Transcripts For BBCNEWS BBC News At Ten 20170206 : compareme

Transcripts For BBCNEWS BBC News At Ten 20170206

Muslim countries is essential, but its still suspended by the courts. Alastair cook resigns as england test captain after four years in charge and two ashes victories. And, final preparations for the biggest ever exhibition of works by david hockney. Im not saying im that good, but im not that terrible either. And in sportsday on bbc news, director of cricket Andrew Strauss says Alastair Cook stepped down as england captain because he was drained and lacked the energy and drive to continue. Good evening. We start tonight with new evidence of the immense pressure on parts of the nhs in england, with Patient Numbers considered unsafe in the majority of Hospital Trusts this winter. Over the past week bbc news has been given exclusive access to the royal blackburn hospital. Its accident and Emergency Department receives more ambulances than any other in the north west of england. In the first of two extended reports our special correspondent ed thomas has been speaking to staff and patients. Inside the royal blackburn hospital. The bbc was given unrestricted access to witness the pressures facing the nhs. Theyve had patients here for six, eight hours. Cant find a bed for them. Queueing for five hours in the corridor. It is not what we expect from a country like ours, really, is it . We need to get some blood from you. Whats it like to be here when its busy . Dangerous. Yeah, its frightening. Sunday night, a peak time in this a e. 95 patients and just 33 cubicles and rooms. The sickest are seen first. We actually have corridor nurses now, as well. Which shows times are very desperate. The priority is to keep people safe. Across the week we saw patients treated on corridors and side rooms. Ifeel as though im going to collapse if i dont lay down. You need a bed. Definitely. Its distressing. Its really distressing for people. How long have you been waiting for . Seven hours. We need beds and staff. Itsjust like banging your head against a brick wall. In a hospital you need some privacy. I am covered up, but its not nice. At its busiest, this was the paediatric Emergency Department. These nurses and doctors are working really hard, but there just isnt enough of them. There are people lined up on corridors, on beds, there are people stood, there are not even enough seats to sit down. Its absolutely appalling. The amount of babies are sat on corridors. Its absolutely disgusting. Absolutely ridiculous. Its heartbreaking. Is there anywhere for you to sit down . No, The Waiting Room is full. They put me here. We have been stood here for a0 minutes. How do you feel about all of this . Frustrated. Worried. Is it going to take something drastic for them to act quicker . You used to come, used to wait a bit in a e, at least you would have a seat, now we are sat on the floor. It is worrying. As a doctor, how do you feel when you see babies like that . Its unfair, its unfair. Its putting us under big pressure. By monday morning, on average, patients are spending half a day in the Emergency Department. Let the staff get on with what they are doing. Those delays are difficult to ta ke for Co Nsulta Nts like helen. I left here 11 oclock one night, having referred him into the hospital earlier at about nine, ten oclock. And i arrived at 11 oclock the next morning, and he was still here. 12 hours in a e . Yeah. More than. What did that do to you when you came back in and you saw your patient . It was upsetting. It was upsetting, because you know its not the care that you would want your own family to receive. Im going to do what i can to shift beds and create space. Even paramedics queue. During our time here the a e only hit its four Waiting Target on one day. When you get 12 ambulances in an hour, you know, you are going to have queues like this. And as a team we work exceptionally hard. It is not that anything is going wrong, it is just the sheer volume of people that come. There is only so much we can do. Has the doctor been in yet . No. The demands of a modern a e, more and more older patients arriving with complex, acute conditions. Staff say there are increasing addiction and Mental Health problems. I cant send him back. To deal with these growing pressures, the a e has a frailty doctor. Started having Sciatica Pain two days ago. A gp, and dedicated alcohol and Mental Health nurses. We see up to 300 people. Alcohol dependent patients, most of them. Weve got a gentleman who has been here 1,060 times. What is that doing to this hospital . Well, its 1,060 ambulances, 1,060 attendances. And then theres chris. Hes homeless, an alcoholic with Mental Health problems. For the last three months since i got out of prison, ive been sleeping in a toilet. In a e . Hmm. Well, in the main part of the building. For him, it looks like he feels safe here. He can talk to people. So in the morning hell be fine. Is that what a e is for . This is not what a e is for, but that is what he has been living. In todays world. Facing these constant demands, nurses, like rachel and lauren. Is this what you expected from the job . Not to this extent. No, how weve had it the past three months, weve been risking ourjobs, because weve been working under such a pressure. We are coming in every night, worrying about what is coming. In the triage it is just a trained nurse. And it is up to us to decide if the patient is poorly, if we need a doctor to see them, or whether they can wait on the corridor. What is that pressure like . Scary. Yeah, it is. Its hard, its very hard. Many here wanted to talk openly. Doctor haq is a consultant. Hes worked in the nhs for more than two decades. Have you ever known it like this . No. In 26 years . No. Weve had pressures every now and then, but, no, this is continuous. We are taking too many risks now. We are sending Home Patients that we shouldnt be sending because we have nowhere to put them. That is dangerous. Dangerous. What should be done . Thats the question for the government to answer, but we need more staff, we need more space. The Chief Executive here allowed the bbc in. To show the realities facing his staff in a hospital that is rated as good. I wanted you to see how busy we are, how difficult things can be, but also in those difficult circumstances how well those patients and their families are cared for. Is there a point when the pressure gets too much . We cannot say that, i cannot say that, we have to keep our patients safe and we will continue to do so. But trying to cope with so many patients is pushing some doctors to their limits. I was getting to the end before my week off. What would have happened to you if you did not have that week off . I dont think i could have done thejob properly. And i think my patients would have started to suffer. It is going to make me cry. And it never stops. Everyday, lives saved in a e. Thank you for everything. Thank you. You deserve more than you get. That extended report by ed thomas, one week in one hospital with concerns among staff about funding and and a lack of resources. A new bbc opinion poll suggests that 57 of the public share those concerns about nhs in england. Today ministers say that charging more overseas patients for non urgent treatment will provide some extra funding. 0ur Health Editor hugh pym has been taking a closer look. An nhs manager with a credit card machine. Its already happening at some hospitals as they try to claim back some of the cost of nhs care from overseas visitors who dont qualify for it. Youre not entitled to free medical treatment. How much do you charge . It is £800 a day. I cant pay. Im very sorry. I understand that, but thats what we have to charge, sir. The government, which has been criticised for failing to collect enough money, now wants all hospitals to charge patients not entitled to free care upfront for nonemergency treatment. Other countries in the eu, other countries outside the eu, like the us, like canada, like australia, they charge visitors to their country for using Health Services other than in urgent cases and we are just doing the same thing. But some argue the sums of money are small and the policy is a distraction from the real issues facing the nhs. What we mustnt do is pretend that this reclaiming of money will somehow solve the problems in the nhs, which are about gross underfunding. We are several billion pounds short in terms of providing for the needs of the population. So what are the really big challenges facing the nhs and how much of it is down to money . And what sort of resources are needed to deliver the Health Care Needs of the population around the uk in the decades ahead . Total Health Care Spending across the uk is equivalent to just under 10 of annual economic output, thats below france at 11. 1 and germany at 11. It might not sound much but the difference amounts to billions of pounds annually. The number of doctors per 1,000 people in the uk is 2. 8. Thats below france, with 3. 3. The figure for germany is 4. 1. All of that, some argue, shows that the nhs needs higherfunding. We could increase patient charges. The trouble is its not very fair, discriminates against the poor and unhealthy. And the fact is we already have a system of taxation, income tax, National Insurance and so on, which is a cheap system to run to raise the money, its fair on people. But could the nhs make better use of resources . Here in yeovil, they are pioneering a new approach. This one stop shop manages the needs of frail, elderly patients to avoid, if possible, costly hospital admissions. So they are seen by the nurses, a consultant, a junior doctor, a pharmacist, an Occupational Therapist and if they need to see a Nurse Specialist for diabetes, we will call them into the unit so they are seen in one place. Patients lifestyles and Disease Prevention cant be ignored as the future of the nhs is charted. That process may be different in scotland, wales, england and Northern Ireland as they make their own decisions on policy. But they are facing similar pressures right now. Hospitals under immense strain with many patients, perhaps feeling let down by failings elsewhere, seeing them as a last resort. Hugh pym, bbc news. And if you want to find out more, you can visit bbc. Co. Uk health and theres a section called nhs health check, comparing the performance of the nhs in england, scotland, wales and Northern Ireland. The speaker of the house of commons, john bercow, has expressed his strong opposition to any plans for President Trump to address both Houses Of Parliament when he makes his state visit to britain later this year. Mr bercow said his opposition had hardened following mr trumps decision to impose a travel ban on seven mainly muslim countries. 0ur chief Political Correspondent vicki young has the story. Its an honour thats been bestowed oii its an honour thats been bestowed on pope s and president s, a speech to both Houses Of Parliament in the splendour of Westminster Hall was pa rt of splendour of Westminster Hall was part of the itinerary for these dignitaries when they visited britain. But the same invite may not becoming President Trumps way. In an astonishing intervention in the Commons Speaker said recent decisions by the president had made him uneasy about issuing an invitation. I feel very strongly that our opposition to racism and to sexism and our support for Equality Before The Law and an independent judiciary are hugely important considerations in the house of commons. Rare applause from snp and labour mps who have been highly critical of the american president. And that anger brought anti trump demonstrations to the Prime Ministers door after she invited him ona ministers door after she invited him on a state visit later this year. For us to roll out the red carpet at Buckingham Palace or to invite him here to speak to us in a grand occasion at both houses sends out all the wrong messages. Thats why the mr burke out has called it right today. The Speaker Of The Commons is a powerfulfigure right today. The Speaker Of The Commons is a powerful figure who right today. The Speaker Of The Commons is a powerfulfigure who has a say in who addresses mps. He is independent of Party Politics and is supposed to represent the whole house. Tonight its clear that some are unhappy with his outburst. I think the speaker should be neutral. To express political opinions devalues this great office, is insulting to president tromp. The speaker should keep itself both all of that. Thats to be regretted. But it isa of that. Thats to be regretted. But it is a symptom of the controversy around this visit. The Prime Minister has been treading forge a Close Partnership with the president in washington, saying the government should engage constructively with his administration. Whilst theresa may has lost a Charm Offensive towards President Trump, john bercow has suggested he is unfit to come here and speak to mps and peers. Many agree with him, saying he is simply upholding the values of parliament. 0thers simply upholding the values of parliament. Others think mr burke or has completely overstepped the mark. I invite you, mr president , to address us. Tory mps point out that he has in the past welcome leaders whose value is britain doesnt a lwa ys whose value is britain doesnt always share. Vicky young, bbc news. Earlier today donald trump was defending his travel ban which remains suspended by the courts. The president told us Military Personnel in florida that the ban was essential to keep out people who, in his words, want to destroy america. Some of the biggest us companies have now signed a joint legal statement arguing that the ban would inflict significant harm on business, as our north america correspondent nick bryant reports. President donald j trump. His speech at this Military Base focusing on the Terror Threat to the american homeland, and defending his Controversial Travel Ban thats been blocked by the us courts. We need strong programmes, so that people that love us and want to love our country, and will end up loving our country, are allowed in. Not people that want to destroy us, and destroy our country. God bless america. Last night it was lady gaga who was centre stage. She kicked off her super bowl half time show with god bless america, a Patriotic Song Written By A Jewish immigrant. She didnt make an explicit political statement, but was this high profile Hillary Clinton supporter sending a message to donald trump . 0ne nation under god, indivisible. With liberty and justice for all. Youre not wanted here. Go back home. Even the adverts last night seemed loaded. This pro immigration message from budweiser depicted the arrival of one of the companys founders from germany. It has prompted calls for a boycott from some trump supporters. Corporate america has also weighed in on The Travel Ban. Around 100 Major Technology firms, including apple, google and facebook, have filed a legal brief arguing it would make it more difficult to recruit employees. American arrivals halls for now remain places of family reunions. Immigrants from the mainly muslim countries hit by The Travel Ban continue to enter the country, knowing the door opened by the legal challenge to the Executive Order could soon be shut if appeals judges side with President Trump. Thank you for every Single Person who tried to help me bring my kids back. Im so happy. Im so glad. This is america. America is for everybody. For everybody. Thank you, thank you, thank you. The question at the centre of this legal showdown has huge implications. Just how much power does the president wield in deciding who comes to this country . The white house has said in the past few minutes it is very confident the president will prevail because the law is clearly on his side. The Appeals Court is in san francisco. Whatever its ruling, the case is sure to come to the Supreme Court in washington for what is already shaping up to be one of the landmark rulings of the trump years. Nick brya nt rulings of the trump years. Nick bryant in washington. A brief look at some of the days other other news stories. The inquest into the murder of 30 british Holiday Makers in tunisia two years ago has been told by a survivor that a travel agent had assured him that the resort was 100 per cent safe. The attack by an islamist g

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