and people taking shelter, followed by screams. israel claims that hamas, described as a terror organisation by the uk and us governments, uses hospitals as a base for military operations. people sheltering in the grounds also recorded the moment and its aftermath. dr marwan abu saada, a general surgeon at the al—shifa hospital, told the bbc that the situation was desperate. here in shifa, i'm hearing the shooting and bombardment everywhere around me in shifa hospital. it's a horrible situation now, and some of the displaced people moved, evacuated from shifa because it is not a safe place to stay in it. but our staff is still there, and our patients in the department is still there. and we are taking all the casualties. today, they bombarded some of our displaced people who were here in shifa. they moved to one shelter to the school, and the other school, they were under attack, and more than 15 people were killed at that moment. that was a doctor at the al—shifa hospital. let's take a look at some other hospitals in the area. israeli tanks are reported to have surrounded several other hospitals in gaza. this footage is from the al—rantisi paediatric hospital in gaza city. this footage appears to show israeli troops positioned outside the hospital. witnesses say loudhailers were being used to order anyone who wasn't medical staff or a patient to leave. and this footage shows large explosions outside the indonesian hospital in gaza. the hospital was not directly struck, but it was hit by shrapnel. gaza's health ministry says more than 11,000 palestinians have now been killed since the start of the war almost five weeks ago. they include a500 children. the conflict began after hamas killed more than moo people in israel on october the 7th. let's start this hour with this report from yolande knell. explosion. panic and bloodshed in gaza's shifa hospital this morning. as families sheltered here, they were caught up in the battles between israeli forces and hamas fighters, with deadly results. israel says it's closing in on the underground tunnels of hamas. translation: those terrorists l who are staying in the basements underneath shifa tonight can hear the thundering sounds of tank chains, the bulldozers that pound the ground. they can hear it underground. they hear it and tremble with fear. last night, this was an attack near the indonesian hospitalfurther north. and at another hospital in the city, tanks took up positions right outside. fearful, gazans are flooding to the south. israel says that as it's tightening its grip on the strip�*s biggest city, it's giving safe passage along this route. the us says israel's agreed to pauses in fighting and to get more aid into the south. it welcomed the move, but wants more to be done. these steps will save lives and will enable more assistance to get to palestinians in need. at the same time, much more needs to be done to protect civilians and to make sure the humanitarian assistance reaches them. far too many palestinians have been killed, far too many have suffered these past weeks. in paris, world leaders have been gathering at a peace forum, with calls to work towards a ceasefire. palestinian officials condemned israeli actions. the israelis don't want any ceasefire, because today l the israelis are in the mood - of revenge, genocidal revenge, collective killing, killing for the sake of killing, i and the goals that they are setting, they will never reach these goals. l queueing hungrily with empty pots in southern gaza this lunchtime. a hot meal being prepared. the charity says it tries to help as many as it can, but there is never enough to go around. in gaza, this is a key point in the war, and for palestinians living there, each day is about survival. yolande knell, bbc news, jerusalem. earlier, i spoke to our diplomatic correspondent paul adams. he told us about how complex the military operation in gaza has become. i think it's a very complex picture today, matthew, and we are piecing together what we can. but, look, this is a military operation taking place in a sizeable city, and the information that is coming out is both partisan and fragmentary. so we have to figure out what we know and what we don't know. what we do know is that the israelis now have their military parked pretty much outside at least three of the main hospitals in gaza — al—shifa, al-quds, and the indonesia hospital. now, all three of those hospitals are ones that the israelis have said in the past are places where hamas have some of their infrastructure based, so it's no surprise that the israelis are focusing on those three hospitals. what we're also hearing is that there are air strikes taking place in a number of places. reports in the last hour or two of bodies being pulled from a school in the northern part of gaza city, as many as 50 bodies there, and the thing to remember there is we are constantly hearing about schools and hospitals. these are the places where civilians are still seeking shelter because they believe that they're places that will be safe, because they are un facilities or because they are hospitals. the israelis want all of those people out of the way, so they are trying to pressure the civilian population to leave the area, keeping open that corridor to the south, but also making their military presence very clearly felt in a number of places. and, paul, we've seen again those pictures of people leaving the north of the territory. we're nearly five weeks into this conflict. your assessment of where we are? well, this battle for gaza city, which has been going on now for, what, a week or so, is, i think, if you are looking at this from an israeli perspective, going pretty well. they are advancing deep into parts of the city. they do not appear to be incurring many losses on their own side. they have finally persuaded large numbers of those remaining civilians to leave. that is something that they had been trying to do for a very long time. and so they feel that the city is theirs to take. how long it's going to take, how many hamas fighters are still there, where the hostages are — there are so many unknown questions that, you know, we could be having this conversation a week from now and things will look broadly similar. 0r all of these hospitals may have fallen into israeli hands, and the israelis might be starting to turn their attention to the south. we just don't know. it's a very, very fluid, complex situation in which we are being constantly bombarded by information, a good chunk of which is almost certainly exaggerated, not true, misleading. and, you know, we have to try to make sense of it. and right now, i would say, it's about as hard as it's been for the last several weeks. paul adams there in jerusalem. paul adams there injerusalem. let's get more from what is happening around the hospitals because we had this latest statement from the idf and we also heard from the international committee of the red cross. let's look in more detail as bbc verify has looked at events on the ground and tried to verify them. as is really forces push into northern_ as is really forces push into northern gaza where a orthotic hamas. — northern gaza where a orthotic hamas, there have been reports of services _ hamas, there have been reports of services in — hamas, there have been reports of services in the area. the purple areas _ services in the area. the purple areas are — services in the area. the purple areas are where they have reached so far there _ areas are where they have reached so far there are — areas are where they have reached so far there are lots of videos on social— far there are lots of videos on social media of these incidents. have _ social media of these incidents. have verified video at five of the hospitals — have verified video at five of the hospitals. let's start with this one — hospitals. let's start with this one the _ hospitals. let's start with this one. the hamas run at health ministry— one. the hamas run at health ministry in _ one. the hamas run at health ministry in gaza said and is released _ ministry in gaza said and is released striking at the hospital's courtyard — released striking at the hospital's courtyard overnight and we verify the video— courtyard overnight and we verify the video posted on the messaging app the video posted on the messaging app telegram of the hospital. if the largest— app telegram of the hospital. if the largest in— app telegram of the hospital. if the largest in gaza and people have been seeking _ largest in gaza and people have been seeking shelter there. let's take a closer— seeking shelter there. let's take a closer look — seeking shelter there. let's take a closer look. at the start of this clip, _ closer look. at the start of this clip, you — closer look. at the start of this clip, you can hear this sound of something _ clip, you can hear this sound of something whistling through the air followed _ something whistling through the air followed by people shouting and screaming and running. and my colleague — screaming and running. and my colleague has actually found something very interesting here. yes, _ something very interesting here. yes. when — something very interesting here. yes, when events like these happen, we at _ yes, when events like these happen, we at verify— yes, when events like these happen, we at verify analyse _ yes, when events like these happen, we at verify analyse and _ yes, when events like these happen, we at verify analyse and study- yes, when events like these happen, we at verify analyse and study everyl we at verify analyse and study every visual _ we at verify analyse and study every visual evidence _ we at verify analyse and study every visual evidence frame _ we at verify analyse and study every visual evidence frame by— we at verify analyse and study every visual evidence frame by frame. - we at verify analyse and study everyl visual evidence frame by frame. this is what _ visual evidence frame by frame. this is what we _ visual evidence frame by frame. this is what we did — visual evidence frame by frame. this is what we did in— visual evidence frame by frame. this is what we did in this _ visual evidence frame by frame. this is what we did in this case, - visual evidence frame by frame. this is what we did in this case, and - is what we did in this case, and thanks— is what we did in this case, and thanks to — is what we did in this case, and thanks to this _ is what we did in this case, and thanks to this activity— is what we did in this case, and thanks to this activity and - is what we did in this case, and thanks to this activity and that i thanks to this activity and that we spotted _ thanks to this activity and that we spotted one — thanks to this activity and that we spotted one significant _ thanks to this activity and that we spotted one significant detail- thanks to this activity and that we spotted one significant detail in. spotted one significant detail in the video _ spotted one significant detail in the video if— spotted one significant detail in the video. if we _ spotted one significant detail in the video. if we scroll- spotted one significant detail in the video. if we scroll down - spotted one significant detail in. the video. if we scroll down from the video. if we scroll down from the beginning. _ the video. if we scroll down from the beginning, at— the video. if we scroll down from the beginning, at one _ the video. if we scroll down from the beginning, at one point - the video. if we scroll down from the beginning, at one point we . the video. if we scroll down from - the beginning, at one point we would actually— the beginning, at one point we would actually note — the beginning, at one point we would actually note that _ the beginning, at one point we would actually note that these _ the beginning, at one point we would actually note that these projects - the beginning, at one point we would actually note that these projects we i actually note that these projects we see traveiting — actually note that these projects we see travelling at _ actually note that these projects we see travelling at a _ actually note that these projects we see travelling at a very— actually note that these projects we see travelling at a very high - actually note that these projects we see travelling at a very high speed i see travelling at a very high speed on a jacquard _ see travelling at a very high speed on a jacquard trajectory— see travelling at a very high speed on a jacquard trajectory leading i on a jacquard trajectory leading nearby— on a jacquard trajectory leading nearby the _ on a jacquard trajectory leading nearby the hospital. _ on a jacquard trajectory leading nearby the hospital. so - on a jacquard trajectory leading nearby the hospital. so we - on a jacquard trajectory leading nearby the hospital. so we also found _ nearby the hospital. so we also found different _ nearby the hospital. so we also found different images - nearby the hospital. so we also found different images and - nearby the hospital. so we also found different images and thisj nearby the hospital. so we also . found different images and this is probably— found different images and this is probably the _ found different images and this is probably the best _ found different images and this is probably the best example - found different images and this is. probably the best example showing one element— probably the best example showing one element that _ probably the best example showing one element that we _ probably the best example showing one element that we believe - probably the best example showing one element that we believe of - probably the best example showing i one element that we believe of being a fragment _ one element that we believe of being a fragment of — one element that we believe of being a fragment of said _ one element that we believe of being a fragment of said projectile. - a fragment of said projectile. thanks _ a fragment of said projectile. thanks so _ a fragment of said projectile. thanks. so we _ a fragment of said projectile. thanks. so we are _ a fragment of said projectile. thanks. so we are actually. a fragment of said projectile. - thanks. so we are actually showing this evidence to a number of weapons experts _ this evidence to a number of weapons experts and _ this evidence to a number of weapons experts and one of them isjust this evidence to a number of weapons experts and one of them is just and irrought— experts and one of them is just and brought from the rural united services — brought from the rural united services institute and he said these fragments— services institute and he said these fragments are consistent with the tank gun — fragments are consistent with the tank gun and he said these fragments are consistent with the tank gun ammunition used by the idf and is able terms — ammunition used by the idf and is able terms by is he takes. another expert— able terms by is he takes. another expert said — able terms by is he takes. another expert said it looked like an artillery— expert said it looked like an artillery shell, so he said that all miiitaries— artillery shell, so he said that all militaries have such else, including israei~ _ militaries have such else, including israei~ we — militaries have such else, including israel. we have asked the idf to comment— israel. we have asked the idf to comment on this but we have not had a response _ comment on this but we have not had a response yet. we know from our correspondent in gaza that the forces — correspondent in gaza that the forces of— correspondent in gaza that the forces of israel are now present on all four— forces of israel are now present on all four sides of this hospital. let's — all four sides of this hospital. let's take _ all four sides of this hospital. let's take a look at another hospitai~ _ let's take a look at another hospital. this is a video from this morning — hospital. this is a video from this morning that we verified in the vicinity— morning that we verified in the vicinity of— morning that we verified in the vicinity of a different hospital and is you _ vicinity of a different hospital and is you can — vicinity of a different hospital and is you can see here and israeli tank he realty— is you can see here and israeli tank he reallyjust past the window and we know _ he reallyjust past the window and we know this from is in the hospital try using _ we know this from is in the hospital by using visual clues like the window— by using visual clues like the window and surrounding buildings will so _ window and surrounding buildings will so we — window and surrounding buildings will so we have also used reverse image _ will so we have also used reverse image search to check it is not been uploaded before. the israeli military— uploaded before. the israeli military has said that hamas uses hospitais — military has said that hamas uses hospitals as bases. hamas denies this _ hospitals as bases. hamas denies this we — hospitals as bases. hamas denies this. we are unable to attend independent e—verify this at the moment— independent e—verify this at the moment we will continue to investigate videos coming out of gaza _ around the world and across the uk, this is bbc news. let's look at some other stories making news. latest official figures show no economic growth in the uk between july and september after a succession of interest rate rises. the performance was slightly better than expected. many analysts had believed it would shrink. last week, the bank of england said the uk economy was likely to see zero growth until 2025, although it is expected to avoid a recession. england's chief medical officer has warned that the uk faces a "health crisis" because of a rapidly ageing population. in his annual report, professor chris whitty says, while more people are living longer, many of their later years are spent in bad health. there's also concern that large numbers of elderly people will be concentrated in rural or coastal areas with poor nhs provision. and vehicle breakdowns caused by potholes have reached a record high due to the "substandard state" of local roads. the rac said it received almost 6000 call—outs due to poor road surfaces in the uk betweenjuly and september. you're live with bbc news. let's turn to the policing of this we can hear in the uk. the police commander in charge of the weekend protests in london has said he can guarantee the cenotaph will be protected. the deputy assistant commissioner, laurence taylor, was speaking ahead of what he called a difficult and tense weekend for policing. let's take a listen of what he had to say. we have got some really comprehensive policing plans in place over this weekend. we have used all of the powers available to used all of the powers available to us to manage protests, counter protest because everybody has a right to feel safe coming into london and veterans and others have the right to go and remember the fallen at the scene is weekend. so there are challenges. this is a really difficult policing weekend, and we are clear that it is going to be difficult for us but we are doing everything that we can with a very significant policing response to ensure that people are say. the cenotaph will be protected. i can guarantee that. we have had a permanent presence at the cenotaph since yesterday. that will remain all weekend. we have a comprehensive barrier plan as well as police conditions around ensuring that people cannot get to the cenotaph and cause any damage or disrupt anything there. so we aware obviously of the main pro—palestinian march and we have been engaged with organisers. we have seen a lot of conversation and we do have intelligence that th