the nhs in england has set—out plans to stop hundreds of thousands of patients every year, receivingemed "ineffective or too risky". haemorrhoid surgery and treatment for varicose veins, are among the procedures that will be restricted under the proposals. it's expected to save the nhs an estimated £200 million a year. katherine stanczyszn reports. some nhs treatments could be about to become much rarer. plans are being drawn up by nhs england to limit options that they say are ineffective or too risky. it's drawn up a list of 17 procedures, including surgery to treat snoring, tonsillitis or varicose veins, knee arthroscopies for osteoarthritis, and steroid injections for nonspecific back pain. the body says doctors should start to use a much higher bar when it comes to offering these kinds of solutions, and that they should happen only when there are compelling reasons. nhs england says it has come up with these proposals after extensive research, and in most cases alternatives such as physiotherapy or a change of diet would workjust as well. they are backed by leading health profes

plans are being drawn up by nhs england to limit options that they say are ineffective or too risky.it's drawn up a list of 17 procedures, including surgery to treat snoring, tonsillitis or varicose veins, knee arthroscopy is for osteoarthritis, and steroid injections for nonspecific back pain.

the new plan for nhs england covers the next five years.olve average annual increases of 3.4% in real terms. the budget for day—to—day running costs is around £115 billion this year. under the plan, there will be £20 billion more by 2023. theresa may says some of the funding will be found from money saved after brexit, and some probably from higher taxes. what i am announcing will mean that in 2023—24, there will be about £600 million a week, in cash, more in cash, going into the nhs. of course, we have got to fund that, that money. that will be through the brexit dividend. the fact that we are no longer sending vast amounts of money every year to the eu once we leave the eu, and we as a country will be contributing a bit more. the head of nhs england — simon stevens, said the multi—year settlement provided the funding needed to shape a long—term plan for key improvements in services. but the health foundation think tank argued it was not enough to address the fundamental challenges facing the nhs. hugh pym, bbc news. earlier i spoke to lab

england with temperatures in the low 30s. hello this is bbc news. the headlines. the nhsctive or risky‘. the 17 treatments range from tonsil removal to haemorroid surgery. tata steel, which owns britain's largest steel—making plant at port talbot, has confirmed merger plans with the german industrial group, thyssenkrupp. one of the uk's largest water firms warns people to conserve supplies as it makes emergency deliveries during the heatwave. the army will extend its stay in saddleworth on the edge of manchester to help keep control of moorland blazes which have been burning for six days. new figures obtained by the bbc show there's been a big rise in the number of uk citizens taking on the nationality of another eu country since the eu referendum.

plans for fewer patients in england to be given nhs treatment for a range of conditions, including tonsils removal and breast reduction. tata steel, which owns the port talbot plant, has confirmed merger plans with germany's thyssenkrupp. tens of thousands protest across the united states over president trump's hardline immigration policies. good evening. four young men, three of them teenagers, have died in a crash in leeds. they were in a vehicle which collided with a taxi early this morning. two teenage girls who were in the car are in hospital — one is in a critical condition, and the taxi driver is also said to be seriously hurt. police say it appears the car was being driven at speed on the city's outer ring road in horsforth at the time of the collision. sarah walton sent this report. the sound of this morning's crash walk many of the residents here on leeds‘ outer ring road. a car carrying six people collided with a taxi at about 2:40am. those living nearby were some of the first to help. we didn't think it was this serious. i took some blankets and just some water. i thought, it's

theresa may promises a 20—billion pounds a year real—terms increase to the nhs in england by 2023. ur says it's not enough. we're making the nhs our priority, we're putting a significant amount of extra money into it. we need to make sure that money is spent wisely. we are saying that you can go further and if the government made the taxation changes we are prepared to make, you could be giving even more to the nhs. so, labour will be spending more on the nhs than the tories. hundreds of migrants who were rescued off the coast of libya 8 days ago — arrive in spain. experts warn the glasgow school of art may have to be demolished after being gutted by fire. and joy for mexico, but despair for the holders germany in the world cup. his shot gives mexico the lead! that goal from hirving lozano was enough to consign the germans to their first defeat, in an opening game of a world cup, since 1982. no such troubles for tournament favourites brazil so far, a crackerfrom coutinho has put them on top against switzerland... and coming up cleaning thailand's beaches that's in the travel show in

theresa may promises a £20 billion a year real—terms increase to the nhs in england by 2023. putting a significant amount of extra money into it. we need to make sure that money is spent wisely. we're saying you can go further and if the government made the taxation changes we are prepared to make, you could be giving even more to the nhs. so labour would be spending more on the nhs than the tories. hundreds of migrants who were rescued off the coast of libya eight days ago, arrive in spain. experts warn the glasgow school of art may have to be demolished after being gutted by fire. and joy for mexico, but dispair for the holders germany in the world cup. commentator:

the nhs in england is proposing to restrict the numbers of patients being offered treatments such asils or varicose veins, and haemorrhoid surgery. the move to cut down on procedures deemed ineffective is likely to affect 100,000 people every year and save the nhs an estimated 200 million a year. richard lister reports. skin grafts, as you can see, i had plastic surgery to try to rebuild it... samantha lilley‘s spent much of her life in and out of hospital. she has a rare genetic syndrome which causes limb defects and skin lesions. surgery can ease her pain, but access to such procedures could be restricted under these new proposals, and she is worried about her future quality of life. i shouldn't have to live with something that causes me pain and suffering when the nhs is supposed to be there, its purpose was to make people's lives easier, not just to save them. the skin lesion surgery she has had in the past is one of the treatments nhs england says may have more risks than benefits. among the others are surgery for snoring and varicose veins, tonsillectomies and injections for no

theresa may promises a £20 billion a year real—terms increase to the nhs in england by 2023. our says it's not enough. we're making the nhs our priority, we're putting this significant amount of extra money into it. we need to make sure that money is spent wisely. we're saying you could go further and if the government made the taxation changes we are prepared to make you could be giving even more to the nhs. so, labour will be spending more on the nhs than the tories. hundreds of migrants who've been the focus of a european dispute over immigration arrive in spain more than a week after being rescued. calls for a change in the law, after the home office allows a boy with severe epilepsy to be treated with an illegal form of cannabis oil. also in an hour's time, germany's world cup campaign begins as they hope to be the first country since brazil to win back—to—back tournaments. and brazil, the favourites to win the competition this time round, take on switzerland in their first game of the tournament. scouring the depths of loch ness. scientists use new technology to discover

prime minister theresa may is to set out plans to increase nhs spending in england. the home secretary uses exceptional powers to allow doctors to treat severely epileptic billy caldwell with illegal cannabis oil. the home office can no longer play a role, in fact play any role, in the administration of medication for sick children in our country. no otherfamily should sick children in our country. no other family should have to go through this sort of ordeal. a second devastating fire in four years at the glasgow school of art has caused extensive damage. scotland's first minister, nicola sturgeon, praised the response of the emergency services. the most important thing today is that we are not mourning the loss of life, and we should not forget that, and that is down to the skill and the speedy response of the fire service, and for that i am immensely grateful to all of them. sinn fein members vote in favour of liberalising abortion law at their conference in belfast. a moment to forget for one of the greats. lionel messi misses a crucial penalty, as underdogs icel

let's get more and theresa may announcement there is to be new funding for the nhs in england. han ashworth. good morning. good morning. what is your announcement of this government announcement? i've long been calling for extra funding in the nhs, we need that given the crisis we have had in our hospitals, waiting lists, cancer patients waiting beyond two months for cancer treatment. people generally accept the nhs needs more money. as the nhs health tank have said this morning, this will not be enough. this money means the nhs standstill. it will probably mean waiting time is getting longer, our hospitals will still be in crisis and overcrowded and there is nothing for the social care sector. you can't really resolve the issues facing the nhs without also putting substantial investment into social ca re substantial investment into social care for the elderly in communities these days. labour promised it would promised an extra 37 billion over five years, that amounts according to the same organisation you just quoted to an average increase of 2.296 quoted to an average increas

and bring the bean counters in nhs england to heel. but first, following the recent decision to relax the law on abortion in the irish republic, earlier this week mps backed calls to decriminalise abortion in northern ireland. their vote wasn't binding and won't bring in a change, but that doesn't mean the issue has gone away. on thursday, a challenge to northern ireland's strict abortion laws was rejected on a technicality. the supreme court said human rights campaigners didn't have the legal standing to bring the case, even though it agreed the current law was incompatible with european human rights legislation. after the court's decision, the northern ireland secretary, karen bradley, came under renewed pressure to step in. the women of northern ireland deserve better, they deserve control over their bodies! they deserve not to be forced to go to court and talk about these issues in order to get the government to listen. they deserve the kind of control that eileen foster currently has over this government. the secretary of state ha

they in turn passed me on to nhs england, nhs england says they're aware of the case, and they're awareisruptive? , of all, you might expect me to say that as my mothers son but she raised me quite strictly that if you do something wrong you put your hand up and admit it. she's done nothing wrong. situations like this are rare but not unheard of. the reason that the doctors are not feeling well or they have some other issues like mental health issues as well and they need every support that he can get both on the flip side, no member of staff should ever be subjected to verbal or possibly asa be subjected to verbal or possibly as a goal abuse. but for elizabeth, her daily life is more of a struggle without a gp. four people smugglers in hungary have each been sentenced to 25 years in jail for their part in the deaths of 71 migrants found in a sealed lorry. prosecution lawyers say the sentences are too lenient and have asked the court to impose life sentences on the four men. at the height of the migrant surge into europe in 2015, the 71 victims were found by police suffocated in the lor

theresa may is promising a £20 billion a year increase in nhs funding in england, but she admits taxeswill have to go up as well. across the nation taxpayers will have to contribute a bit more in a fair and balanced way to support the nhs we all use. in return for the extra funding, the nhs will have to produce a 10—year plan to ensure all the money is well spent. transformation is essential, so we will be doing transformation, whatever the funding. it is the only way we can survive in the future in meeting the expectations of our patients. we'll be asking if there's any detail in the prime minister's plans and we'll be getting reaction from a hospital in ipswich. also tonight... on the us border with mexico — trump's immigration policies under attack from a wide range of people, including the president's own family. new details about the man who bombed a london tube train last year — his foster parents speak out about the lack of information from the authorities. i felt betrayed by social services because i have been a loyal worker for ao—odd years. and i just felt that they should ha

theresa may promises a £20 billion a year real—terms increase to the nhs in england by 2023. our says it's not enough. we're making the nhs our priority, we're putting a significant amount of extra money into it. we need to make sure that money is spent wisely. we're saying you can go further and if the government made the taxation changes we are prepared to make, you could be giving even more to the nhs. so labour would be spending more on the nhs than the tories. the conservative mp, sir christopher chope, who blocked legislation to outlaw upskirting now says he does support moves to criminalise it. commentator: and he shoots! it's in. ! the holders are behind! and that's how it stayed, defeat for the holders germany in the first game of their title defence, as they lose 1—0 to mexico. it's the first time the germans have lost their opening game of a world cup since 1982. also coming up, concerns for the future of the glasgow school of art. after the fire that ravaged the building on friday night, a leading construction expert says it may have to be demolished. and, hundreds

nhs england says it wants to stop people from having treatments that are either ineffective or pose toot has drawn up a list of 17 procedures, including snoring and varicose veins treatment, knee arthroscopies for osteoarthritis, and steroid injections for non—specific backpain. in all of these the health bodies say there is little evidence the treatments work or that the risks outweigh the rewards. but some doctors have questioned those beliefs and say patients will either miss out or will be forced to pay for private treatment that would actually give them some relief. the proposals are still to be put out to consultation, but nhs england says they could mean 100,000 fewer unnecessary treatments a year, saving around £200 million. it says the money could then be reinvested in front—line cancer care, mental health, and other critical services. jon donnison, bbc news. professor carrie macewen is chair of the academy of medical royal colleges — the organisation that coordinates the uk‘s royal colleges and faculties. she told me that there is over medicalisation in western practice. the c

nhs. the crowds have been building here for the past several hours, there have been coaches arriving from different parts of englandand as we can here as well, there is really quite a carnival atmosphere, but also a very serious aspect. it is notjust a celebration of the 70th anniversary of the nhs. it is a big protest, with many people saying that they believe the government is failing to fund the nhs to the correct amounts, and they need much more, even though the government has recently announced that by 2023 or 2024, there will be an extra billion pounds a year for the there will be an extra billion pounds a yearfor the nhs, they there will be an extra billion pounds a year for the nhs, they are saying that is not enough, and there isa saying that is not enough, and there is a danger of the nhs collapsing in the next few years if there is not much more funding for it. richard galpin in central london. tata steel and the german industrial group thyssenkrupp have agreed a merger that will create europe's second—biggest steel—maker. unions have welcomed the agreement, saying it ensures that production will continu

when the nhs was first created. >> i say that this is as i clearly said from the chief executive nhs england, he recognizes this is the funding the nhs needs here but crucially giving a multiyear funding settlement based on a ten year long-term tenure plan, will give the nhs the stability and certainly that it needs to be able to introduce the transformation we all want to see in a shakier and will also be ensuring that unlike what happened under the labour party, this money will be seen and improve patient care. >> order. points of order, after the statement. we have a statement from the secretary of state for health and social care in a moment. [inaudible announcer: you can go to c-span.org and find any past prime minister questions and other programs. discussion on the upcoming presidential election in mexico. we will hear from scholars about the issues and candidates involved. live coverage begins at 1:00 eastern on c-span two. bus iser: the c-span traveling across the country on our 50 capitals tour. asking is in alaska, people what the most important issue is. is we're in the middle of

plans are being drawn up by nhs england to limit options that they say are ineffective or too risky. up a list of 17 procedures, including surgery to treat snoring, tonsillitis or varicose veins, knee arthroscopies for osteoarthritis, and steroid injections for nonspecific back pain. the body says doctors should start to use a much higher bar when it comes to offering these kinds of solutions, and that they should happen only when there are compelling reasons. nhs england says it has come up with these proposals after extensive research, and in most cases alternatives such as physiotherapy or a change of diet would workjust as well. they are backed by leading health professionals who say it is about providing the right care. something that is ineffective is obviously something that's going to be unnecessary, and even more than that, it can potentially harm patients. things that don't work, any drug you take, any intervention you have, potentially carries harms. it's thought the move will affect around 100,000 people every year, freeing up an estimated £200 million to be used on criti

her 3.4% is actually just 3% as it's only for nhs england. nothing for public health budgets, nothing for community health or vitally nothing from social care. this is less than needed after standing still and it or the longest funding squeeze there's now 4 million poem waiting on nhs waiting lists, cancer targets not met for over three years, nurse numbers falling, gp numbers falling and 100,000 staff vacancies. nhs trusts a billion in deficit and a 1.3 billion funding gap for social care. the prime ministry is wright i-to-us just to stand still. until this gloflt can be straight with people where the money is coming from, why should anyone, anyone anywhere trust them ton the nhs? [ applause ] >> tile tell the right honorable gentleman while people should trust us on the national health service. for the 70 years of the national health service, for 43 years of those years it's been under the stewardship of a conservative government. we have despite -- despite taking difficult and necessary decisions on plic spending in 20 so, as a result of t

when the nhs was first created. >> i say that this is as i clearly said from the chief executive nhs england, he recognizes this is the funding the nhs needs here but crucially giving a multiyear funding settlement based on a ten year long-term tenure plan, will give the nhs the stability and certainly that it needs to be able to introduce the transformation we all want to see in a shakier and will also be ensuring that unlike what happened under the labour party, this money will be seen and improve patient care. >> order. points of order, after the statement. we have a statement from the secretary of state for health and social care in a moment. [inaudible conversations] >> we will leave the british house of commons as members move on to other business. you have been watching prime minister's question time and live wednesdays when part of it is in session. a quickly when you can see this weeks section again sunday nights and night eastern pacific on c-span. for more information go to c-span.org and click on series to get every program with air from the british house of commons since october

england. severn trent handed out emergency bottled water in rugby last night, following fears that a nearby storage facility might run dry. the nhssands of patients every year from receiving treatments which it says are useless or too risky. it's drawn up a list of 17 procedures including snoring, varicose vein surgery, and steroid injections for non—specific back pain. the measures are part of plans to cut waste, as the government prepares to increase nhs spending by 20—billion pounds a year by 2023. the army will stay on saddleworth moor in greater manchester throughout the weekend and into next week, to help keep control of moorland blazes which have been burning for six days. 0n winter hill in neighbouring lancashire, where grass fires broke out on thursday, a man has been arrested on suspicion of arson with intent to endanger life. the future of britain's largest steel plant at port talbot has become clearer this morning, after the german firm thyssenkrupp approved a merger with its owner tata steel. the deal would create europe's second largest steel—maker and follows a year of negotiations. but the firms have previously wa

in february, nhs england had many thousands of vacancies for both doctors and nurses. ts. working hard under pressure, but there just aren't enough doctors and nurses. hospitals across england are badly short—staffed. in february, nhs england had 35,000 vacancies for nurses, and nearly 10,000 doctors' posts unfilled. we have got substantial demand pressures on the nhs, an ageing population, and more patients needing more health care services. also it is linked to a decision in 2010 when austerity hit, to restrict the number of nurses and doctors being trained in the nhs to meet that extra demand, which is why we have got so many vacancies across the nhs at the moment. the prime minister knows the health service relies heavily on workers from abroad, but for years, the numbers coming have been restricted. it was theresa may as home secretary who set a limit on tier 2 visas for skilled workers from outside the eu, atjust under 21,000 atjust under 21,000 per year, part of a broader approach to restrict immigration. we will reduce net migration from the hundreds of thousand

ahead of nhs england simon stephens, said the settle m e nt nhs england simon stephens, said the settlementg new to shape a long—term plan for key improvements in services. but the health foundation think tank argued it was not enough to address the fundamental challenges facing the nhs. and you can see more of that interview with the prime minister on the andrew marr show a 9 o'clock on bbc one. campaigners are calling for medicinal cannabis to be made legally available in the uk, after the home secretary intervened to help a 12 year old suffering from epilepsy. sajid javid granted billy caldwell the right to use cannabis oil, after he was admitted to hospital with extreme seizures. simonjones reports. 0f of the family spite that they hope will benefit not just of the family spite that they hope will benefit notjust billy caldwell, but others like him. on monday they flew back into britain with cannabis oil bought in canada —— canada to treat epilepsy, but he campaigned an ingredient which is anti—. the drug which has kept his seizures under control for more than a year was confiscated. da

we are putting in excellent for improved character tabulating what chief executive nhs england set of our announcement? for every one pound extra, we spent on the nhs in england, labour in wales spent only 84p. labour says one thing and does another. jeremy corbyn: mr. speaker health spending grew by 5% in wales last year, rather more than in england. her 3.4% is actually just 3% 3% of it's only for nhs england, nothing for public health budget, nothing for community health, or laterally, nothing for social care. this is less than is needed just to stand still. and after the longest funding e --ze in history, a and a&e waits are at their worst ever, 4 million waiting on nhs waiting lists. catch a treatment target not met for over 3 years. nurse numbers falling. gp numbers falling, and 100,000 staff vacancies to nhs trust . a billion dollars in deficits and a 1.3 billion funding gap for social care. the prime minister is waiting ious just to stand still. until this government can be straight with people, where the money is coming from, why should anyone, anyone anywhere, trust them on

theresa may promises a £20 billion a year real—terms increase to the nhs in england by 2023. our says it's not enough. we're making the nhs our priority, we're putting a significant amount of extra money into it. we need to make sure that money is spent wisely. we're saying you can go further and if the government made the taxation changes we are prepared to make, you could be giving even more to the nhs. so labour would be spending more on the nhs than the tories. hundreds of migrants who've been the focus of a european dispute over immigration arrive in spain more than a week after being rescued. the conservative mp, sir christopher chope, who blocked legislation to outlaw upskirting now says he does support moves to criminalise it. title holders germany have kicked off their defence of the world cup, but it's not started well. in he comes in! mexico at half time after that goal from hirving lozano. and later on, brazil, the favourites to win the competition this time round, take on switzerland in their first game of the tournament. there's fears that the glasgow school of a

theresa may has announced new funding for the nhs in england. will mean an extra £20 billion a year by the end of a five year plan. the prime minister said some of the funds would come from money the uk will no longer have to pay into the eu budget after brexit. but she hinted the rest may have to come from higher taxation. our health editor hugh pym has more details. with pressure mounting on the nhs, demands for a funding boost were intensifying. theresa may made it clear she wanted to come up with a long—term plan for the nhs in england, which removed the need for annual last—minute budget top—ups. in recent weeks, there have been sometimes acrimonious talks between the health secretaryjeremy hunt, calling for increases, and the chancellor philip hammond. the new plan covers the next five years. it will involve average annual increases of 3.4% in real terms. the budget for day—to—day running costs is about £115 billion this year, under the plan there will be £20 billion more by 2023. theresa may says some of the funding will be found from mon

the london regional director for nhs england.ark cathedral to members of the emergency services. the chief nurse will be giving one of the readings and the service as well. i've been here for a few days in this part of london, london bridge, borough market, such a bustling part of the capital and i've heard from business owners, market traders, that there is —— about their memories of the night. i spoke to a young man who runs a stall at borough market, right by the cathedral where we are, and he told me about his memories of the night, how the market traders have come together over the last year and what he feels the lasting implications of all of this have been. his name is patrick williams and he runs a stall called soul food in borough market. 700 people coming to the service, i think that says everything itself. i think the main thing of importance is to show the solidarity, i think togetherness. these people that lost their lives, they're in our hearts. and we are thinking about them. they're gone but everyday we come to wo

plans are being drawn up by nhs england to limit options that they say are ineffective or too risky.

nhs england says it's ready to address the issues "head—on" and that the report highlights many areas. our health correspondent dominic hughes reports. as the nhs approaches its 70th birthday, four major think tax —— think tanks have posed the question just how good is our health service? the answer seems to be not bad, could do better. would compare to 18 other industrialised countries, a relatively efficient nhs in areas such as protecting people from the financial burden of illness. but when it comes to health outcomes, it is less impressive. when you treating eight out of the 12 most common causes of death such as lung cancer 01’ common causes of death such as lung cancer or heart attacks, is worse than average. the uk has a lower number of doctors, nurses and other medical staff per head of population and the lowest levels of both city and the lowest levels of both city and m, writes dan is —— mri scanners. and m, writes dan is —— mri scanners. given what we spend, we are ok but we could he doing better. we are very efficient and spend very little on management cost, but we could

confirmed that taxes will have to be increased to pay for the extra £20 billion funding for the nhs in englandhe year 2023. now on bbc news all the latest business news live from singapore. the us senate votes to block president tromp‘s deal with zde. could this cause clashes with the white house? and gateway to china. google invests more than half $1 billion into jd.com. google invests more than half $1 billion intojd.com. good morning. it isa billion intojd.com. good morning. it is a tuesday. lady could join us in this exciting addition of asia business report. we start of the programme with the us senate passing and defence spending bill which tries to torpedo the trump administration's deal with chinese giant zte. the tech giant has been on its knees since april when mr trump slapped it with crippling sanctions after accusing it of violating trade arrangements but the government said earlier it would lift the ban on the company's axis to the us market. well, that may now all be injeopardy. our business reporter told me what the reaction has been. what's interesting is that this has been a

in the short—term the prime minister has to spell out how she'll fund this boost for nhs england. hasics are almost as important as the economics. theresa may is talking about the benefits of brexit ahead of another difficult week in parliament. that will please brexiteer tories — but alienate others. she's trying to keep the balance in her party — but now balance the books too. the balance in her party — more than 600 migrants at the centre of a european row are spending their first night on dry land in more than a week. three boats docked in the spanish port of valencia today after the group, which was picked up off the coast of libya, was turned away by both italy and malta. off the coast of libya, was turned 0ur europe correspondent damian grammaticas reports from valencia from the aquarius, the first sight this morning of spain. it's week—long odyssey a thousand miles across the mediterranean at an end. a thousand miles across finally in valencia was a port prepared to welcome the ship. it was a moment ofjoy for those on board. they had been rescued from the seas off libya, but b

theresa may will tomorrow unveil a long—term funding plan for the nhs in england.re the nhs‘s 70th anniversary next month. here to tell us more is our health editor, hugh pym. what are the details that we know? it isa what are the details that we know? it is a significant funding increase, and it comes after weeks of fraught negotiations between the chancellor philip hammond and jeremy hunt, i've exactly what the nhs would get, and the talks went on until late last night and a deal was only reached them, i'm sold. the nhs in england will get more than 3% a yearin in england will get more than 3% a year in real terms extra for the next five years, including more than £4 billion next year, but the treasury had originally and he wa nted treasury had originally and he wanted to offer 2%, mindful of the state of public finances. ministers will argue there is a brexit dividend and some of the money will come from money saved from contributions to the eu which will not take place but they will also say more money is needed on top of that and that will have to come from hi

in february, nhs england had thousands of vacancies for both doctors and nurses.olls—royce is to cut more than four and a half thousand jobs as part of a major restructuring. many of the cuts will be at its headquarters in derby. our business editor, simonjack, reports. at rolls—royce headquarters in derby this lunchtime, workers were tight—lipped about the news of massive job cuts. i don't suppose you could have a quick word for the bbc? no? tell us about how things are feeling in there. not from me, thank you. sorry, we've been asked not to. you've been asked not to. but the boss of one of britain's most advanced manufacturers was talking about why radical cost—cutting is necessary. this is a very difficult decision. we're actually trying to create a stronger rolls—royce, which is good for derby and good for the uk, and will provide employment in derby and other places in the uk for many years to come. a total of 4,600 jobs are going, that's out of a workforce of 55,000 around the world. derby is home to nearly 16,000 of them, where most of the cuts will be felt

more details on the government's £20 billion boost to the nhs in england will be set out by the primemay will say later that the nhs is the government's top priority for spending and that the health service will be funded in a responsible way. here's our health and science correspondent james gallagher. the nhs has been part of british life and nearly 70 years, but it is feeling the pressure. patients are waiting longer to be seen in amd or to get cancer treatment. but now more money has been found. an extra £20 billion a year by the financial year starting in 2023. so where is that cash coming from? that will be through the brexit dividend, the fa ct through the brexit dividend, the fact that we are no longer sending vast amounts of money every year to the ee you once we leave the eu, and we asa the ee you once we leave the eu, and we as a country will be contributing a bit more. those last few words could affect your paycheque. the idaa could affect your paycheque. the idea that there is a brexit dividend is pure fiction. it's a pure mattar of arithmetic. thara is pure fiction. it's

theresa may has announced the nhs in england will getan announced the nhs in england will get an extrar by 2023 and over the next five years there will be an average increase in funding by 3.5%. where is the money coming from? remember this? the prime minister claims money saved by leaving the eu will in part, fund her casper to the nhs. that is made brexit supporters in her own party very happy. as the prime minister has rightly said, it is a down payment on future receipts that will come into this country as a result of this continuing payments to brussels. but critics say in the short term there will be less to spend after brexit, not more. some in her own party said talk of a brexit dividend is misleading. the government are deciding to bring back this referendum, very toxic, divisive debate back into the nhs proposals. i don't see why they are doing it. to my mind, the figures do not stack up. the health secretary and other cabinet ministers called into number ten this morning, know that depay for this plan the government will have to raise taxes. that is politically sensitive. th

also, deaf people tell our programme exclusively they're being left behind by the nhs in england becausea shortage of face to face interpreters — one deaf mum to be was told via tablet that she had miscarried her baby, and this man pulled out a tube from his throat because he panicked and there was no interpreter there to let him know what was going on. you can just imagine you canjust imagine if the you can just imagine if the world switched places for a while, and i became hearing, and everyone else was —— and everyone else was deaf. -- and everyone else was deaf. we will talk to agnes dyab. currently many deaf people do not have access to make appointments with doctors. and — challenging the ‘same roof rule'. this woman was sexually abused and raped by her stepfather between the ages of 4 and 16 — but can't claim compensation because she lived in the same house as her abuser. my mum used to work at a fish shop and she did nights. that's when it would happen. we'll bring you the story after ten. let me introduce you to matthew. welcome to our programme, we are live until 11. if you're

the chief executive of nhs england, simon stevens, has been asked to work with senior doctors to comeooking at productivity, staffing and key areas, such as mental health and cancer survival. 0ur health editor hugh pym has been to ipswich to see where reform may be needed. monday morning at ipswich hospital, and it is no quieter than most other days. no longer do winter pressures ease off in the summer months, as patient numbers coming through the doors keep on rising. a senior doctor here is crawford jamieson. he is leaving attempts to improve the way his hospital works. he told me the new money was welcome, but it wouldn't on its own solve the problem of patients ending up in hospital when they could have been looked after elsewhere. if we just carry it on as now, we are doomed in terms of meeting a patient‘s' expectations. we got to do much better and things have got to change much faster than they have traditionally in the nhs‘s history. so it is a quiet revolution of putting patients central, working as organisations are really worked together around that. diane freeman isa toget