements in the confiscated palestinian lands in the west bank. the palestinian statistics center announced that the zionist regime has so far seized thousands of hectares of palestinian land in the west bank with the help of zionist criminal groups. a month ago, a city that was displaced in the west bank, 22 fires were everywhere. a few months later, a similar attack took place in another area in the west bank. 500 people entered our area from the main street. they attacked the shops . they set fire to gas stations and cars. zionist groups set fire to houses. the palestinians want them to leave their lands. eight years ago, all the family members , including an 18-month-old baby, were burned to death by an attack on the house o

and so on. the national health service and so on while — the national health service and somal steps are taken, what we don't yet have is any kind of— taken, what we don't yet have is any kind of formal structure to check that progress is being made. i do wonder— that progress is being made. i do wonder whether with this inquiry, whether— wonder whether with this inquiry, whether it — wonder whether with this inquiry, whether it is a statutory public inquiry — whether it is a statutory public inquiry or— whether it is a statutory public inquiry or not, one of the aspects of people — inquiry or not, one of the aspects of people will want to look at is how we — of people will want to look at is how we can make sure inquiries of this kind, — how we can make sure inquiries of this kind, of— how we can make sure inquiries of this kind, of which there have been many— this kind, of which there have been many over— this kind, of which there have been many over the years, actually does achieve _ many over the years, actually does achieve the — many over the years, actually does achie

this could extend right into the winter, the most difficult time for the national health service. ——tttee the government has said this is what the pay raise is, we have given you a rise, we are not budging on it. give me your reaction to that. this shows that — give me your reaction to that. this shows that the _ give me your reaction to that. t't 3 shows that the government fundamentally don't understand what our dispute is about. it has been going on since october last year and i hope they do finally understand it is about a year—on—year pay cut we have a seat for the last 15 years. we have lost over 30% of our pay and they've now offered as 6% plus £1250. that doesn't touch inflation this year let alone for the last 15 years. i urge rishi sunak to meet us at the table and negotiate with us because that is the only way this dispute will end. we because that is the only way this dispute will end.— dispute will end. we heard that the government _ dispute will end. we heard that the government have _ dispute will end. we heard that the government have said _ dispute will end. we heard

the british national health service announced 830,000 surgery has been canceled in the last 8 months due to the strike of doctors in this country . doctors consider the government's continued inattention to the needs and problems of the british national health organization as the main cause of the crisis in this organization. twins based on the youth law of the population apart from the vice president of women and family affairs, the president of the welfare of the irgc and the central bank also came to work. the birth of minodasht quintuplets in baqiyatullah hospital in tehran is a girl and a boy from a 24-year-old young mother. i have a 6-year-old son , thank god. 60502 what did he give us from the end that the father of the family describes the birth like this, i thank god that in china, the wedding is of great importance, according to mr. khali, it is really the worries and stresses of our lives . at first, we were very shocked. god, what are you doing ? i know, i was very nervous at first after that, i said, god is great, you are the one who has taken the family to support the y

according to nine women , the national health service's reaction to what was happening turned out to be just as terrible. only thanks to two grieving materials. eventually an investigation began. scandal first time lucy ledby. most likely, they will be limited in their movements, they intend to keep her in complete isolation, fearing reprisals for days on the part of other prisoners alexander khabarov denis sokolov lead, great britain literally during our broadcast in the center of moscow at the pier of the park, the charge of rescuers found the body of another deceased. during the tour of the underground collectors, the search for the group members continues at this moment on the fact of the state of emergency , a criminal case has been opened in the department. the housing and communal services of the capital emphasize that any excursions to the drainage collectors of moscow illegally the provision of such services a criminal offense the circumstances of the tragedy will be carefully clarified, but now there are a number of specific questions about how the organizer company worked

the contrast to this was the sense that he met at the same ideals that informed the british national health service at the time your l. service info. the whole idea. oh, few a see you. this came along so helpful. in 1977, the world health organization proclaimed the slogan of and said primary health care is the way to achieve health for so now we had to approach disease control and primary health care. the lennon conference hall in o monica on september 6th, 1978 confidential. there might be people sort of if it's to be entered in the, in the day a key made of 12 cadillac with you. thank you. i'm the in this in a fact, it didn't move into that chase. so look, what essentially front of a sylvie, the, by the, i think on, on the head drove it out for you real quick to that. the, [000:00:00;00] the, a must have explosion, rocks up pyrotechnics warehouse in the most school region doesn't. and some people are injured because of the boss is not yet also a head on the program. this our nice year is dealt another wave of sanctions following the qu, in the country of neighboring nigeria to the list of restri

to the said it was a homeless sense that he met at the same idea that informed the british national health service at the time your service in full style idea. oh, few a see you. this was coverage to came along so helpful. in 1977, the world health organization proclaimed the slogan of and said primary health care is the way to achieve health for. so now we had to approach disease control and primary health care. the lennon conference hall in o, my tom on september 6th, 1978. that confidential vehicle will be settled if it's to be entered to meet any day. a key made of 12 cadillac with you. thank you. i'm the initial enough i to didn't move to that just alluded since. yeah. the front of a sylvie that anybody i think on, on the head drove it out for you real quick to that the most afraid of robert f. kennedy junior. well, apparently everyone in the political establishment and mainstream media is very much like donald trump. he says what he thinks liberal hyatt cheese be dead for a junior is fear, because he's the top headlines right now and i'll to international as a candidate in ecuador, the upcom

to the so it was a homeless entity amount at the, the same idea that informed the british national health service at the time of your l. service info, the whole idea. oh few a see you this cable . so helpful. in 1977, the world health organization proclaimed the slogan of and said primary health care is the way to achieve hillsboro. so now we had to approach disease control and primary health care. the lennon conference hall in o monta on september 6th, 1978. that confidential physician vehicle will be settled if it's to be entered in either any day. a key made of 12 you sure can relax with you. thank you. i'm new in this and in fact it didn't move into that chase. so look forward. essentially, i'm do a survey the by the, i think on on me head drove it out for you real quick to that the the architects of nato's proxy war on russia. a big plans for the camp regime as a cranes cover offensive fails, the country's post for realities are being planned in the west. alas, these plans will fail to the we welcome the ongoing engagement of fix countries. without rec. we've had many humans during our bridg

monument to the dedication to diligence and human understanding shown by the caring staff of the national health servicent to doctors, you understand? we had three clues. well, yes, by the way, how difficult it was for the editor to come up with a beautiful hint for this question. op yes, what are these pearls, which, as it were, in essence, because education is education inside the shell shells even say it suffers from the fact that it has pearls inside, especially if it is large, this is also a very harmful formation for it. although very ugly so the second clue. kidneys kidneys education in the kidneys and the third clue why is it here? i don’t know, but it was necessary to start some phrase with it, a quote, how was it, right? well, yes, this is a quote from the film. and in general, this is the name of the film. yes, operation is just the word operation. and i thought it was such a professional term. he is the one who does when you need to perform an operation on him operation and you immediately understand, no matter how, and kidney stones, no matter how it is thanks to, uh, yevgeny's brilliant si

to the said it was a homeless sense that he met at the same idea that in for the british national health service at the time you're l. service info, the whole idea. oh few a see you. this came along so helpful. in 1977, the world health organization proclaimed the slogan of and said primary health care is the way to reach steve hillsboro. so now we had to approach disease control and primary health care. the lenin conference hall in o monta on september 6th, 1978. that confidential physician vehicle will be settled if it's to be entered in either any day. a key made of toll free shot. can you like would you think? yeah, i mean in this, in effect a didn't move into that chase. so look forward essentially. and the way situated, anybody, i think one on the head drove it out for you real quick to that the everything had changed with her daughter. she was completely when they came back and they told jamie your daughter is having a diabetic ketoacidosis. i was miserable. i just felt sick and nauseous and hardest cancer diabetic prefer on her. obviously that affects every part of it organises, measurin

into that period, otherwise it is going to be very difficult and challenging time for the national health serviced _ health service in england. around the world and across _ health service in england. around the world and across the - health service in england. around the world and across the uk, - health service in england. around the world and across the uk, you| health service in england. around i the world and across the uk, you are watching bbc news. the political crisis in west africa, reports from niger say thousands of people supporting the readers of last month double 03 see you have gathered near a french military base, as moscow has warned military intervention in niger with lead to a protracted confrontation and a sharp destabilisation of the whole region. equis said on thursday it was putting its military on standby, the forces on alert —— ecoas. 0ur africa correspondence in this report. the fallout from niger's coup is already starting to hit ordinary people. sanctions have cut off imports, causing the prices of popular staples to go up. this woman owns a small business selling food

the british national health service announced that 830,000 surgeries were performed in the last 8 months due to the doctors' strike in this country has been canceled. doctors consider the government's continued indifference to the needs and problems of the british national health organization as the main cause of the crisis in this organization. he announced the investment of 3 thousand billion tomans for the development of border terminals and roads, and said that the deputy of transportation of this organization has created new routes in order to reduce the traffic on the routes leading to the border, so that private cars can reach the border terminals in less time . those traveling to the western borders should use personal vehicles. less than a month before arbaeen hosseini, the infrastructure is being strengthened at the borders of our country with iraq . we are facing the goal of providing more and better services to arbaeen hosseini pilgrims. from the most important crossings of the country are taken and the return of pilgrims, a route that is considered for citizens of other coun

you contribute to the sort of a sensitive amount of the same idea that informed the british national health service at the time your l service in full bottle idea. oh, few a see you. this came along so helpful. in 1977, the world health organization proclaimed the slogan of and said primary health care is the way to achieve health for. so now we had to approach disease control and primary health care for the lennon conference hall in o monica on september 6th, 1978. that confidential. there might be subtlety for to be entered. indeed, any day, a key made of 12 cadillac would you think? yeah, i mean in this, in a fact it didn't move into that chase. so look what isn't? yeah, the front of a chevy deliberately, i think on, on the head drove it out for you real quick to down the a hi. acceptance, and i'm here to plan with you whatever you do. you do not watch my new show. search like why watch something that's so different. whitelisted opinions that he won't get anywhere else. welcome to please or do have the state department, the c i a weapons, bankers, multi 1000000000 dollar corporations. choose you

a chest, the national health service rule access to justice. and there is a relatively compared to the rest of europe and survey to america a more free and balanced media. so i absolutely understand the people want to acquire those things, but i would say nowadays people should look to their own country 1st. because if you are educated, if you have a sense of security in your country, you know, apart from those people who are god for that thing, but pressed on their lives at stake or their to so below the poverty line that they cannot even civil. and that's a different type of migration, but it's a middle class people who are educated. i would say if you have a certain level of respect in your country and security and your basic needs are met. you know, the growth is always green. but when you get there, especially if you go to, let's say, the united states, you will be a 2nd or even a thought process for many, many years. now in one of your interim years here, described the cultural stronger to your had when you went to one party and package t

get into that period, otherwise it will be a very difficult and challenging time for the national health servicece in england. adam, thank you for being _ health service in england. adam, thank you for being with - health service in england. adam, thank you for being with us - health service in england. adam, thank you for being with us on - health service in england. adam, | thank you for being with us on the programme, thanks for your time. let's return to our top story this hour — the devastating wildfires on the hawaiian island of maui. authorities say it will take many years and billions of dollars to repair the damage caused by devastating wildfires. at least 55 people have been killed and about 1,000 are unaccounted for. the weather on its own rarely causes wildfires, but it can bring conditions that makes them more likely it helps to fan the flames, which is exactly what has happened in hawaii. it has been very dry here of late, and then passing to the south, we have had this major hurricane. the centre of the storm has stayed well away from hawaii, but it has been squashing up against t

here in the uk, the man who was chief executive of the national health service trust where nurse lucyndon after her arrest. tony chambers has been accused of ignoring concerns raised by doctors who worked with letby. earlier this month, she was convicted with the murder of seven babies and the attempted murder of six others. she will never be freed from prison. michaeljoins me live. tell us more about the development. the chief executor of the hospital while lucy letby was working there, was approached by geriatric doctors that work on the neonatal unit, they were excused on ignoring or downplaying a lot of concerns and in many cases, turning against the very doctors who could not understand why the babies were dying. letby was arrested in july the babies were dying. letby was arrested injuly of the babies were dying. letby was arrested in july of 2018, the babies were dying. letby was arrested injuly of 2018, in september of 2018, tony chambers resigned as chief executive of the countess of chester trust, in part because appears relationship with the paediatric doctors had broken dow

and i'll tell you what, we are most definitely on the side of the national health service who have made the waiting we would have done, the waiting list, to them from the list, talked to them from the outset . and way we're going outset. and the way we're going to working list down to bring the working list down is first. okay. right. let is first. okay. all right. let me me tell you. first of me let me tell you. so, first of all, we're going to increase the number doctors nurses, number of doctors and nurses, and a plan for that. and and we have a plan for that. and we a plan for paying we also have a plan for paying for it. we're to close the for it. we're going to close the loophole which exists, still exists allows people exists that allows people who are from are non—dom, who are from abroad, who in this abroad, who live in this country, pay any country, who don't pay any taxes. we're going get rid taxes. so we're going to get rid of just to be clear, they of that. just to be clear, they do pay money that is needed in this country. >> they just don't earn they don't on their money

not perhaps structured, is not perhaps the best organising best way of organising a national service at national healthe might the point of view. so we might think different of doing think of different ways of doing it, pursuing these things, it, but pursuing these things, particularly it, but pursuing these things, particulacourts or the police, criminal courts or the police, seems me to a mistaken use seems to me to be a mistaken use of the law. in any case. >> well, there you go. you let me know your thoughts on all of that home. wants me to be that at home. ian wants me to be more sensible. he's saying that i am doing a disservice to law and measured justice. he says i'm mentality i'm encouraging a mob mentality with . how might you get with my views. how might you get in touch? you tell me? yes, in touch? and you tell me? yes, peter thinks am right. i peter thinks i am right. i think, oh, he thinks i am as well. anyone else? anyone else? i think i'm pretty sensible. quite anyway, quite frankly. anyway, look, i've really interesting i've got really interesting topic. i want to come to you after bre

we start with that breaking news — for the first time in the history of the national health service,nnounced a series of strike days in september and october. both junior doctors and consultants will be on strike on october 2nd, 3rd and ath, when there will be so—called "christmas day" cover. the union as called on the government again to make a "credible" offer on pay. let's talk to our health correspondent, dominic hughes.

weeks about artificial intelligence and how it could be used to reduce time and costs in our national health servicesw study has found that al is being used to accurately detect 20% more breast cancers than traditional screening by radiologists. the research, has been led by a team at lund univeristy. dr kristina lang who led the study told us more about those results. this has been evaluated in a large randomised control trial with 80,000 women and the results are really good. we detected 20% more cancers without increasing false positives and at the same time we can reduce the screen reading volume for us radiologists by a 50%. let's go live now to dr katharine halliday — she's the president of the royal college of radiologists. we are looking for cost savings within the nhs and we know that our nhs services, radiology is under pressure. using this could be the solution? i pressure. using this could be the solution? ~ , ., , pressure. using this could be the solution? ~ , ., solution? i think you can be part of the solution _ solution? i think you can be part of the solution but _ solution? i think

cannot find that elsewhere in the world, even a place like england where it has its much loved national health service, about half the population or more has private health insurance. so i do not think that is the answer. as far as medical misinformation, that is true, there is medical misinformation from all sorts of places, but one thing we found is that people are actually pretty good at responding to health care threats and they often will respond before government can take action, so many of the times, people are good at assessing if they are at risk, we knew early on the elderly people are at risk from covid and elderly people avoided going to public places, began staying home, began to stay home from going to work. all without government intervention and government intervention unfortunately in much of health care ends up making things worth -- worse rather than better as we documented in that freedom wind study. host: doctor, i want to try to get in one more color from a medical professional in philadelphia, pennsylvania. very quickly, please, ken. caller: good to hear from you and your expert

the us office obviously has no national health j obviously has no national health service, but eight us labour force... ., ., , ., . ., force... not only the importance of our health — force... not only the importance of our health care _ force... not only the importance of our health care workers, _ force... not only the importance of our health care workers, online - force... not only the importance of our health care workers, online in i our health care workers, online in real time — our health care workers, online in real time got to see the impacts that something like co—vid and the pandemic, — that something like co—vid and the pandemic, how much we really rely on our health— pandemic, how much we really rely on our health care system. it really came _ our health care system. it really came to — our health care system. it really came to the forefront. i think it came _ came to the forefront. i think it came to — came to the forefront. i think it came to simply, ways of thinking about— came to simply, ways of thinking about health care and relieve the pressures— about health care

we start with that breaking news — for the first time in the history of the national health service,h junior and senior doctors in england are planning to strike at the same time. the british medical association has announced a series of strike days in september and october. both junior doctors and consultants will be on strike on october 2nd, 3rd and 4th, when there will be so—called "christmas day" cover. the union as called on the government again to make a "credible" offer on pay. let's talk to our health correspondent, dominic hughes. the first thing to say straightaway, this is a really significant move, both senior and junior doctors striking at the same time? it is striking at the same time? it is significant. _ striking at the same time? it is significant, and _ striking at the same time? it is significant, and it _ striking at the same time? it 3 significant, and it follows the announcement of a fresh ballot on strike action by the junior doctors. they were seeking a mandate for a further six months of potential strike action. the junior doctors who are members of the briti

you look at itnt historically the social movement that is what happened in the uk from the national health service to be born. it was in large part due to the war. the world war ii. hopefully we can find our way out of that that we might need that.ti >> wont have time for questions however there is a book citing you will be available for. i want to wrap us up with one last thought which is the moment in the book in which you talk about how often you are asked to speak when you are attending funerals. of your former patients who have since passed. you said very specifically i am asked is often to speak because these families need to hear that you were loved and was worthy of our attention in our care. i'm repeating that outbr loud ad to also say thank you. for your practice and for this book. >> every single person deserves to be cared for. we have the capacity to do it. we can do it we can take these models and build on them. i feel liberated to work in a system that allows me too focus on that. >> right, thank you ricardo. thank you to the attendees. a round of applause please. a reminder also no

look at it historically, like the social movements, that's what happened in the uk for the national health service to be born. it was in large part due to the war, world war ii. i hope we can find our way out of that and what it might mean. >> we've run out of time for questions. however, there is a book signing that you will be available for. i want to wrap us up with one last thought. >> sure. >> the moment in the book in which you talk about how often you were asked to speak when you were attending funerals of your patients who have since passed. you said very specifically, perhaps i am asked as often to speak because these families need to hear that your loved one was worthy of our attention and our care. i am repeating that out loud to bring that into this space and also say thank you for your practice and for this book. >> thank you very much. >> every single person deserves to be cared for. we have the capacity to do it. we can do it. we cannot take these models and build on them. i feel liberated to work in a system that allows me to focus on them. >> all right, thank you, ricardo. thank y

national health service leaders say it will simply the system and hopefully help catch the disease earlierree. the proposals have been worked on by clinicians and have been out for consultation since last year. some cancer charities, though, say more investment is needed in treatment capacity. our health correspondent dominic hughes has the details: nhs england says it wants to simplify and update cancer waiting time standards following the advice of expert doctors. the nine standards that exist at the moment are said to be confusing for patients and staff. a consultation exercise on scrapping some of them was started last year. the outcome is set to be published in the next few days but it will need to be approved by ministers. what we have is a consultation at the moment with leading clinical figures in the cancer world and with the cancer charities asking whether the checks we've got are driving the right outcomes in terms of cancer survival or whether there are better ways of measuring those. so this is something led by clinicians working in cancer, it's not something being imposed by

that's what happened in the uk for like the national health service to be born. it needed that it it was in large part due to the to to to war to the, you know, in 19 the world war two. so hopefully, you know, we can find way out of that, but it might need that if we run out of time for questions. but however there's a book signing that you will be available for. i want to wrap us up with one last thought, which. the moment in the book, which you talk about how often you were asked speak when you were attending funerals of former patients who have since passed and you said a very specific perhaps i am asked as often to speak because these families need to hear that you your one was worthy of our attention and, our care and i, i, i'm that out loud to bring that into space. also to say thank you for your practice and this book. oh, thank you very well. i mean, every single person deserves to be cared for and we have the capacity do it. we can it. we can take these models and build on. i feel very fortunate. i feel to work in a system that allows to focus on that. a

everyone should have access to the health care they need . the health care they need. >> national health serviceue in the name there everyone across the there and everyone across the united kingdom the united kingdom is paying the same the same amount of tax towards the nhs and it is therefore manifestly wrong that some people in parts of the united kingdom are waiting over two years for treatment. that would never happen where frankly the conservatives are running the nhs offering to nhs and so we're offering to give patients in wales the same rights that they get in rights that they would get in england, to, if they're england, which is to, if they're prepared go prepared to travel, they can go to hospital which can offer to any hospital which can offer them the treatment they need. >> memorial service for the >> a memorial service for the 25th anniversary of the omagh bombing is taking in bombing is taking place in northern ireland. 29 people died in 1998 when the real ira left a car bomb in the city centre. it was the greatest single loss of life in the history of the troubles . no life in t

like people to consider that the united kingdom, which tends to be left leaning with the national health servicenned this. you're not allowed to have agenda affirming surgery under the age of 18 in the u.k. and that is recent, so there's so much going on but then there is legal battles going on in a tennessee and alabama and florida and kentucky and in louisiana, i'll leave the legal analysis to you, but the medical analysis would be once you go there can you go back? if you have top surgery can you go back, you really can't in the studies that look at -- that say when you have gender affirming surgery, most of the time people are glad they did it, but here's the problem -- though studies were very poorly done and even the study authors say that and they did not look specifically at teased. that's the group i'm concerned about. >> and that's where the whole conversation goes, what kind of counseling are they getting, i they told how it's like like changing and there watched as a process with all the realities on the table? another reality on the table is that a lot of people going into the weeke

national health service as the strikes could cost more than a billion dollars by the time doctors resume tuesday. still to come, republican presidential candidates make their pitch to iowa voters at the state fair... david brooks and jonathan capehart weigh in on the week's political headlines... chronicling the history of hip-hop on its fiftieth anniversary... plus much more. >> this is "the pbs newshour" from weta studios in washington, and in the west from the walter cronkite school of journalism at arizona state university. amna: the long-running federal investigation of president biden's son, hunter, entered a new phase today with attorney general merrick garland's appointment of a special counsel. john yang has more. john: amna, the new special counsel is david weiss. he won't need time to get up to speed because as delaware's u.s. attorney he's run the investigation from the beginning. he was a trump appointee who was held over and given full authority over the case. now as special counsel his independence is guaranteed by law. ag garland: this appointment confirms my commitment t

there is a real crisis of recruitment and retention within the national health service among doctors em in the uk, because other countries are paying doctors a lot more people will look at that and think if i can earn twice as much in australia or whatever and the housing costs are less and they are in large parts of england, people will move. especially people who do wind up on decent salaries but this is junior doctors who have begun a four—day strike. and they actually start off a very low wages, around £14 an hour in the first year. so there is a real need to boost that substantially. not present may sound like a lot but not percent of them of not very much is not very much still an inflation has been over to percent for much of the last year. so in reality that is another real terms cop. some 35% i think sounds a lot because that's how much pay has been cut back over the last 15 years. doctors pay in real terms as been following year on year for 15 years and i think it's time for the government to arrest that it will necessarily happen overnight we get that all in one go, one big

so i mean, what you're arguing, peter, very clearly is that actually the way the national health serviceed and by the way, there's been a 45% increase in there's been a 45% increase in the number of managers since the beginning of the millennium in 2000. but you're saying generally you think hospitals are well run . are well run. >> yes, they are. it's not i mean, look, it's not something which people like to hear, but nhs management is hugely complex , as well as being chief exec of the rcn for nine years, i was the rcn for nine years, i was the chief executive in nhs trust for 12 years and i really enjoyed that. but there's lots of myths around . so if you go of myths around. so if you go back to something which you said about managers with no clinical background well, you take background, well, if you take the issue, i understand that the medical director was involved in the lucy letby decisions. so was the lucy letby decisions. so was the director of nursing and i read in yesterday's sunday times that the chief executive also had a clinical background . so had a clinical background.

there's waste in the national health service. of course there is.do to fund growth and get the economy going is to cut the waste . and they never do. waste. and they never do. >> that's not that's not true. francis maude, did it. and michael heseltine did it. yes. when i became minister of government efficiency, to the surprise of some people i took into the office, michael heseltine's memoirs because that explained how to cut the civil service and maintain efficiency in a sensible way. >> in many ways. in a sensible way. >> in many ways . amy, i can see >> in many ways. amy, i can see your point because there are decent civil servants and most of them particular to higher level work really, really, really hard and they don't want to be demoralised . but listening to be demoralised. but listening to be demoralised. but listening to sedwill today, mark said, well, he used to be the chief cabinet secretary. he's just saying this system is broken. that's what we should be. we should be looking at the system is broken. ministers is get into power. all r