Civilian was killed. As the nhs braces itself for the new year period its often its busiest time a pioneering scheme in wales is aiming to take the pressure off hospitals and doctors surgeries. Five members of the Welsh Ambulance service have graduated to become the uks first prescribing paramedics and the team can be deployed across the nhs. Our Health Editor hugh pym has been on the road with some of them. It enhances the role greatly and it makes our role a lot more flexible. Patients dont always phone 999 because they think they have a life threatening emergency. So we probably see on average 19 or 20 patients a day and deal with them and the gp will have time for those more complex patients. We can speak to them and say rather than put them in the back of the ambulance and take them, how about we get one of our cars to attend . Mike is one of a new breed of prescribing paramedics, one of the first five. Theirjob, where possible, is to keep people out of hospital. Here, hes called to a Diabetic Patient with an infected wound. So youre an insulin dependent diabetic, yeah . He checks her medication and is able to adjust her pain relief so she can stay at home. A less qualified Ambulance Team might have had to take her to a e. 0k . It was sore last night. Georgina is helping take the strain off gps. Her shift on this occasion is in a surgery, seeing a range of different patients. With her new qualifications, she can write them prescriptions. Previously, i would decide what they need and i would have to go and wait, knock on the doctors door, wait for them to finish with their patient. Whereas now its my decision, im an autonomous, independent prescriber. Very impressed with the paramedics. Its like seeing a doctor. Exactly like seeing a doctor. Theyre qualified people, use them. Here at this Ambulance Control Centre in south east wales, around 700 calls come in every day. Some will be life threatening cases, but the challenge is to identify those patients who can be treated closer to home and who wont need to be taken to hospital. You see that call in pontypridd. Elton, another of the prescribing paramedics is deployed here to make help staff make the most efficient use of resources. He says with huge demands on the system, this new approach was essential. Years ago, anyone calling 999 we would take them to one of the Emergency Departments in the hospital, but now we have overwhelmed the service, so in response to that we have had to change the way we approach these patients and signpost them more appropriately. Caring for an ageing population with long term conditions and complex health needs is an immense challenge for the nhs. Empowering staff like these is one response. More will be trained in the drive to cope with the rising demand on the service. Hugh pym, bbc news, in south wales. Now on bbc news, footballer Megan Rapinoe was one of the stand out stars of the United States world cup Winning Campaign in 2019. Shes also been an outspoken voice on equal pay, lgbt rights and politics. In this special bbc interview she talks tojo currie about the issues facing the womens game on and off the pitch and her role in that stunning world cup win. It is our responsibility to make this world a better place. This team does an incredible job of taking that on our shoulders, understanding the position that we have on the platform that we have. The usa have won the womens world cup for a fourth time. They secured back to back titles after overpowering the netherlands. And the usa have been champions in every sense with Megan Rapinoe winning the golden boot and the golden ball award for the tournaments best player. If we really want to have meaningful change, what i think is most inspiring would be if everybody other than Raheem Sterling and koulibaly, if they were as outraged as racism as they were. It is a few months on from the craziness of the world cup, what has it been like for you post france . Have you been home yet, whats life like . Can you go to the supermarket by milk . Milk and four selfies thats sort of the accompaniment. No, i can go places. But its like, so much more. I mean, like, there is not really a place i am going that for the most part people dont recognise me, even if they dont say anything. You get the sort of glances around. Im also very observant, just in general, so i feel like i could feel everything around all the time. And im like, its kind of interesting. Its been totally insane. In the best way, in the most exhausting way. Hard, in ways. Just because of travelling around. I have been home a little bit, mostly to unpack and do laundry and repack and leave again. Its kind of amazing to have the career that i have where we started at this particular point. It just seems like every year is getting blown out of the water and the sport is growing so much so i have this real perspective of where things have come from, a visceral perspective of it, and so knowing what we did this summer and feeling that and still figuring out, you just cant help it butjust have it feel surreal and i am awestruck by everything that has happened. Personally, i went through ten years of my career in a particular way, growing every year and whatever. But this isjust like i got put on a rocket ship. Im enjoying the ride but im like, this is insane, this is crazy but in a good way. Winning back to back world cups is an incredible achievement but you also won the golden ball and the golden boot. Was there a point at the final or at the parade afterwards when they shut down the walk for you when the enormity of what you had achieved really hit home . I think coming back to new york and being in like, you know, certainly the pre eminent city in our country, and one of those in the world, starting to understand how other people were feeling about it, people were not like, you guys did so amazing at the world cup it was not, great job for the soccer. And having the reference of 2015, going through that, it felt like 2015 we were being celebrated winning the world cup. And this parade in particular was like, we are all celebrating. Yes, we were the vehicle for it, but it felt like everybody won the world cup, everybody had sort of this piece of it and they were invested but they also helped, and it like, it was just something that transcended so far beyond what the sport was, and we are at the epicentre of that, getting to celebrate with everyone along the Parade Ground and the city hall, wherever it may be. And that sentiment has carried on into the rest of everybodys lives. It felt like we all won. Your goal celebration in france was one of the iconic images, with the arms outspread. Talk to me about the inspiration behind that. Has it got a name, or is itjust the rapinoe . A lot of people are calling it the pose. Nice. I will go without. I did it for the first time against australia in a friendly. Obviously they were one of the more talked about teams heading into the world cup. They have what i consider probably the best player in the world in sam kerr ridiculous. They had a lot of hype around it. But it was more than that. It was time to stamp our dominance and gain that confidence heading into the world cup. So i scored the go ahead goal in the game or something. In the beginning, it was kind of like, almost like a touch of arrogance, i think. Like, i know you are entertained at this moment, i am entertaining you, sort of are you not entertained . Gladiatorfeel, a little bit, without the death of the gladiators. But certainly in the world cup, it was more of a defiance, but a like joy as well, youre not gonna take any of ourjoy. This is what you get, this is what you asked for, this is what you really want. Commentator rapinoe. Its in usa the french are left completely befuddled youre going to be like, ah, the team got busted for celebrating too much. Or like, everyones like, she talks too much or whatever. But this is what you really want. And i will give it to you, and im giving it to you, and this team is giving it to you, and you kind of like it. So its sort of like a defiance but also playful but also, like, if i could have thrown a sneaky middle finger in there, i might have. But then it was sort of like a way to connect with the fans too in some sort of sense. Then they can do it and it kind of means the same thing. If someone did the ronaldo, theres really nothing behind it other than him. So this feels like theres more behind it that there is more to everyone. It came right after president trumps tweets at me. The semifinal, this huge game, this is the biggest game outside of finals, this is the biggest game weve ever played, most important game, the fans were insane. And fans in their home country, being a home nation, it was a nice moment. You touched on the word arrogance there. Alex morgans cup of tea celebration, i dont think a cup has caused so much controversy we take our tea very seriously in england. What is the difference between confidence and arrogance . I dont know. I feel like were going to have fun. We work so hard, as every team does. We take a tremendous amount on and off the field very serious. We obviously fought a lawsuit before. We were fighting for equal rights, all kinds of things. We have a very serious role to play. So it is kind of like the balance of that. When we get to be in the field, first of all, the whole point of the game is to score the goal, to win the game, so we have always done this, we have done cartwheels and when we played in the snow we did snow angels, danced and sang in microphones, everything, we want to have fun and we are going to enjoy it. And just next level trolling of the tea is so funny its so funny, especially because she is english, yall are so uptight sometimes. It was so perfect. I think that, as long as we continue to do things the right way for the right reasons, i said this after the thailand game, if anybody wants to come at us for not playing the game the right way, orfor not being good ambassadors for the sport or doing the right thing, im happy to have that conversation, and happy to listen to them try to break that one town, but i really do feel like we want to enjoy the game, this is entertainment, sport is for the love of it, but this is entertainment, and in order to become the biggest, baddest sport on the planet and the biggest, baddest team in place, lets have fun with it, why not . When that whole spat blew up, in the middle of the world cup, you were in the tournament of your life, what was that like for you . Honestly, it felt much less serious than it actually was. Logically, i understand the gravity of having a president quarrel with you. But president s do not quarrel with people over twitter, president s dont go after members of their own team and put undue pressure of them before the biggest game of the tournament and one of the biggest games of their lives. President s dont bash every single powerful woman he could possibly bash and come across. So. Its like hes not president ial to me. So it carries so much less weight. I sort of knew it was a big deal, but i did not have that, oh feeling. Like, whoa. The team, it was pretty chill. I had amazing support within the group. Obviously within the team. All of our media and comm staff, our president was there, he was supportive of me, like, all of the executives over there, and coaches, everybody. Everybody had my back and it did not become a thing within the group. I was also already scheduled to do the press conference. So me and the media team just decided i would address it head on, say exactly what i want to say, the media would have asked 1,000 questions about it if they could have. This is exactly what i have to say and exactly how i feel about it, so. Hold my beer. You have stood up for womens rights, lgbt rights, youve made a point of racial inequality, youve said that you feel like you found your voice going into your 30s. But what point, what was the trigger for you to think, im going to use my platform for something more than soccer, more than football . Honestly, i think very early on in this team, you realise it is not just a national team, not a team that gets together, weve always fought for so much more. Thats in the thread of the team. Very early on, we were going through bargaining negotiations for our contracts, were understanding that we, essentially, are this unique travelling team that represents america all over the country, we are charged with inspiring and motivating young girls and boys and people everywhere. So prett much from the first little bit that you are on the team, you realise it is much bigger. Ahead of the olympics, i decided to come out, it just started to feel weird that i wasnt out. I didnt not want to be out, but im not. So, i did that. So much positive impact from that, positive feedback. Helping to move that conversation forward. In that, asking people to be my ally and to support me does not mean that you are gay or that you have to fully understand it in the way that i do, but i need you to be my ally, i need everyone. So then fast forward to 2016, Colin Kaepernick is kneeling and watching and hearing everything thats happening, immediately, im like, i can help, i have got your back, i dont know exactly what its like to be you, but i believe you in what youre saying and i understand that, in order for it to change, it will have to be more than a press oppressed person taking on the responsibility, it has to be other people, people like me who had the privilege that i do. That was an easy decision for me. Going through all of the backlash and craziness and hatred, from that only solidified my understanding of myself and the power in my voice. And, like, ijust think everyone has a responsibility to do whatever it is they can in the most impactful way that they can to make the world a better place. So im a semi famous person on a very famous team on a very successful that has media access every single day, a growing platform all the time. It is like, this is the most impactful lane that i can run in. To me, everything is connected, whether its fight for equal pay, equal access to sport, racial inequalities, police brutality, lgbtq rights its all the same exact thing, its alljust one grouping in power, overlording over everybody else, trying to keep everybody else out of power and not really sharing in the wealth and notjust wealth and money, but sort of the wealth of what it is to live a really full life where you actually feel free and have the liberty to do whatever you want. So i think it is kind of still evolving, but i started to realise at a pretty young age, its actually all the exact same thing, its just in a little different way with different people and people deal with different things, but we all need to be in it together in order for it to change. You sit here now, youre confident, you look comfortable within your own skin. Have you always been like this . What were you like at school . Middle school and high school was a little bit weird, i didnt know i was gay, and as soon as i figured that out. Well, this was obvious, thanks, nobody for telling me that would have been a nice little shout but growing up, middle school and high school is awkward anyway, every single kid is so awkward like, i see them now and i think, this is the cutest thing ever. Theyre all hormones and breaking out, they dont know who theyre, theyre shy, even the confident ones are shy. You had a twin as well . She was really confident during that time. So i was like, thank god, im just literally going to follow you around. I also had sport to gain my confidence from that, that was the place where i rested my identity for those years. But, yeah, i think all growing up, i was exactly the way i am now, i went through that weird lull, we have always balanced each other perfectly, and then getting into college, after that, ifeel like ijust became kind of myself, you know. And being on a team like this, this team in particular, i think, any sports team, especially with girls, give them that confidence. But this team in particular, whenever youre elite as a woman, you are pretty much alone or with only a couple of other people. Usually youre alone. And so to be able to grow up and mature on a team that has 23 other women who are just as elite as you, just as confident, we give each other that space, we build each other up, we challenge each other, but to us, its normal to be big and bold and wild like this. So i guess when you take one of us out and were doing that, people say, you dont see women act like this for us, its just normal because this is how we are all the time, this is how we grew up, empowering each other, and naturally, im a confident person. And im very thankful for that. Whos your number one sporting hero growing up . I feel like its two. Its for sure the 99 team. That blew open all of our worlds at that time, girls who played soccer with 100,000 people watching a final, they transcended sport in such a big way, theyre absolutely our blueprint on and off the field for what it means to be on our team but how to shake things up on how to continue to grow the sport. And michaeljordan was always, like, my jam. Hejust had, like, such a swag about him. I mean, just the way that he played, the swagger and the confidence and the style and the creativity, everything was just top. Tell me about one breakthrough moment or crossroads moment in your career thats really impacted you. I think probably the most impactful was tearing my acl in 2015. I made it back for the olympics, but was terrible. I really probably shouldnt have been on that roster i dont think i deserved that very much. The team didnt do well, so it was very disappointing. And i wasnt myself at all. I was a shell of a player. What i had to do to get back to my old self. And i think in the process of committing myself to coming back, i just blew past where i ever was before so i feel like that was a really pivotal moment, meeting sue, my girlfriend, at that time, shes like benjamin button, i dont know what shes doing but im, like, whatever it is, i want to do that i changed up my training habits and eating habits, and my level of professionalism. Without all of that, im definitely not in this position, maybe i would still be on the team but not like this. Whats the one thing youre still desperate to achieve in your life . I guess in a footballing sense, no ones ever gone world cup olympics back to back. Its very difficult for a reason. Once you win a world cup, theres a million things you have to do, celebrating, you dont have that moment after the world cup where you commit to win the olympics and nothing else matters. Were doing all these other things. That would be incredible. I think we have a Good Opportunity and kind of the right mix of things, obviously, we have a new coach, so that puts a little extra anxiety, but in a good way. You know that kind of like. Obviously, he hasnt won anything at the international level, this is his first time, so he is super motivating and all of us feel. Some people who maybe didnt play as much of a fresh opportunity, if you play a lot, you have got to keep on top of your game to make sure you are there. So, in a footballing sense, thats super motivating for all of us. In life. Oh, god i mean, everything like, you know, equal pay would be a really nice one. That might be a nice Little Cherry on the top of this year if we could ever get to a deal or whenever that happens. I mean, i think, just in general, continuing to push the game forward, continuing to grow the game and challenge. Weve done everything to prove everything. I dont think any female professional footballer has anything left to prove. Its just, like, everyone else figuring it out. Young girls today, even young women, its hard for them, theres pressure on them from social media and everywhere, what is your message to young girls growing up in Todays Society about finding their identity and voice . Dont get in your comments ever. That is bad news. You can go. Ijust learned very early on, after a game, you want to have a big pat on the back, go in your comments, you want to have someone crush you, go on your comments. Its a made up world. Its not real feedback. So lean on the people that are actually real, tangible, in front of you your friends, all that. Social media is one thing. Its good in a lot of ways, but its just horrible for kids, really, because they are already dealing with so much. And i think too, never let anyone else define you or your dreams or what you want to be. I think that especially now, there are so many more opportunities and so many more lanes for people to be in that, like, theres an opportunity. Theres space for you to be exactly who you are and whatever you want to be, so dont let anyone ever tell you what that is. Hello. The weather is looking genuinely settled and quite mild for many of us as we head through the final few days of 2019. A very mild weekend and a dry and fine note. This is the picture in nottinghamshire during sunday afternoon. Monday, we have some rain in the forecast particulars for the north west of scotland where it will be persistent in the morning. The rain becomes light and pick patch as idris elba. Irish borders. It should stay dry all day. On tuesday, another fine day to come. One or two showers for the south west of england down towards the Channel Islands as well. Audi s guys in the south, brighter conditions further north but cooler and figures in single figures. Finance settled if you have plans to celebrate new years eve into the evening hours, and if you are going to see fireworks, no sign of any rain but they could be some mist and fog. Bye. This is bbc news, im james reynolds. Our Top Stories Police in texas praise members of a Church Congregation who shot dead a gunman whod opened fire during a sunday service. Today evil walked boldly among us but, let me remind you, good people raised up and stopped it before it got worse. A man is charged with five counts of attempted murder, following a knife attack at the home of a rabbi in new york state. The us military carries out air strikes against iranian backed paramilitaries in western iraq, killing at least 18 fighters. Tens of thousands of people in the australian state of victoria are told to leave their homes as bushfires intensify. And by day hes a teacher who doubles as a warrior knight