Transcripts For BBCNEWS BBC Newsroom Live 20170331 : compare

Transcripts For BBCNEWS BBC Newsroom Live 20170331

Of settle to carlisle rail line. The world famous train is back on its scenic route through the Yorkshire Dales and the eden valley, a year after a major landslip closed the line. And, Recycling Rockets a Californian Company has made history by launching a rocket into space for a second time. Good morning. Its friday, 31st march. Im annita mcveigh. Welcome to bbc newsroom live. The eu has outlined its strategy for brexit negotiations, suggesting talks on a trade deal could begin once sufficient progress is made on a Separation Settlement with the uk. The Draft Guidelines, issued by the president of the European Council donald tusk, argue for a phased approach in talks. The document will now be sent to the 27 Member States for approval. The Draft Guidelines, seen by the bbc, will outline the tone of the talks ahead and say a non member of the union, that does not live up to the same obligations as a member, cannot have the same rights and enjoy the same benefits as a member. They also reveal the aims of the talks, saying the first phase will look at settling the disentanglement of the United Kingdom from the union and from all the rights and obligations the United Kingdom derives from commitments undertaken as member state. Speaking in malta earlier this morning, mr tusk acknowledged that the talks ahead would be tough. Only when we have achieved sufficient progress on the withdrawal, can we discussed the framework for our future relationship. Starting parallel talks on all issues at the same time, as suggested by some in the uk, will not happen. And when talking about our future relationship, we obviously share the uks desire to establish a Close Partnership between us. Strong ties reaching beyond the economy and including security cooperation, remain in our common interests. Let me conclude by saying that the talks, which are about to start, will be difficult, complex and sometimes even confrontational. There is no way around it. The eu 27 does not and will not pursue a punitive approach. Brexit in itself is already punitive enough. After more than a0 years of being united, we owe it to each other to do everything we can to make this divorce as smooth as possible. 0ur correspondent chris morris is in malta, where eu leaders have been meeting. Chris, four trial are to study other 27 Member States outlined by donald tusk this morning. What are those, please . The biggest thing is the phase of negotiation, which runs counter to what the United Kingdom and theresa may were hoping for, which is we start with Separation Arrangements and only if sufficient progress has been made, and it is the eu 27, donald tusk insists, not the eu 27, donald tusk insists, not the uk, which will decide what sufficient progress means. 0nly the uk, which will decide what sufficient progress means. Only when that happens, perhaps in the autumn we could talk about a potential trade agreement. If those talks go well, only then could we maybe talk about the prospects, if it is legally necessary, he says, for a transitional arrangement. But the small print, transitional relationship means a different relationship means a different relationship in the future. It means eu laws and eu Budget Contributions would have to continue to apply. That would be the uk paying into the european budget, a continuing role for the European Court ofjustice. Like the government in london, donald tusk is saying we want an ambitious and positive partnership in the future, but this is a tough opening position. It is an opening position, it is a negotiation but it is cleared the eu, the remaining 27 believe they are clearly in control of this process. Chris morris, in malta, thank you. Lets cross live now to aldershot in hampshire, where Simon Stevens, the chief executive of nhs england is outlining a new strategy for the Health Service. We are we a re halfway we are halfway into the next steps, so we are halfway into the next steps, so lets listen in. Cancer survival rates now are at a record high. Heart attacks and strokes, down by 40 over the course of the last decade. We know there is pressure, we know there is a lot to be proud of, but the question is, what are the practical improvements we can make over the next several yea rs 7 we can make over the next several years . The reason we are here in aldershot this morning is because actually much of the work many of you are doing are the Proof Positive that the practical improvements we wa nt that the practical improvements we want can, in fact be brought about. You are already doing many of the things we want to see more of right across england. It is great to be here with sir andrew morris, the chief executive of frimley park hospital, which is an outstanding hospital, which is an outstanding hospital and has been helping its neighbouring hospitals become even better over the course of the last year and better over the course of the last yearand a better over the course of the last year and a half. It is great to be here with doctor Gareth Robinson and frank 0connell, a local gp and paramedic, who together have teamed up paramedic, who together have teamed up to ensure that frail, older patients and people sick at home can get direct access to a paramedic in the form of frank, who i think had worked ten years prior in the ambulance service, now working directly attached to the gp surgery that doctor robinson offers. And across england, what we want over the next two years is a big expansion, not only in gps, but also in the other staff who make up the tea m in the other staff who make up the team that he see in wonderful places like this centre we are standing in. We are going to see, but every two, Three Gp Practices in a town or city, they will also be able to make use of a Mental Health therapist, their own clinical pharmacist, more practice nurses, so the full team of staff available to patients and as pa rt staff available to patients and as part of that, the ability to get easier appointments on evenings and weekends as well as during the daytime. We know that a e services are under real pressure. And as we speak today, around five fives and, 6000, often older people are in hospital but ready to go home if they had the right support at home, either home help or Community Nursing or a place in a care home. So if we can better link of what the Community Health services and the social Care Services are doing, then we have the ability to provide a better quality of life for some of the most Vulnerable People in our country and also free up the equivalent of opening five or six new hospitals if we free up those 5000, 6000 beds. That will make a huge difference in the ability for a e departments to make sure that people who need a bed can get one quickly. We know that cancer is a condition that is going to affect more than one in three of us in our lifetimes. So that means that i be you, your partner or family lifetimes. So that means that i be you, your partner orfamily member, we all have Family Experiences of cancer. Although Cancer Survival Rates are at record highs, the fact is, we can do better. In order to do better we need to, first of all, make sure people get the checkups and the screenings they need so they get diagnosed earlier. We are here with alex greenway, her team from mike miller can relieve who have been working in local Shopping Centres and parts of town to reach out to make sure people get those checkups. And also with ian laidlaw, a surgeon who has been leading the improvement of Cancer Services across this part of the country. Dramatic improvements actually, with which the speed people then get the quality cancer care they need. And pa rt quality cancer care they need. And part of that is making sure we have the most modern equipment, Cancer Treatment equipment in every Cancer Centre across the country. So today, we are also setting out the biggest upgrade in Radiotherapy Machines with the details of all of the hospitals across this country which are going to get those new Cancer Treatment equipment over the course of the next 18 months. The country has also woken up to the fact that at least one in four of us is likely to have some form of Mental Health issue, be it stress, depression, anxiety or something more severe. We know that Mental Health services have often been the poor relation in the nhs. So, this morning we are being very clear that alongside improvements in a e services and gp services and Cancer Services, it is time Mental Health gets its fair share of attention and that is why we are increasing the number of Mental Health therapists across the country. A big increase in the speed of which people will be able to get appointments for, Mental Health condition as part of the gb services, the primary Care Services we see in centres like this. But also, frankly, tackling the fact there is growing pressure for children and young people in the Mental Health services. In some parts of the country, children, when they need Specialist Care are having to travel far too far. So we are announcing an investment in a big increase of specialist young people Mental Health services to dramatically undercut the extent to which people have to travel far away from home to get those services. This is just from home to get those services. This isjust a from home to get those services. This is just a set of practical next steps we want to take in trying to improve care for patients in this country. We know front line staff are under pressure. We know we are going to need more doctors and nurses in the future. That is why it is so important we are increasing, by 25 , the number of places in Medical School for doctors in the future. It is why it is so important we have new ways into nursing with Nurse Apprenticeships and today, with the chief nursing officer, who is here as well, we are announcing the launch of something called nursed first which is like the teach first project. And we know that there are a set of pressures to do with how much efficiency we can take out of the system. The nhs is, i believe, the most Efficient Health service of any major industrialised country, but despite that, every nurse, doctor, patient can still see areas where we can do better. So we have to go full speed ahead in making sure all of the money that the people of this country are making available to others in the Health Service, is used wisely and then putting it to work on the improvements i have talked about this morning. If we do that, i think we can be confident that trust the people of this Country Place in the nhs, is not only deserved by virtue of the brilliant things our staff are doing today, but will continue to get better in the ways we have set out. Thank you very much. Applause i think we have an opportunity for questions or discussion. Before we come to the pros, can we come to the other pros, the staff and patients, can give russians, then the media, if that is all right . Questions. Tell people who you are. if that is all right . Questions. Tell people who you are. I am a gp here in aldershot and medical director for the ccg. How confident are you in implementing some of these changes in other areas of the country . It is great we are developing a model of care locally, how about elsewhere . Developing a model of care locally, how about elsewhere . How confident are you in terms of replicating the new models . We are here in aldershot because you guys are getting it right, but there is good news, there are other parts of the country i could take you to that are as infused and active as you are. What we are wanting to do is to bring about the sorts of changes that are being led here, in every part of the country. It will have to be on a staged basis. We know that gps and community nurses, social Care Services and hospital outpatients, the a e, ambulance service, when they work in fragmented units, it gives us a chance to offer better care. Results out show that when we do this, it is not only better for patients, it reduces the number of people who have to go to hospital as an emergency admission. It relieves pressure on front line staff and means we can use a e for the sickest patients who need it. Yes, the lady at the back. Hello. I am patients, i live in this area. I am a Community Ambassador and i am involved with a local gp practice, patient forum. I wa nt local gp practice, patient forum. I want to say very quickly, i love the nhs. It is not about trusting the nhs. It is not about trusting the nhs for me, i have an emotional attachment to it. Ok . 0ne nhs for me, i have an emotional attachment to it. Ok . One of the things i wondered when i was reading the paper this morning and also listening to you now, in this new plan, we hear some patients will have to wait a lot longer for surgery and other treatments. Can you tell us a bit about that, please . We dont want people to be waiting longer. 0ne please . We dont want people to be waiting longer. One of the great triumphs of the nhs over the last ten or 15 years, we have reduced the number of people who are waiting longerfor number of people who are waiting longer for operations. The average time people wait for operations is about ten weeks. It used to be 18 months. We are going to fund more operations on the nhs over the next few years and there will be more surgeons doing them. But that is not the only thing we need to get right. What we are saying today is we also need to make sure we make progress Mental Health, cancer and gp services as well. Hugh pym. Just to pick up that point, you have indicated there are trade offs to be made, the nhs can do so much and improved in certain areas, but on waiting times they will drift. Is that something you just have to acce pt that something you just have to accept given the money and resources you have got . We have got to tackle the most urgent problems or the most urgent opportunities facing the nhs is right now and everybody would ee, is right now and everybody would agree, sorting out the pressures in a e has got to be number one. Having done that over the next several yea rs, done that over the next several yea rs , we done that over the next several years, we absolutely want to make sure we are expanding the availability of nonurgent operations so that we can keep waiting time is short. But there is an issue about the order in which we do it and making sure we dont lose track of the other things we have got to get right as well. Can i stay on this question of what is being downgraded. As a public servant, it is yourjob to be straight with people about what they are losing. People are losing certain things on prescription and they will have to wait longer for certain operations because you are telling the Health Service there are priorities. What is your message to patients who will have to wait longer in pain or discomfort because there isnt enough money in the system . We dont wa nt enough money in the system . We dont want that, but on your first point on the question about the things gps prescribe. Gps have come to us, the nhs nationally and said, there are certain things on the list of prescriptions that probably dont make sense any more. Rather than these being postcode decisions made in different parts of the country, can we have a national consultation, be clear with the public about what that looks like and then have it as a polity across the nhs. That is what we are going to do and generally thinking, people will understand that when people know we need to use the money weve got four things we have been talking about this morning, we shouldnt be spending more than 100 william pounds on remedies for upset stomachs and Travel Sickness and other things readily available at the local chemist. Operations . We are going to be doing more operations over the next several yea rs. Operations over the next several years. That is something that is building on the fact we have very low waiting times now, probably the lowest of any major Western Country. Most people are getting their operation within ten weeks. Most people are getting their operation within ten weekslj most people are getting their operation within ten weeks. I am from itv news. You acknowledge that has to be a trade off, given the funding you are dealing with, how soon can people expect to see improvements in A E Waiting Times . Sir bruce keogh has said it wont happen next year . We are seeing improvements now. At the height of winter we were fewer than nine out of ten patients getting their a e treatment completed within four hours. Now, we are back to nine out of t

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