operation against hamas in gaza's biggest hospital al—shifa in gaza city where thousands of civilians are believed to be sheltering. in a statement the idf says is conducting a ground operation in gaza to defeat hamas and rescue hostages. israel is at war with hamas, not the civilians in gaza, it says. we're just getting details mark correspondence in gaza who was hearing that israeli soldiers are now inside shifa hospital and eyewitness told us reporter rushdi abualouf saying that is really fight a smoke from that caused people to suffocate. he said soldiers vandalised the specialised surgical department and contact with him was cut off. it comes after the white house and pentagon confirmed there is an intelligent supporting israel's claim that hamas and the palestinian islamichhad are operating from tunnels under hospitals including al—shifa. they say they are storing weapons there. hamas denies the claims and his court for an international committee to come in and inspect the al—shifa compound. thousands of civilians including patients and medical staff are said to be sheltering in and around the hospital. in the last hour i spoke with the operation, the deputy consul general of israel in new york. the idf is right now carrying out what it calls a precise and targeted operation in the al—shifa hospital. what exactly does that mean? it means that we are doing everything we can to dismantle the capabilities of hamas. hamas is a terrorist organisation who embedded its fighters and capabilities and weapons in and under al—shifa hospital and by the way it's not the only hospital where they did it and we are doing everything we can to dismantle this capability and make sure that we can also free the hostages. 0k, and what does that mean, everything you can, in the specific instance of the al—shifa hospital tonight? what does everything we can mean? everything we can means that we take the weapons, that we dismantle it, neutralise their fighters, their terrorists, while making sure we minimise the collateral damage, the loss of innocent civilian lives. this is what it means. that's israeli ground forces entering the hospital, as we heard from our eyewitness there, as you say, neutralising, which in lay person speak means killing. did israel make efforts to evacuate the hospital in advance? of course, we take every measure that is possible. what were those, sorry, it's important to get to the specifics here. just exactly what efforts did israel take to evacuate that hospital, we are told there were thousands of innocent civilians sheltering there. i'll repeat what i said. this is a very difficult, almost impossible mission to make sure that we dismantle their capabilities while they are patients there and innocent people. crosstalk how did you evacuate them, please explain to us. and facilitating platforms for patients and people, innocent people that are in the hospital to make sure that they leave safely, but unfortunately hamas uses their own people as human shields, preventing them from leaving these hospitals because they know that they protect them by their presence there and that's why i'm saying this is a very difficultjob and a very difficult mission, but believe me, we're doing everything that is possible. but in recent days, just today as well we have had reports of israeli tanks surrounding the hospital, we've had staff member say anyone who tried to leave was shot. that people could not leave. again, i am asking you exactly what those efforts were to evacuate people, if tanks are surrounding the hospital, if there are soldiers in there, how did you get people out, how many people did you manage to get out? the israeli tanks that are surrounding hospital, not only fighting the hamas terrorists that are hiding within the hospital, but also facilitating routes for innocent people and patients that are hospitalised in this hospital to evacuate and to leave the hospital so we can complete the mission, and again, the mission is to make sure that we dismantle and neutralise the terrorists there that are hiding there and there is a great infrastructure, terrorist infrastructure, their command centres, this is what they've been doing for the last 16 years, building a huge infrastructure under this hospital and again this is not the only place where they did it, they did it in other hospitals and mosques and schools and this is a very difficult task as i said to dismantle it, but the tanks, the israeli tanks that are there are not only, their mission is not only to fight to be hamas terrorists that are there but also facilitating routes, for people... innocent people to evacuate. i'll ask the question again, how many people did you manage to evacuate? we have seen so many reports of innocent civilians sheltering there as we've mentioned but also sick children, sick babies, tiny newborn babies without incubators. if you tried everything you could to evacuate people, how many people did you manage to evacuate? the battle is ongoing, and unlike hamas i would not mention figures that i cannot 100% make sure that i am correct. so i don't have specific figures, but the israeli, the idf is doing everything possible we can, and i repeat, according to international law left to go to a colorado paediatrician who is working with the palestine children's relief fund, one of hundreds of foreign nationals allowed through the rafah crossing to last month and joins us. thanks for speaking with us. what were conditions like where you are? we were in a un compound. i was with other humanitarian workers and we were there for, i was stabbed 26 days and we were evacuated. we were fortunate, we could get water, we could get food, but i know people in the adjoining section that was for the people of gaza that they did not have 400 people per toilet, they were not getting what and they were not getting what and they were not getting food or getting minimal food. they had to purchase it themselves but it was very limited at that point in the stores and that was ten days ago that i left.— stores and that was ten days ago that i left. you've been in gaza many — ago that i left. you've been in gaza many times _ ago that i left. you've been in gaza many times working - ago that i left. you've been in gaza many times working for| ago that i left. you've been in i gaza many times working for the palestine children's relief fund. we are seeing these reports of israeli ground forces in the al—shifa hospital. did you ever visit pat hospital? did you ever work there? , . , pat hospital? did you ever work there? , .,, , ., , there? yes, last year i visited several hospitals _ there? yes, last year i visited several hospitals in _ there? yes, last year i visited several hospitals in gaza. - there? yes, last year i visited several hospitals in gaza. we | several hospitals in gaza. we were looking through palestinian children's relief i do see what the needs were of different hospitals. al—shifa had a wonderful newborn intensive care unit that had up—to—date equipment, they did not have enough, they had the double art babies on warmers sometimes, but excellent training of staff and equipment equivalent to the united states. �* , �* , . states. as we've seen in recent da s, states. as we've seen in recent days. those — states. as we've seen in recent days, those babies _ states. as we've seen in recent days, those babies are - states. as we've seen in recent days, those babies are out - states. as we've seen in recent days, those babies are out of. days, those babies are out of those incubators now. knowing what you know of the conditions in gaza at the moment, and that specific hospital, what will things be like tonight, do you think, for the medics there, the patients, the people in there? ., ,, there? for the newborns but i know, i there? for the newborns but i know. i know _ there? for the newborns but i know, i know the _ there? for the newborns but i know, i know the neonatal- there? for the newborns but i | know, i know the neonatal unit which is probably a few blocks away from the surgical unit, they had to carry them over to they had to carry them over to the surgical area and put them in an operating room and just bundle them in towels to keep them as warm as they could, but there is problems with getting formula or nutrition to the babies, oxygen if they needed is not available, there no electricity, so those babies, i know there were 46 over the weekend, i don't know how many are alive now but it is severe risk of dying. a neonatologist at al—shifa who is currently or had to relocate to med gaza is really fearing for the lives of all of those babies stop israel says that hamas has command centres under al—shifa and other hospitals. centres under al-shifa and other hospitals.— centres under al-shifa and other hospitals. nanyonga ideas of visitinu other hospitals. nanyonga ideas of visiting there, _ other hospitals. nanyonga ideas of visiting there, did _ other hospitals. nanyonga ideas of visiting there, did you - other hospitals. nanyonga ideas of visiting there, did you ever. of visiting there, did you ever see evidence of that? tia. of visiting there, did you ever see evidence of that?- of visiting there, did you ever see evidence of that? no. i was really looking — see evidence of that? no. i was really looking at _ see evidence of that? no. i was really looking at the _ see evidence of that? no. i was really looking at the newborn i really looking at the newborn units and the paediatric unit so i did not go.— so i did not go. ok. in your field of _ so i did not go. ok. in your field of paediatrics, - so i did not go. ok. in your field of paediatrics, when l so i did not go. ok. in your i field of paediatrics, when we see what's happened in gaza in the last few weeks, so many children killed, injured, orphaned. what do you think will be the lasting impact on the children of gaza of what has happened? tt the children of gaza of what has happened?— has happened? it is devastating, - has happened? it is devastating, really, devastating, really, devastating for families to see children die, to see their children die, to see their children die, to see their children die, and these are large families, and just the impact of a child to be under bombing, to have family members die, parents die, this goes on for decades, this goes on for generations, so this isjust devastating. palestinian children's really find itself is going to have to rebuild a paediatric oncology unit that just opened in 2019 and so those children with chronic diseases, the ones that i see when i go there, i don't know how they are surviving. there have limited medication even when i was there last year. do ou when i was there last year. do you think _ when i was there last year. do you think there is an appreciation on the wider international community about just how, as you say, devastating things are there at the moment? t devastating things are there at the moment?— devastating things are there at the moment? i don't think there can be an _ the moment? i don't think there can be an appreciation. - the moment? i don't think there can be an appreciation. it - the moment? i don't think there can be an appreciation. it is - can be an appreciation. it is just so terrible. terrible is a mild word for it, honestly. doctor barbara, thank you for speaking to us and telling us of your experience. we appreciate that.- of your experience. we appreciate that. of your experience. we a- reciate that. ., ,, , ., ., appreciate that. thank you for havin: appreciate that. thank you for having me- — appreciate that. thank you for having me. the _ appreciate that. thank you for having me. the us _ appreciate that. thank you for having me. the us house - appreciate that. thank you for having me. the us house of l having me. the us house of representatives _ having me. the us house of representatives has - having me. the us house of. representatives has passed a stopgap funding measure that could avert a government shutdown.— could avert a government shutdown. , , , , could avert a government shutdown. , , ,, ., shutdown. the bill is passed on without objection _ shutdown. the bill is passed on without objection the _ shutdown. the bill is passed on without objection the motion i shutdown. the bill is passed on without objection the motion to reconsider is laid on the table. , , ., , , table. the bill gives congress more time — table. the bill gives congress more time to _ table. the bill gives congress more time to negotiate - more time to negotiate spending, continuing some government funding until mid—january. now go to the senate where it is widely expected to pass before the friday deadline. house democrats helped the bill across the finish line with more than 90 republicans voted against, sega did not contain the spending cuts they wanted. the bill was put forward by the new republican speaker of the house mikejohnson who is roughly three weeks in his leadership. in september similar to the house because previous speaker kevin mccarthy his job. previous speaker kevin mccarthy hisjob. after the bill passed i spoke with republican affirmative darin lahood. thanks forjoining us. the house hasjust thanks forjoining us. the house has just passed the package to potentially over the government shutdown. immersed in satchmo needs approval before the deadline but i confident i shutdown can be avoided now?— confident i shutdown can be avoided now? �* ., ., ., avoided now? we've made a lot of progress _ avoided now? we've made a lot of progress on _ avoided now? we've made a lot of progress on the _ avoided now? we've made a lot of progress on the boat - avoided now? we've made a lot of progress on the boat earlierl of progress on the boat earlier today surpassed the consuming resolution of government funding. and have moved to the senate. the likelihood of averting government shutdown will happen and that's good for the country. tt will happen and that's good for the country-— the country. it is not a permanent _ the country. it is not a permanent deal - the country. it is not a permanent deal or - the country. it is not a - permanent deal or finding measure but another consuming resolution which many in party had against doing. that resolution which many in party had against doing.— had against doing. that is true. if you _ had against doing. that is true. if you saw _ had against doing. that is true. if you saw there - had against doing. that is| true. if you saw there was had against doing. that is l true. if you saw there was a thing roughly 90 plus votes against the continuing resolution. but we had limited options. really, there are many members of the republican party, me included, buti members of the republican party, me included, but i have real concerns about the $34 trillion this country is in debt and the fact that we have not had the fortitude or ability to address our debt. that's why you've seen this back and forth and this is agreement in a conference. that was part of the reason why speaker mccarthy went down is because we haven't had the ability to have a conversation as it relates to fiscal responsibility and i think that's reflected in many other members of the republican conference.— members of the republican conference. you mentioned s - eaker conference. you mentioned speaker mccarthy _ conference. you mentioned speaker mccarthy losing . conference. you mentionedj speaker mccarthy losing his position and it was because he reached across the aisle to get the backing of democrats video. the same thing speakerjohnson has done now. what's different? it took us almost 25 days to get a new speaker. he was not responsible for the situation we are now. he gets a little bit of a honeymoon because he has been on the job for less than three weeks and i think people, he had limited options. he could not allow the government shutdown. so this is the limited option, a short period to get us through the new year and then begin to have this very serious conversation about how we get our fiscal housein about how we get our fiscal house in order. how long do you think his honeymoon period will last? t honeymoon period will last? i think it will be short lived. around the world and across the uk, this is bbc news. let's look at some other stories making news. former british home secretary suella braverman has fired back at her old boss rishi sunak a day after being fired from her post. in a scathing letter she said the prime minister had repeatedly failed on vital policies and broken pledges over immigration. she wrote that mr sue nacc had adopted what she called wishful thinking to avoid having to make hard choices will stop a political editor chris mason has more. tt is dripping with derision about the prime minister. let me read you a couple of words that struck me as i read the letter. betrayal stop equivocation. disregard. wishful thinking. and a lack of certainty. the premetis — and a lack of certainty. the premetis to's _ and a lack of certainty. the premetis to's office - and a lack of certainty. the premetis to's office has - premetis to's office has responded to suella braverman's letter saying rishi sunak believes in actions not words. she was ousted on monday as part of a broader shakeup of sumac�*s government stop it came after she drew fire for her comments about police and their handling of pro— palestinian protesters. the reshuffle brought former british prime ministers david cameron back into government. you're live with the bbc news. us president joe biden has landed in san francisco where he was greeted by californian governor avenue some. he is there to host the asia—pacific economic cooperation summit also known as aipac. the aipac summit focuses on free trade, bringing together 23 countries which together 23 countries which together account for 60% of the world's economy —— what apec. it a lot of focuses on tomorrow's meeting between biden and xijinping. it is xi jinping's visit to the us since 2019? what can we expect from this? 20 19? what can we expect from this? ., ., ., , ,, this? katrina, we have seen us officials say _ this? katrina, we have seen us officials say in _ this? katrina, we have seen us officials say in the _ this? katrina, we have seen us officials say in the lead - this? katrina, we have seen us officials say in the lead up - this? katrina, we have seen us officials say in the lead up to i officials say in the lead up to this summit they are not expecting a long list of outcomes when it comes to the meeting between president biden and president xi. they have three main goals they have stated between managing the competition between these two economies. preventing the downward risk of conflict and also ensuring that lines of communication are open, and thatis communication are open, and that is pretty much it. it may seem like low hanging fruit but we have to keep in mind the significant points of tension between these two countries right now, from everything from trade policy to taiwan. we ask the very question to the us ambassador to apec, matt murray. hejoined us here a little bit earlier and this is what he told us. ambassador murray, we're going to see this meeting between president biden and president xi on wednesday. president biden has said in advance this is going to be establishing communication again between these two countries to make sure there is someone to pick up the phone on the other end when washington calls. we are not looking for anything huge breakthroughs but why do you think this meeting is significant at this summit at this time? t is significant at this summit at this time?— at this time? i think is you 'ust at this time? i think is you just said — at this time? i think is you just said the _ at this time? i think is you just said the keyword, - just said the keyword, communication and wanting to maintain — communication and wanting to maintain open communications lines _ maintain open communications lines between united states and china _ lines between united states and china and wanting to manage the competition responsibly. we have — competition responsibly. we have had a number of visits from — have had a number of visits from us— have had a number of visits from us senior officials, secretary lincoln, secretary janice — secretary lincoln, secretary janice yellin to china this year~ _ janice yellin to china this year. also wang yi a couple of weeks — year. also wang yi a couple of weeks ago. from the aipac perspective as my role as a senior— perspective as my role as a senior official for one, it is terrific— senior official for one, it is terrific also to see that apec continues to be a platform every _ continues to be a platform every year for these kinds of engagements to happen between leaders _ engagements to happen between leaders of these key economies from _ leaders of these key economies from around the asia—pacific region— from around the asia—pacific region so— from around the asia—pacific region so that they can really focus — region so that they can really focus on _ region so that they can really focus on the key issues that we really— focus on the key issues that we really need to address here and now _ really need to address here and now. . , , really need to address here and now. ., , , , ,., really need to address here and now. ., , , , ._ now. that is why we see so many -la ers now. that is why we see so many players in — now. that is why we see so many players in the _ now. that is why we see so many players in the region _ now. that is why we see so many players in the region who - players in the region who gathered here for these meetings. i want to ask you another question about what we saw, secretary blinking, the secretary of state, say in his opening remarks at the apec plenary session. he said the united states believes in that vision of a region where economies are free to choose their own path and partners, where problems are dealt with openly, where rules are reached transparently and apply fairly. is that how a message to china? is that how a message to china? i think in that perspective and what the secretary was talking today, it is very much a message to all of the asia—pacific economic cooperation partners. for us being able to host apec this year which is a full year endeavour. we have been in already four cities across the united states for meetings and ministerial �*s and now in san francisco. what the secretary said today very much captures what we really —— what we are focusing on, with all of the incredibly important partners we have in this region should cancer 60% of the world's gdp and certainly notjust china. we have trade and investment relationships with a whole number of these economies. you have in the _ number of these economies. you have in the past _ number of these economies. you have in the past highlighted the importance of the economic partnership with apec. $1.7 trillion as you said yourself. at the same time the biden administration has pulled back on plans to announce parts of this new asia—pacific trade pack because of opposition here in the us. do you think that puts a dampener on the effort to really focus on economic cooperation and trade and partnership during the summer? i think what the administration has made clear over the last couple of years is that we want to really enhance our economic engagement with the indo pacific. the president has economic prosperity is one of the pillars of his indo pacific strategy and we want to find as many different ways as we can do that that will really make a meaningful difference for economic prosperity in the region. so apec and the work that our team has done on hosting this year is certainly one of those ways the indo pacific economic framework is another matter as are some of our other engagements with the quad and bilaterally with key economic partners like japan and so many examples, and welcoming the prime minister of australia to the united states to talk about economic issues among other things a few weeks ago. so i think when we look at the indo pacific economic framework negotiations, they have been ongoing since may of last year and we are looking to see what can be announced later this year but i think we want to continue the conversation in all of these areas so that we can make sure we have the strongest possible engagement. ambassador, looking forward to the rest of this week. what do you think is going to be the most significant outcome or what do you hope would be the more significant outcome from the summit? t more significant outcome from the summit?— more significant outcome from the summit? i think we look at it really in _ the summit? i think we look at it really in three _ the summit? i think we look at it really in three ways. - the summit? i think we look at it really in three ways. there i it really in three ways. there is the apec piece to my team has been working really hard on to try to deliver a final deliver outcomes document which really does showcase all of the ways we are working with our partners to fulfil our host year theme of creating resilience and sustainable future for all and that is a multi agency effort which includes a lot of sectors including the private sector. there is going to be so many key bilateral arrangements in which the meeting between the president and president xi is one of those and so we want to see some good outcomes come from that. as you said the secretary meant —— met with his counterpart from peru earlier this day and they will be many other opportunities this week. a third is to make sure that this week is also a platform for great public private sector engagement, the apec ceo summit there across the street, and many of these other regional economic initiatives whether it is indo pacific economic framework and others where we can really see some progress this week so this is a real celebration of everything the administration is really trying to do in this area. ambassador, thanks so _ to do in this area. ambassador, thanks so much _ to do in this area. ambassador, thanks so much to _ to do in this area. ambassador, thanks so much to joining - to do in this area. ambassador, thanks so much to joining us. i thanks so much to joining us. thank you, great to be here. just one more note on that us china relationship, we have seen some analysts say that it is important to keep in mind next year we will see elections both in the us and in taiwan, something that could pretend even relations for the us and china all the more to need —— make sure there is medication at the highest level of government which is again the focus of that meeting between president biden and president xi. ., ., ., xi. you are mentioned -- there they were _ xi. you are mentioned -- there they were mentioning - xi. you are mentioned -- there they were mentioning that - xi. you are mentioned -- there they were mentioning that it i xi. you are mentioned -- there they were mentioning that it is | they were mentioning that it is going to be a celebration of what the administration has been working on but also that this list to be a show of strength on the us side also. certainly that is something we are hearing from us officials. we have heard president biden going into these meetings saying it is important to tell the chinese that we are not happy with trade policy at the moment, not happy with unfair trade practices on the chinese. but it is a balancing act between those... there is some signs it is working on that level. we saw the —— he had been holding meetings with his counterpart. very successful meeting. we heard that the us and china will have a bilateral working group on china and will working group on china and will work together on things like methane, plastic pollution and the energy transition. they came out a bit earlier. it is important to note that what was a statement was a joint commitment to massive omissions cuttings so that is something that remains to be seen more can be reached on climate but as you said, the us wants to show a position of strength here but certainly wants to make sure that both countries are on an even footing in terms of their relationship and their dialogue and their ability to communicate with each other with more tensions ahead likely. with more tensions ahead likel . ,, ,,., with more tensions ahead likel. ,, ., . likely. semi in san francisco, thank you- — likely. semi in san francisco, thank you. sumi. _ likely. semi in san francisco, thank you. sumi. -- - likely. semi in san francisco, thank you. sumi. -- sumi. i the al shifa hospital at this hour, that is the largest hospital in gaza, the israeli defence force has said in a post on x formally known as twitter that the goal was to defeat hummus and rescue hostages. earlierthe defeat hummus and rescue hostages. earlier the biden administration backed israel's claim that hamas has a command centre under the hospital which hamas has denied and an eyewitness inside there hospital told the bbc that they saw tanks and commander soldiers enter the main emergency department. i am katrina perry, thank you very much for watching. i'll be back in 30 minutes with the latest headlines. to stay with us here on bbc news. hello. although our fairly changeable, unsettled spell of autumn weather continues through the remainder of the week, there will be some windows of drier weather, particularly on wednesday across the southern half of the uk. so bright and breezy, but cloudy and damp with outbreaks of rain at times across northern areas. all down to the fact that we've got a ridge of high pressure building in from the south, but low pressure with a couple of weather fronts drifting, particularly across parts of scotland. so through the day wednesday, then we start with the cloud and the rain for much of central southern scotland, northern ireland too. could even be a little bit of snow across the highest ground, the grampians highland as well. all sunshine, though, works for the northern isles towards caithness and sutherland into aberdeenshire later on in the day. temperatures here around 7 to 9. further south across england and wales should be dry and bright through much of the day. temperatures here 12 or 13 degrees, but we've still got this cloudier zone in between. any of that rain tending to fizzle away overnight into thursday. but the next area of rain starts to arrive from the southwest early on thursday. it's going to be quite a cold night. it could be a touch of frost, particularly across parts of scotland with the lighter winds and the clearing skies. right, through thursday then, a couple of areas of low pressure, this one bringing some rain to parts of southern england, another one moving into northern ireland, wales as well later in the day. should stay mostly dry for parts of eastern scotland, northeast england too, and temperatures range between around about 8 to 12 for most of us. but we're in that colder air still up towards the northern isles, but there'll be some sunshine. moving through thursday night into friday and the fronts clear away for a time. we've got an area of higher pressure trying to nudge in from the south. so that means friday is probably our driest and brightest day of the week for most places. could be the odd shower around, but the cloud could well increase from the southwest ahead of the next area of low pressure, bringing some rain. so temperatures on friday around 7 to 12 degrees for most of us. still rather cool, turns milder into the weekend, but it turns wetter and windier too. low pressure moving in, lots of isobars on the map. so, rain, but you can see the orange colours flooding across the uk. that shows that that much milder air is on the way. it's going be quite breezy with the breeze coming in from a southwesterly direction. so the next few days then, we have got some rain around, particularly on thursday, drier as we head into friday for most of us. but then temperatures on the rise, but wet and windy for the weekend. bye— bye. counting down to a meeting between the leaders of the united states and china. we look at what's at stake for the world's two largest economies. plus, cleaning up what's left behind. the nuclear industry in the uk faces an existential question. hello and welcome to asia business report. i'm monica miller. world leaders are arriving in san francisco for the ongoing summit of the asia pacific economic cooperation, or apec. the us presidentjoe biden has landed there and so has his chinese counterpart, xi jinping. they're set to meet for talks on the sidelines of the summit. the leaders of the world's two biggest economies have a lot to discuss, not least their ongoing disputes over trade, technology, taiwan, and fentanyl.

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