At every stage, he has pushed away challenge, ignored advice. Well have more details, and well be looking at the latest measures being introduced in scotland. Also tonight. In vienna, at least one person has been killed and several injured after a shooting in the centre of the city. On the eve of the us president ial election, were in the all important state of pennsylvania, where both candidates are holding rallies in the search for undecided voters. Both campaigns are throwing everything they can at this date although the result may not be known for several days here. At this state. And the hollywood actorjohnny depp loses his libel case against the sun newspaper, which called him a wife beater during his marriage to amber heard. And coming up in sport on bbc news, all the action from Tonights Premier League games, including fulhams first win of the season against West Bromwich albion. Good evening. Borisjohnson has told the house of commons theres no alternative to the four week lockdown in england, which starts on thursday. Pubs, restaurants, gyms, nonessential shops and places of worship will all be affected. Some conservative mps are strongly opposed to the measure, saying its notjustified and will cause immense damage to the economy. Therell be a parliamentary vote at westminster on wednesday. But the Prime Minister warned the nhs could be overwhelmed if no action was taken, with medical staff having to choose who to treat. Liverpool has the highest number of Covid Patients in hospital in the uk currently more than 460. Our medical editor fergus walsh, cameraman phil edwards, and producer Nicki Stiastny have been given rare access to doctors and patients there. This is what happens when a city loses its grip on coronavirus. Ive never experienced pressure thats been even remotely like this. Im 58 now and im looking after patients my age, or even younger than me. The nhs risks failing the patients its there to serve. It is very depressing. If youre out there, if you need a new hip, if youre in pain, you cant walk, we cant help you right now. The covid intensive care unit at the Royal Liverpool hospital is at full stretch. Shes not synchronising. Medical teams work non stop to help patients struggling for breath. Like douglas, who is 73, a former bus driver and crane operator. I was doing 0k, and then i suddenly went down hill. The sealed plastic hood he is wearing enables oxygen to flow into his lungs under pressure. Its a bit claustrophobic but its doing the job. Thats all that matters to me. He takes a dim view of those who down play the seriousness of coronavirus. All these people that go round saying its a hoax, and, you know, itsjust like a bit of a bad cold and whatnot and everything, they need to get their heads straight, because i have never ever ever been so ill in all my born days. This is an absolute crippler. Staff sickness levels are three times normal. Critical care now depends on nurses redeployed from theatres. And on others, like marie, who have come out of retirement. A lot of the nhs is working on good will, and unfortunately people are starting to get tired and exhausted now, so i dont know how much longer good will on its own is going to run us. Along the corridor, another intensive care unit, this reserved for non Covid Patients. Its full. Im going to be struggling to look after patients who need intensive care who do not have coronavirus. In the past week, around 10 critically ill patients have had to be transferred between hospitals in the region, in the search for a bed. Were hanging by a thread. Its quite tight, each time a new patient comes into the emergency department, we have to reshuffle, we all feel that pressure 21w. This is winter plus plus plus. People are right to say these are pressures that occur every winter, but this time its just a lot worse. The trust isnt helped by its ageing buildings. A new hospital was meant to open three years ago to replace the royal, and is still not finished. Its other big hospital, aintree university, serves the north of the city. In both, nearly all non urgent surgery has been cancelled. The staff are needed in critical care. Normally at this time of day, all of these operating theatres would be busy, and there would be a patient on this operating table having an operation. Last month, nine urgent cancer operations had to be postponed, some at the last minute, because there were no intensive care beds available. Of course its devastating for the patient themselves, if theyve come into hospital expecting to have a potentially life saving cancer operation, and the morning of the operation they are told the operation cant go ahead, and thats devastating for the patient and for the staff looking after the patient. Those cancellations are the exception. Most cancer care is continuing as normal, much of it at this new centre behind the royal. David has lung cancer. This is his first round of chemotherapy. None of his treatment has been affected by coronavirus. Just been very fast, and all my appointments, none cancelled, everythings gone to plan. And there has been progress with covid i9. The chances of surviving have improved, ventilators are used more sparingly. There are some proven drug treatments. But sometimes its hard to focus on the positives, when the patients just keep coming. What we have seen here in liverpool should serve as a warning to other cities, other communities, across the uk. Unless we keep coronavirus in check, then the nhs will come under extreme pressure. The Prime Minister says a lockdown in england is needed to prevent a medical and moral disaster. And those on the front line are pleading with the public to follow the rules. The message is if you dont listen to us, if you dont adhere to those restrictions, you will harm your friends, you will harm your family, your neighbours and you might even harm yourself. The nhs is about people, its staff and the patients it serves. It is a cradle to grave service, for the beginning and end of life. For people like harry king, and his wife and carer diane. Hello, sweetie. You look nice and comfy, dont you . Harry is 75. He has late stage alzheimers disease and covid i9. One cruel condition compounded by another. Everybody loves harry king, dont they . Yeah. Diane brings in old photos, harry in his 20s, in the army. Memories of a happy life. Thats right, the army, thats right. Hes been a fantastic husband, dad, grandad. Its hard. Very hard. Weve been married nearly 50 years injanuary. But weve done a lot of things that weve enjoyed. I think the virus has done it to him, because his alzheimers was not this bad when he came in. He keeps asking, can he go home, but we cant because of the oxygen. Michaels coming to see you so the couples two grown up children have been to hospital, to say a final farewell to their dad. Lovely, arent you . One family among the many thousands who face loss and grief in this time of coronavirus. And our medical editor fergus walsh is with me now. Such powerful testimony in the report, there, and i think its fair to say there is a growing debate about the justification for the lockdown in england. The Prime Ministerframing that lockdown in england. The Prime Minister framing that in terms of the pressure on the nhs. Yes, the government says unless england goes into lockdown, then doctors will have to make hard choices about who to treat. Now, that, as you have seen, is already happening in liverpool. Its acute hospitals are by far the hardest pressed in the country for now. Across the uk, there are roughly half the number of covid in patients in hospitals compared to the peak in april and roughly a third of the number of patients on ventilators but that does not tell the full story. In the first wave, intensive care units we re first wave, intensive care units were dealing almost exclusively with Covid Patients. People with other Serious Health problems simply stayed away from hospital. That is totally different now. Now we have all of the usual demands on the health service, plus covid and we are going into winter, not coming out of it. But protecting the nhs by locking down comes with its own costs, the impact on mental health, livelihoods and liberties. Fergus, once again, many thanks, fergus walsh, our medical editor, there. The lockdown across england starts on thursday morning, and will last four weeks. As before, people must stay at home except for specific reasons work which cant be done from home, childcare or education, shopping for essentials, outdoor exercise, medical reasons, and providing care or volunteering. People cant mix with other households in homes or private gardens. But it is possible to meet one other person from another household in a public space. And crucially, Pre School Children dont count, so they can be taken too. Pubs and restaurants must close, takeaways will be allowed, but alcohol cant be served. Non essential shops, gyms, pools, beauty salons and hairdressers also must close. In the commons, the Prime Minister said he regretted the anguish the restrictions would cause, but that he was left with no alternative. Our Political EditorLaura Kuenssberg has more details. Three days until the locks are turned. Time for discussion but the decision isnt really in doubt. After weeks of resistance, the Prime Minister moved to back a shutdown. Prime minister but this afternoon, he had to explain to parliament why the change of heart. Just as first time around, his reason, stopping the nhs from collapse. Let me spell out the medical and moral disaster we face. The sick would be turned away because there was no room in our hospitals. Doctors and nurses could be forced to choose which patients to treat, who would live and who would die. Yet only a fortnight ago, he had mocked the idea, standing in the same place at the dispatch box, but arguments from a miserable looking chancellor and many on the tory backbenches lost out. The Prime Minister reluctantly accepting the case for tighter limits. These restrictions are time limited. After four weeks, on wednesday, the 2nd of december, they will expire. But i cannot pretend that the way ahead is easy or without painful choices for us all. Remember, schools will stay open and other parts of the uk are following different rules. This isnt exactly the same as the spring. The leader of the opposition, keir starmer. But the charge that the government has been too slow is familiar. At every stage, the Prime Minister has been too slow, behind the curve. At every stage, he has pushed away challenge, ignored advice and put what he hoped would happen ahead of what is happening. At every stage, he has over promised and under delivered. The lockdown comes with all kinds of heavy costs, though. Nicholas in bournemouth was made redundant first time around. Just yesterday, he started his own business. Obviously, going into lockdown now, the industry im in, i can still continue to work, in the Financial Advice sector but it is going to make it very hard. But karen, who hopes to form a bubble with her children, is frustrated. I think it is absolutely, totally nuts and wrong to do any lockdown. Polling suggests most of the public, like pensionerjoe, backed the plan, however reluctantly. Theyve got to do it. Weve got to have a break, try and get things under control again. But the financial pain will be acute. Thousands and thousands ofjobs have already gone. The government is racking up billions of borrowing, trying to keep the economy afloat, extending the furlough scheme in england and support for the self employed. But the fear among business about what is next is great. Economic damage is unavoidable. Gas tanks are depleted, batteries run down in so many businesses across the country, in retail, in hospitality. Our aviation sector, absolutely on its knees. Back in parliament, the Prime Minister doesnt have to worry about losing the vote that will make lockdown official but he has not won the argument on his backbenches. How many collapsed businesses and how manyjob losses do he and his government believe are a price worth paying . As we drift further into an authoritarian, coercive state, the only Legal Mechanism, the only Legal Mechanism left open to me is to vote against that legislation. Can the Prime Minister demonstrate to me that the damage that will be caused to east sussex by locking down, on our economy, on liberty, on lives, on livelihoods, would be a lot worse were we to do absolutely nothing . Despite that irritation, when it comes to the vote on wednesday, mps are likely to give a grumpy ok, with borisjohnsons huge majority and labour support. Unless something very unexpected happens between now and then, englands doors are set to close at midnight on wednesday. Temporarily, the government hopes, tough on everyone, ministers know, and lockdown comes with more political turmoil second time around. Laura kuenssberg, bbc news, westminster. The latest government figures show 136 deaths were reported in the latest 24 hour period thats people who died within 28 days of a positive covid i9 test. It means on average in the past week, 265 deaths were announced every day. And it takes the total number of deaths so far across the uk to 46,853. A new five level system of restrictions has come into effect in scotland. No part of scotland has been placed in the highest tier. But the central belt including glasgow and edinburgh will be in level 3 of the new system, with pubs and restaurants closing at 6pm, and no alcohol sold. The highlands and many of the island communities will be in tieri with more relaxed rules. Our scotland editor sarah smith has more details. The wok is hot for the first time in weeks. This glasgow restaurant reopened today, as even under level three restrictions, they can serve food before 6 00pm, but no alcohol. On balance, i think id rather be open than closed. We make most of our revenue in the evenings, and a significant proportion of it from drinks sales. So to be open until 6pm with no drinks sales is still going to be a struggle. They probably wont turn a profit, but want to try to save jobs, unsure exactly what support scottish businesses will get from the government in future. As the furlough scheme has now been extended through november across the whole of the uk, the big question here is what happens if scotland goes into a tighter lockdown at a later date . Will the chancellor pay for scottish workers to be furloughed then . Nicola sturgeon says funds must be available at the time when theyre needed. It cant be right that the only time that additional Financial Support is made available is when the south of england needs to go into a lockdown. That just isnt fair. Then, taking many by surprise, the scottish tory leader later secured a promise from the Prime Minister that furlough funds will be available if scotland needs them. If, er. If other parts of the uk decide to go into measures that require the furlough scheme then of course its available to them. That has to be right. And that applies notjust now, but of course in the future as well. In paisley, volunteers are trying to spread a little happiness. It cheers somebody up, do you know what i mean . Brings a smile to somebodys face. Its been over six weeks since people could visit each others homes in scotland. Instead, house plants are being delivered to the elderly, who fear another lockdown. It would be dreadful, wouldnt it . Different rules for different countries, but the leaders of all four uk nations say they will Work Together to try and find a joint approach to christmas. Sarah smith, bbc news, glasgow. The North West Ambulance service in england has declared a Major Incident because of the high level of calls its received, especially in the Greater Manchester area. Its warned people might need to make their own way to hospital if their condition isnt life threatening, or dial iii for medical advice. The service added there was nothing currently to indicate the surge was due to coronavirus. In wales, the two week firebreak lockdown will be lifted next monday. Two households will be allowed to form a bubble and mix together. But travel across the border to england will not be allowed without a reasonable excuse because of the english lockdown. Our wales correspondent Hywel Griffith is in cardiff. The latest on what is being expected there. The Welsh Government says they see no reason to change their plans just because downing street have decided on an english lockdown, so have decided on an english lockdown, 03 have decided on an english lockdown, so a week today next monday, shops here can reopen, hairdresser dan gyms as well. Pubs, bars and restau ra nt ca n welcome gyms as well. Pubs, bars and restaurant can welcome back customers but we dont have details on what restrictions might be in place for them. We know that as wales co m es place for them. We know that as wales comes out of its fire break we will not go back into localised lockdowns, only nationalised measures from now on, we are told, including people in wales being able to travel wherever they want within wales, but they are not allowed to leave the country, for foreign holidays ought to go over the border into england without a reasonable excuse, such as travelling for work. Likewise, people in england will not be allowed to come into wales during the english lockdown, no popping over the borderfor a quick pint. Which country has the approach right and will be firebreak bring success . We wont know for a couple of weeks, and nobody here is ruling out another firebreak in the new year. Hywel griffith with the latest on the picture in wales, from cardiff bay. You can find more detail about englands new lockdown, and the latest measures in wales, scotland and northern ireland, on the your questions answered page on the bbc news website. Reports from police in vienna tonight say that at least one person has been killed, and several injured, in shootings in the centre of the city. Its being reported that the austrian interior minister says its an apparent terror attack. Im joined now by our security correspondent frank gardner. What have you been able to pick up on the reports coming in and what people telling you . The situation is still developing. I will tell you what we know and then the context. At least one person has been killed. At least one person has been killed. A policeman is very seriously injured. Its an ongoing situation, in six different locations around vienna, involving rifles, shooting, exchanges of fire. It does appear to bea exchanges of fire. It does appear to be a terrorist attack. No one has yet claimed responsibility but suspicions are falling this could possibly be something inspired by isis or alqaeda but it is too early to say. There are roadblocks set up and one man has reportedly been arrested. The background to all of this is tensions in europe are pretty high when it comes to terrorism right now, especially in france. Already there have been expressions of sympathy from the french and german leaderships. The battle of hearts and minds is really being fought out inside this space. There is an ongoing call to arms from jihadists to carry out attacks similarto from jihadists to carry out attacks similar to this, from jihadists to carry out attacks similarto this, and from jihadists to carry out attacks similar to this, and i think probably the closest comparison i would give is the bataclan attacks in paris, where a number of perpetrators using automatic weapons attacked several different locations. We will not know the full extent of this and what was behind it until police do their reports, but is ongoing, developing and it is serious. Frank gardner, our security correspondent, thank you. In the us, President Trump and his Democratic Party challenger, joe biden, are visiting the key states to try to target undecided voters ahead of tomorrows president ial election. 97 Million People have already taken part in early voting thats more than two thirds of the votes registered in the entire 2016 campaign. In moment, our north america editor jon sopel will have the latest on President Trumps campaign, but first nick bryant reports from pennsylvania the scene ofjoe bidens latest campaign rally. The Biden Campaign has tried to make the road to the white house as safe a journey as possible, Holding Drive in rallies where mask wearing is compulsory. Whether or not you observe the Covid Protocols has become a marker of your politics. This guy, trump, has destroyed everything. He is a vile, nasty human being. He cant be the president. I want someone who my daughter can look up to. We need a return to normalcy, we need to decency in the white house, and we need somebody who knows how to get things done. This has been such a surreal president ial election, one in which the method of campaigning has actually become a Campaign Issue in itself. Hello, philadelphia joe biden has tried to turn this into the coronavirus election, a referendum on Donald Trumps handling of a viral onslaught that has killed more than 230,000 americans. To beat the virus, weve first got to beat donald trump cheering. Hes the virus. But its not just the health of america he is seeking to rehabilitate. He says he is trying to save its soul. We choose hope over fear. We choose unity over division. We choose science over fiction. And yes, we choose truth over lies. Biden events are nowhere near as crowded as the rallies for donald trump, but that is precisely the point. Joe biden is the candidate of a very different america. He has been more high energy in these final days of campaigning, but for much of 2020, the former Vice President has almost been an invisible candidate. Thank you, thank you, thank you, thank you Many Americans are yearning for a presidency they could have on in the background, but has this 77 year old aroused the necessary passion thats often needed to win . Nick bryant, bbc news, pennsylvania. Today began in miami. It was elevenses in north carolina. Tomorrow were going to win this state and we are going win four more years in our great white house. And then north and lunchtime in scranton, pennsylvania. A state that will be critical in this election. From here, he will go on to michigan, wisconsin, back to michigan and finally washington. 2500 miles travelled in one day alone. I dont know how many people are here but theres a lot of people here. Cheering. And it is windy as hell and its cold and i couldnt care. Look at that flag, look at that flag, so beautiful. If this election was solely about energy and the size of your audience and the creation of a new breed of dog, the labradonald, the president would have it wrapped up. His supporters think it is. Is he going to win . You bet. Four more years. It is going to happen, theres too many people out all over the united states, its crazy, and im from new york. I drove three hours in the cold. There is cold eyed calculation from the Trump Campaign in holding these rallies. Yes, it might lead to an uptick in coronavirus cases. There is no social distancing and few people are wearing masks, but if it encourages thousands more to go out to vote, supporters and their friends, then it is worth it. This is Donald Trumps bet. This is his gamble. And last night, the president seemed to imply he was ready to fire dr anthony foundry, americas trusted and respected Infectious Disease expert. Covid, covid, covid. We like to talk about covid and then next, here is what happens, november 4th, you wont hear too much about it. Fire fauci the audience cried. And the president responded. Dont tell anybody but let me wait until a bit after the election. Trying to ignore the deepening pandemic, donald trump has strutted his stuff with verve and determination these past few jaw dropping weeks. His supporters just hope this is not the last dance. Nearly 100 million americans have already voted, thats nearly three quarters of the total who voted four yea rs quarters of the total who voted four years ago. That is thought to work tojoe bidens years ago. That is thought to work to joe bidens advantage years ago. That is thought to work tojoe bidens advantage but donald trump is hoping tomorrow there will bea trump is hoping tomorrow there will be a huge surge of his supporters going to the polls. Here in pennsylvania, its going to be several days before we get the result, and that is going to lead to tensions and unease in this country, already bitterly divided. A lot of Office Workers are being told to stay at home for the next two days forfear stay at home for the next two days for fear of civil unrest. A celebration of democracy, the voting may be, but there is a lot of concern in america as well. Studio jon sopel, we will speak again tomorrow, thank you, jon sopel in pennsylvania. The hollywood actorjohnny depp has lost his libel case against the sun newspaper, which had called him a wife beater during his marriage to amber heard. The judge ruled an article, which made the allegation published two years ago, was substa ntially true. During the high court case, ms heard said the star had hit her on 1a separate occasions, as our correspondent David Sillito reports. One timejohnny was hitting me, and he was hitting me hard and repeatedly. The heart of this is a single word. Johnny depp, one of the most successful actors in the world, was accused of being a wife beater. A man accused of assaulting his wife on more than 1a occasions, who left her fearing for her life. Amber heard had photographs. She also had video. Bleep. This judgment on the sun article could hardly be clearer. Of the 1a allegations, thejudge said 12 had been proved. He said amber heard was no gold digger, there was no hoax. This case was prompted by questions over his casting in the fantastic beasts franchise. Johnny depp hoped he could restore his reputation. Chanting justice forjohnny each day at court, he arrived surrounded by fans convinced that he was the victim. His gambit has failed. His reputation is destroyed. I didnt think this was a case that needed to be brought. I think it was ill advised and certainly was unhelpful. You have given me so much strength. And for amber heard, who has in recent years taken on a public role speaking out about domestic violence, this is a judgment that goes beyond hollywood