Thank you for being with us. Can i get you to comment on that story that was on the front of the times today . Is not really true, £7,900 a day for a consultant to cover Strike Activity . Is that really true . I dont know if thats true but whats more important is that our doctors feel the need to strike. They dont feel the need to strike. They dont feel they can get what they need. I think there is systematic need for change in the nhs. Change in the nhs. Weve got a government change in the nhs. Weve got a government at change in the nhs. Weve got a government at the change in the nhs. Weve got a government at the moment change in the nhs. Weve got a i government at the moment saying we need to be prudent with the pennies. And thats why they are cutting parts of the hst project. On the other hand, theyve not sat down to find a way through this for 100 days and other causes £1 billion. Its difficult to square that argument when you look at the numbers, isnt it . I when you look at the numbers, isnt it . 4 when you look at the numbers, isnt it . ~. , when you look at the numbers, isnt it . 4. , when you look at the numbers, isnt it . ~. , ,. , it . I think what we see here is a Health System it . I think what we see here is a Health System and it . I think what we see here is a Health System and the it . I think what we see here is a Health System and the financing j it . I think what we see here is a i Health System and the financing of that Health System is very reliant on our political economy. And because we paid through taxes and thats how we fund our Health System we get a short termism, we have the political football we played with our Health System and yet our Health System as we know has become so integral to everything we do. Were an Ageing Population, we have numerous non communicable diseases, were not ageing well and we need more in healthcare. I were not ageing well and we need more in healthcare. Were not ageing well and we need more in healthcare. I hope you can sta with more in healthcare. I hope you can stay with me more in healthcare. I hope you can stay with me because more in healthcare. I hope you can stay with me because i more in healthcare. I hope you can stay with me because i want to more in healthcare. I hope you can| stay with me because i want to dive to new york. Donald trump is come out of his civil case and speaking to reporters. Lets listen in. Based on that judge to reporters. Lets listen in. Based on thatjudge got to reporters. Lets listen in. Based on thatjudge got back to reporters. Lets listen in. Based on thatjudge got back in to reporters. Lets listen in. Based on thatjudge got back in the to reporters. Lets listen in. Based on thatjudge got back in the triall on thatjudge got back in the trial today on thatjudge got back in the trial today the on thatjudge got back in the trial today the community on thatjudge got back in the trial today the community is agreeing | today the community is agreeing prior today the community is agreeing prior to today the community is agreeing prior to 2014. Today the community is agreeing prior to 2014. Today the community is agreeing prior to 2014. Which is about 8096 ofthe prior to 2014. Which is about 8096 of the case prior to 2014. Which is about 8096 of the case. Something prior to 2014. Which is about 8096 of the case. Something that prior to 2014. Which is about 8096 of the case. Something that would l of the case. Something that would warrant appeal but was not accepted by this court and now seems to be accepted by this court. As far as the jury is concerned its much different now than it was 20 minutes ago. In this country youre entitled to a jury. We heard two very much appreciate thejudges to a jury. We heard two very much appreciate the judges decision today or the Statement Today on the statute of limitations, which is a very big thing. We did nothing wrong. Even in 2011 the number was 258,000,000, very strong company. I believe we could have done a couple of deals but i wouldnt even need to go to banks. They love our deals. They lost no money, they made money. They lost no money, they made money. The they have the finest attorneys that there are. I think they are better than my attorneys. They made a lot of money. And they considered me a very good client. I pay back on time, on schedule, there was no default. Did anyone say default . Not want. There is no case here. There is no victim, their bank is not a victim, the Insurance Company is not a victim, everybody get paid. Its a terrible, terrible thing. It has been successful for them. They been sitting in the courthouse all day long instead of being in iowa, new hampshire, South Carolina or a lot of other places i could be at. This is a horrible situation for our country. Its never happened before. Its election interference. Theyre interfering with the president ial election for that the people of our country see it. But this was a big, big, as a surprise but. Thejudge is willing to do this without i greatly respect that. Thank you very much, everybody. Greatly respect that. Thank you very much. Everybody greatly respect that. Thank you very much, everybody. Donald trump on his wa out of much, everybody. Donald trump on his way out of court much, everybody. Donald trump on his way out of court in much, everybody. Donald trump on his way out of court in new much, everybody. Donald trump on his way out of court in new york much, everybody. Donald trump on his way out of court in new york civil way out of court in new york civil case which began today. Just talking there about whether there would be a jury there about whether there would be a jury in that case apparently there are reports on social media that there a jury in the case for that because his lawyers and ask for one. It seems theres been some arrangement with the judge. We will try and find out what that is. We were talking to professor nor colton about the situation of the nhs. Sorry we had to interrupt you. Just pick up from what you are talking about, the amount of money being spent. The secretary of health says hes not prepared to sit down again and talk to the consultancy in the Junior Doctors. How do you find a way through this . I Junior Doctors. How do you find a way through this . Way through this . I think the situation is way through this . I think the situation is very way through this . I think the situation is very dire way through this . I think the j situation is very dire because way through this . I think the situation is very dire because we have Health Workers who feel that their salaries and they havent kept up their salaries and they havent kept up with inflation. We have a whole system where sense about 2010 we have a underfunded year on year in that accumulation is estimated to be about £322 billion. Currently most of what we spend on an annual basis in the Health System goes exactly to paying salaries and medicines and these sorts of operational cost. Were not making any long Term Investment that would help us to find other ways to medicaid, treat our citizens. And so we rely heavily on this model that weve had since the beginning of when the nhs was founded in 1948. Which is very much a hospital based system where were very reliant on doctors and nurses. If we want to start to change we then need to think more about prevention, diagnostics was about to pivot we have to be able to transition out. We seem to be stuck in this place where we focus a lot on wait lists. So trying to move those through a Hospital System doesnt allow us to make the critical investments we need to make in other parts of the Health System to actually improve things and to take some of the pressure off the doctors and nurses. And also allow us to think differently about our health notjust our health care. Let health not ust our health care. Let me brin health not just our health care. Let me bring in our panel. Sonia, im sure its an issue being debated there. Professor goldin is right, of a 7. 68 Million People now waiting for treatment. A 7. 68 Million People now waiting fortreatment. A 7. 68 Million People now waiting for treatment. Professor nora colton. Some patients waiting over 18 weeks. Thats a top down pressure. The bigger question of course is to treat those people is how you retain and recruit enough staff to do it without at the moment the doctors are prepared to work for this amount of money. The the doctors are prepared to work for this amount of money. This amount of money. The issue is youve got this amount of money. The issue is youve got longterm this amount of money. The issue is youve got longterm recruitment i youve got long term Recruitment Crisis youve got long term Recruitment Crisis in youve got long term Recruitment Crisis in the youve got long term Recruitment Crisis in the nhs as well as all this shorter term pressure around strikes this shorter term pressure around strikes. There is clearly an impasse between strikes. There is clearly an impasse between the government, doctors union, between the government, doctors union. In between the government, doctors union, in fact they cant even agree on the union, in fact they cant even agree on the figures so the bma makes claims on the figures so the bma makes claims that i dont think stack up in terms claims that i dont think stack up in terms of claims that i dont think stack up in terms of how much doctors real play and in terms of how much doctors real play and that government has a different play and that government has a different set of figures. There doesnt different set of figures. There doesnt seem to be any willingness to meet doesnt seem to be any willingness to meet halfway. Its important that happens to meet halfway. Its important that happens because if you are somebody who has happens because if you are somebody who has had your operation cancelled, this is the longest ever come cancelled, this is the longest ever come of cancelled, this is the longest ever come of this three day coordinated strike come of this three day coordinated strike that come of this three day coordinated strike that involves Junior Doctors and consultants. There are lot of longer term issues as your last guest longer term issues as your last guest was longer term issues as your last guest was saying. The most important is the guest was saying. The most important is the nhs guest was saying. The most important is the nhs has been underfunded over the last is the nhs has been underfunded over the last decade. That is the consensus, if you look at the independent Health Think Tank say theres independent Health Think Tank say theres a independent Health Think Tank say theres a consensus that the nhs as it received theres a consensus that the nhs as it received what it needs. That is a political it received what it needs. That is a Political Choice and a political decision Political Choice and a political decision. Its a product of austerity, a product of our politicians choosing not to spend as much politicians choosing not to spend as much on politicians choosing not to spend as much on our politicians choosing not to spend as much on our health care as you need to given the much on our health care as you need to given the fact that weve got an ageing to given the fact that weve got an Ageing Population that will rely on the nhs Ageing Population that will rely on the nhs more. If you look at what we spend the nhs more. If you look at what we spend historically per person in the uk it is spend historically per person in the uk it is lower in the uk that many of our uk it is lower in the uk that many of our competitive countries such as germany, of our competitive countries such as germany, switzerland, austria. And we cant germany, switzerland, austria. And we cant do germany, switzerland, austria. And we cant do it without hospitals. I agree we cant do it without hospitals. I agree about the need for investment in preventative care. 0ne agree about the need for investment in preventative care. One of the reason in preventative care. One of the reason for in preventative care. One of the reason for differences in outcomes is if you reason for differences in outcomes is if you look at countries like germany is if you look at countries like germany and austria they have got more germany and austria they have got more doctors per head of poss dues hospitalisation and more beds per population. We cant do it, we need more population. We cant do it, we need more preventative care. The fact is, were more preventative care. The fact is, were a more preventative care. The fact is, were a rich more preventative care. The fact is, were a rich country, politically our government is choosing not to spend our government is choosing not to spend the our government is choosing not to spend the resources on health care that we spend the resources on health care that we need to be spending. What do ou think that we need to be spending. What do you think when that we need to be spending. What do you think when you that we need to be spending. What do you think when you listen that we need to be spending. What do you think when you listen to that we need to be spending. What do you think when you listen to this you think when you listen to this debate sitting over there the United States . 0bviously debate sitting over there the United States . Obviously a very Different Health care system in the United States and largely paid for out of insurance premiums. Do you look at the nhs which perhaps in time has been the envy of people in the United States are now thing actually, that system doesnt work, you need another Financial Model to run a . ,. , run a . Yes. I will be honest, with All Due Respect run a . Yes. I will be honest, with All Due Respect i run a . Yes. I will be honest, with All Due Respect i dont run a . Yes. I will be honest, with All Due Respect i dont envy run a . Yes. I will be honest, with All Due Respect i dont envy yourl All Due Respect i dont envy your system All Due Respect i dont envy your system that All Due Respect i dont envy your system. That means All Due Respect i dont envy your system. That means that All Due Respect i dont envy your system. That means that i All Due Respect i dont envy your. System. That means that i do think it is important system. That means that i do think it is important to system. That means that i do think it is important to bring it is important to bring competition, it is important to bring competition, thats it is important to bringl competition, thats part it is important to bring competition, thats part of why it is important to bring competition, thats part of why our systemm competition, thats part of why our systemm we competition, thats part of why our system. We have competition, thats part of why our system. We have a competition, thats part of why our system. We have a major system. We have a major Obesity Problem system. We have a major Obesity Problem in system. We have a major Obesity Prohtem in the system. We have a major Obesity Problem in the united system. We have a major Obesity Problem in the United States, system. We have a major Obesity Problem in the United States, youl problem in the United States, you much problem in the United States, you much more problem in the United States, you much more fit problem in the United States, you much more fit for problem in the United States, you much more fit for that problem in the United States, you much more fit for that and much more fit for that and preventative much more fit for that and preventative medicine,. Much more fit for that and i preventative medicine, thats much more fit for that and preventative medicine, thats why much more fit for that and preventative medicine, thats why we have far preventative medicine, thats why we have far worse preventative medicine, thats why we have far worse health preventative medicine, thats why we have far worse health care preventative medicine, thats why we have far