tv BBC News at Ten BBC News February 6, 2017 10:00pm-10:30pm GMT
tonight at ten, 3 special report on the intense pressure being felt across the nhs. we have first—hand evidence of the reality of one accident and emergency department struggling to cope with demand. there's people lined up in corridors on beds, people all stood up in here, not enough seats to sit down, it's absolutely appalling. as the paramedics have to join the lengthy queues, we talk to the doctors about the consequences. the problem is we are taking too many risks now. we're sending home patients we shouldn't be sending because we've nowhere to put them. we'll have an extended report from blackburn on the nhs under pressure. also tonight, the speaker of the commons has a message for president trump. i would not wish to issue an invitation to president trump to speak. john bercow said he was ‘strongly opposed' to president trump addressing parliament during his state visit. meanwhile, donald trump says his travel ban on seven mainly
muslim countries is essential, but it's 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. i'm not saying i'm that good, but i'm 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. they've had patients here for six, eight hours. can't 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. what's it like to be here when it's busy? dangerous. yeah, it's 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 i'm going to collapse if i don't lay down. you need a bed. definitely. it's distressing. it's really distressing for people. how long have you been waiting for? seven hours. we need beds and staff. it'sjust like banging your head against a brick wall. in a hospital you need some privacy. i am covered up, but it's not nice. at its busiest, this was the paediatric emergency department. these nurses and doctors
are working really hard, but there just isn't 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. it's absolutely appalling. the amount of babies are sat on corridors. it's absolutely disgusting. absolutely ridiculous. it's 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? it's unfair, it's unfair. it's 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 o'clock one night, having referred him into the hospital earlier at about nine, ten o'clock. and i arrived at 11 o'clock 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 it's not the care that you would want your own family to receive. i'm 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 can't 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. we've got a gentleman who has been here 1,060 times. what is that doing to this hospital? well, it's 1,060 ambulances, 1,060 attendances. and then there's chris. he's homeless, an alcoholic with mental health problems. for the last three months since i got out of prison, i've 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 he'll 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 today's world. facing these constant demands, nurses, like rachel and lauren. is this what you expected from the job? not to this extent. no, how we've had it the past three months, we've been risking ourjobs, because we've 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. it's hard, it's very hard. many here wanted to talk openly. doctor haq is a consultant. he's worked in the nhs
for more than two decades. have you ever known it like this? no. in 26 years? no. we've 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 shouldn't be sending because we have nowhere to put them. that is dangerous. dangerous. what should be done? that's 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 don't 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. it's already happening at some hospitals as they try to claim back some of the cost of nhs care from overseas visitors who don't qualify for it. you're not entitled to free medical treatment. how much do you charge? it is £800 a day. i can't pay. i'm very sorry. i understand that, but that's 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 mustn't 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, that's 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. that's 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 it's 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, it's 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 can't 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 there's 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 trump's decision to impose a travel ban on seven mainly muslim countries. 0ur chief political correspondent vicki young has the story. it's an honour that's been bestowed
oi'i it's an honour that's been bestowed on pope 's and presidents, 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 trump's 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 minister's door after she invited him ona
minister's 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. that's 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 it's 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. that's to be regretted. but it isa of that. that's 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 doesn't a lwa ys whose value is britain doesn't 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 that's 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 didn't 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. you're 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 company's 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. i'm so happy. i'm 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 day's 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 gunman came three months after tourists were killed at a museum in the country's capital. a holiday company representative has denied giving a safety guarantee. a 19 year—old man has admitted killing an american tourist and wounding five other people in a series of stabbings in central london last august. zakaria bulhan, who's from south—west london, pleaded guilty to the manslaughter on the grounds of diminished responsibility. a court at the old bailey heard he was suffering an ‘acute' episode of mental illness at the time of the attacks. a man who was jailed for murdering a police officer and dissolving his body in acid has been found dead three months after his conviction. stefano brizzi was sentenced in december to a minimum of 2a years in prison for the murder of pc gordon semple. yesterday his body was discovered in his cell at belmarsh high security prison in london. the israeli parliament has passed a
law which legalises around 4000 homes forjewish settlers that had been built on privately owned palestinian land in the west bank. it is the latest in a series of controversial steps taken by the israeli government since the election of donald trump as us president. in france, the centre—right presidential candidate, francois fillon, has apologised for employing his wife and children at public expense, admitting it was a mistake. but in a news conference, he denied allegations that his wife, penelope, did no work, despite being paid hundreds of thousands of euros. 0pinion polls suggest the claims have severely damaged mr fillon‘s chances of becoming president. lucy williamsonjoins us from paris. talk today of relaunching his campaign. what is your sense of how much of this damage is repaired? the
fa ct much of this damage is repaired? the fact he made his appearance today tells you he knows it is serious. he came, he smiled, he apologised, he said that he accepted the public expectations of politicians had changed. but there was a lot of anger and frustration alongside the apology. he said he felt lynched by the media. that he had broken no laws, he had hidden nothing and he had done nothing that he thought was unacceptable that the time. that is where his critics say he is out of touch. but while he is talking about this in legal terms, voters are simply talking about it in terms of how a politician campaign his wife that amount of public funds. i think over the last few days it is really felt as if some local support has been drifting away from francois fillon. today was a last—ditch attempt to pull that back. lucy williamson with the latest on the presidential race in france. cricket, and alastair cook has resigned as england test captain after nearly five years in charge. the essex batsman —
who led his country to ashes victories in 2013 and 2015 — said stepping down had been "an incredibly hard decision", but he knew it was right for him and the team. he intends to carry on playing for england, as our sports editor, dan roan, reports. as a batsman, prolific — alastair cook's legacy as captain is less clear. there were historic highs. few men, for example, lead england to two ashes triumphs. but also, plenty of lows. the most recent, a humbling defeat in india, proved the final straw. in a statement today, cook said: the man he replaced as captain and then reported to, told me that cook had simply had enough. deep down he was getting drained by, isuppose, the relentlessness of being england captain. you are the only one who knows how
much, you know, all the many demands of being england captain, how much that is taking over you. and, you know, alistair was honest about that. and he feels it's time for some new blood, some new impetus. england's longest serving captain, cook led the team in a record 59 tests. despite the burden of opening, he scored almost 5000 runs as skipper. he wonjust over 40% of the matches he captained — not the best record, but better than most of his predecessors. he's worked feverishly hard on his technique throughout the years to improve that technique. and we see, you know, a fantastic test cricketer, the rock of the england batting for the last decade. like his batting, cook was cautious as a captain, sometimes appearing a reluctant leader. a chastening ashes defeat in 2015 led to a very public fallout with kevin pietersen. cook, as ever, battled on. but since then, england have become inconsistent and now need a fresh start. alastair cook standing down as captain has left england with a big decision to make.
the team's next home test series is here at lord's injuly, and then later this year there's the ashes away in australia. so the ecb now have to decide who is the right man to lead england into a new era. the heir apparent has always beenjoe root. but whoever steps into the role, he'll be well supported by england's highest ever runs scorer and one of the country's most respected sportsmen. stilljust 32, cook's time as captain may be over. his time at the crease could continue for years to come. dan roan, bbc news. a pr company representing david beckham has confirmed to the bbc it was subject to a blackmail attempt by hackers threatening to leak beckham's personal emails. the daily mirror says the private messages, in which the former player allegedly complains about not being awarded a knighthood, were published after the firm refused to hand over a six figure sum. a spokesman for david beckham says that the e—mails
were tampered with, and deliberately inaccurate. 0ur media editor, amol rajan, has the story. since hanging up his boots, david beckham's public profile has been largely about charity work, including his role as a unicef ambassador. after playing a key role in the london 2012 games, he wasn't the only person who thought he might be knighted the following year. but the knighthood never came. now hacked e—mails appear to show his anger. it is claimed that david beckham wrote to his pr representative: beckham's team say the e—mails have been doctored. some of this morning's papers were unsparing in their headlines, giving brand beckham a battering. i think most people felt he did deserve a knighthood.
but the daily mirror, which has worked with him on charity projects, lea pt to beckham's defence. i can't really see what david beckham has done wrong. he clearly was upset about not receiving a knighthood, but then the whole of the media predicted he would get one. he worked very hard to bring the olympics to london. and he works incredibly hard for charity. newspapers used to determine the public narrative about the lives of beckham. but social media has changed the game. now celebrities can use new digital platforms to speak directly to the public and try to manage their own image. over the weekend david beckham's son posted this intimate photograph on instagram, perhaps with his father's approval. alan edwards is one of britain's leading pr executives. he worked closely with beckham for over a decade. i think it is really an ebb and a flow. david has had wonderful publicity for a very long time, and i guess this is a moment, it's the laws of the universe. but i'm sure he'll sail through it.
newspapers may not be the force they once were, but negative front pages are bad news for a brand as big as david beckham's. it will take a fresh dose of old—fashioned pr to undo any damage. amol rajan, bbc news. the queen has become the first british monarch to reach a sapphirejubliee, marking 65 years on the throne. a portrait of her majesty, taken a few years ago by british photographer david bailey, has been re—issued for the anniversary. and to mark the occasion, there was a 41—gun salute in london's green park, and other salutes around the country. the queen spent the anniversary of her accession, as she does every year, at sandringham in norfolk. final preparations are being made for the largest—ever exhibition of art by david hockney, one of britain's most
influential artists. it opens to the public at tate britain in london this week, and it features more than 250 pieces, including paintings, drawings, photos and videos tracing his work from his student days in the 1960s. david hockney has been talking to our arts editor, will gompertz. it's all about looking. how do we see? do we see like photographs? no, we don't, i don't think. photographs see geometrically. we must seize psychologically, mustn't we? do you recognise the artist from these early years, with the artist today? yes. yes, i do. yeah. i mean, when i'm painting i was think i'm 30. did you ever feel
under pressure during your career to have a different style, to not do figurative work? well, i neverfelt pressure, no. i always did what i wanted to do. that's what i've done every day of those 64 years. i've done what i wanted to do every day. can you pick a work out which you are less pleased with? one in the exhibition where you go, "that was maybe not my finest hour"? not my finest hour? in your opinion. em... i don't think there's any in the show that i would say are absolutely terrible. i mean, i'm not saying i'm that good.