full market access for us products to our national health service. you are going to sell out out service. you are going to sell out our national health service to united states! this is an absolute invention. it is completely untrue. there are no circumstances in which this government or any conservative government will put the nhs on the table in any trade negotiation. our nhs will never be up for negotiation. jeremy corbyn is trying to conceal the void at the heart of his brexit policy and refusing to a nswer his brexit policy and refusing to answer the question of which side he would take. the conservatives continued the argument on twitter, posting this on their official account: but that tweet and many other have caused controversey. that's because the conservatives changed their twitter handle to "factcheck uk" for the duration of the debate. here's a screenshot. now that has angered the uk's actual independent fact checking agency — full fact. they tweeted quite a move for the conservatives who have already gotten in trouble during the selec

the national health service is a bargain. we just need to fund it correctly, and then the doctors and nurses will be able to do theirjob properly. applause. if you want to bury your head in the sand, you can. but the fact is, nobody could've predicted ten years ago that we would have a population rising by half a million a year. there was no forward planning for this level of population growth, because we were not in control of the numbers coming in every year. they are consequences that we have to live with, and they're consequences that we now have to plan for. on jeremy corbyn. look, jeremy corbyn says, "we invented the nhs back in the 19405. whenever we've been in government, it's been fantastic. when the tories are in power, it's dreadful." he completely forgets the period of time when he himself was a labour member of parliament, when things like the disastrous pfi contracts came in. all i'm saying is, mr corbyn, stop accusing everybody else of having the wrong view on the nhs. your party did, and i repeat the point i m

san francisco health network, behavioral health services is the largest provider of mental health and substance use prevention, early intervention, and treatment services in the city and county of san francisco our total budget sits at about $384 million last fiscal year. 800 budgeted civil-service f.t.e., but that includes not just clinical programs, but also i.t., building, compliance, quality management, contractor facilities, all the infrastructures that keeps our system running. over 80 c.b.o. contractors will also provide a bulk of the behavioral health services. i do want to say we did receive your questions, by the way, and i tried to incorporate them into the presentation, so if you don't get them, ask me again. thank you. we do hope -- we do hold two concepts. many of our clients suffer from long-term chronic conditions such as schizophrenia or complex trauma that can span generations these are not unlike other chronic illnesses such as diabetes. like diabetes, there's often no cure, what treatment can help to manage the onus and prevent complications and negative outcomes.

these are the questions health service leaders want politicians to focus on. that may be a forlorn hope in the heat of an election. dominic hughes, bbc news. our health editor hugh pym is here. the health service is always an election issue, why are leaders making this intervention now? you might say, what's wrong with the debate about the nhs at election time? that's what the public expect and it happens every time because of the importance of the health service. what nhs providers is sane, and it's the same message from medical royal college leaders, is it needs to be a sensible, mature debate and they feel that after just a few days of campaigning it has got out of hand. they think there is a danger of it being weaponised, we've had labour accusing the conservatives of planning privatisation and a us trade deal would open the door to american corporations. we've had the conservatives talking about record amounts of money and more hospitals being built. in the view of these health leaders, it's getting a bit out of hand. what they say specifically is there s

full market access for us products to our national health service. you are going to sell our national health service out to the united states and big

we recognise that there is a political potency around the health service. it matters to people and they care passionately about the health service. it is so important that we have a fair service. it is so important that we haveafairand service. it is so important that we have a fair and balanced debate that pretends —— presents the fact is they are to the public. to illustrate the scale of the challenge, one provider says there are now 4.4 million people in england waiting for routine operations to there are 107 thousand staff vacancies, 9% of the workforce. how to tackle these issuesis workforce. how to tackle these issues is what leaders of trusts say they want to hear from political parties with a proper debate on what is needed in a taxpayer funded service to provide the right quality of care. more on that story and all the other top stories today on exist at six o'clock here on bbc one. dan walker and louise minchin will have all the day's news, business and sport. louise has been talking to dame julie andrews and they will also be talking about le

you're going to sell out health service. you're going to sell our national health service to the united states and big pharma. com pletely united states and big pharma. completely untrue. there are no circumstances whatever that this government or any conservative government or any conservative government will put the nhs on the table in any trade negotiation. borisjohnson table in any trade negotiation. boris johnson wanted table in any trade negotiation. borisjohnson wanted to get back to brexit, although this has been consistently denied he claimed labour would do a deal with the snp that would deliver not one referendum but to. of course jeremy corbyn and the labour party are going to do a deal, and they probably already have done a deal, with nicola sturgeon and the snp to form a corbyn/ sturgeon sturgeon coalition and the price of nicola sturgeon's support, she's made it absolutely clear, would be a second referendum on the union. i think referendum on the union. ithinkl referendum on the union. i think i ought to be a

the state of the health service is always a key election issue. but this time, votes will be cast as the nhs enters its most testing time of year. preparations for winter are well under way, but the pressures are greater than ever. the nhs has already featured prominently in the election campaign — but there is a warning that politicians need to be straight and clear with voters. we thought it was sensible, at the beginning of the campaign, to basically urge politicians to be honest and open and realistic and clear about the promises that they make. and let‘s try and avoid getting into cheap political slogans and trying to weaponise the service, as a means of fighting a party political battle. to illustrate the scale of the challenge, nhs providers says there are now, so far, much of the argument has been about in whose hands the nhs is safest. with labour blaming the conservatives for cancelled operations and longer waiting lists. we do have a responsibility and doctors and nhs leaders we have an honest debate about it and that is why today i

we will be addressing some of the needs of the public health services. then at the next meeting we will have a presentation which will be an overall of behavioural health programs in the department. in addition, i would like to on behalf of the commission, welcome commissioner suzanne gerardo. she has been the chair of the san francisco families first five commission and the founder and trustee of the demerlac academy which is serving underserved children and families. you certainly bring a lot of credentials to the commission, and we're very happy to have you. would you like to say a few words? >> yes. i'm very happy to be here, and i hope with my background in mental health, behavioural health, as a practising psychologist, i'm not just an administrator, i see families and adolescents daily. i look forward to being part of the planning, program, and solutions as the department of public health moves forward. so i welcome the opportunity to serve the city. thank you. >> thank you. welcome, commissioner. >> the second item on the agenda is the approval o

of health and -- state agency of health health and human services so we are continuing to miss her presence greatly. in addition, another change, a long serving director of transitions stepped down from that position. however, she continues to be a valuable member of the d.p.h. leadership team working directly with director colfax on special projects particularly those related to behavioral health, homelessness, and subacute levels of care. so d.p.h. and the network developed and implemented our strategic initiative using lean. as we have discussed here before , it is both a management system for running an organization or business and it is also a methodology for process improvements. lean is based upon the toyota production system that emphasizes the value from the perspective of the customer. in our case, the customers come in the form of clients, patients , residence, and even jailed inmates. lien also values the expertise and experience and knowledge of people doing the job -- doing the work on the front lines. as we have discussed before, healthcare was late and a slow adopter of lean

when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i al

"full market access for us products to our national health service." you're going to sell our national health service to the united states and big pharma. mr corbyn is trying to conceal the void at the heart of his brexit policy and refusing to answer the question of which side, which side he would take. the two men vying to be our next prime minister clashed for nearly an hour but was there a winner into night's debate? we are live in salford tonight. and we'll be getting reaction from some voters in southampton, asking if the debate changed their view of the campaign. also tonight... a leaked report describes a toxic culture at a shrewsbury hospital that left babies stillborn, others brain damaged, and parents still searching for answers. we have been trying to find the truth behind kate's death. this trust still is failing to learn from issues that are current to this day. in hong kong, the police siege of a university enters a third day, with dozens of activists trapped inside, needing food and water. and a magnificent display means wales are on th

or three front pages looking at pressure on the health service, the nhs, get me were hearing earlier that the leaders in the leaders and energy us are so that the leaders in the leaders and energy us are so worried that we have become a politicalfootball. that is a great way to look at it. the even nhs providers are saying it is very dangerous, please don't use the nhs as a political football to your point. it is a massive asset this country, it is a pride of england and around the uk with the other nhs services, and the reason that all of these pieces are coming out is because at least the two main parties, the conservatives and labor party have body talk about promises and commitments and spending, and private contracts, in the case of the labour party, and they are using that and the feeling people have about the health service as part of their election campaign. being an american but living in the uk for a very long time, you have got five children? i bet you visit any more than you would like to, maybe with some of those, i mean i do, i have three boys a. i have been a far too o

there were similar pressures on health services across the uk. they're illustrated by the experience ofjill, aged 88, who has dementia. she was on a trolley in a&e for six hours and her family say they witnessed severe stress in the hospital. it was bedlam. there were trolleys in the corridors, there were trolleys in doorways, they were bringing trolleys in, moving your trolley and pushing you further and further and further, meaning you could fit in two more people. if they were moving a trolley they had to move trolleys out of the way to get trolleys by. you are not being neglected, but you feel like you are being neglected. her family sayjill should never have been sent to a&e and she was let down by local community care. the hospital's apologised but said a significant increase in the number of very poorly patients meant services were under considerable pressure. hugh pym is with me now. these figures were from september and october before winter had set in. there must be real fears about how the nhs is going to cope this winter. yes, sophie,

a pledge from the prime minister's election concerns are raised about britain's ailing health service. hello another streak of cold weather is on its way through it'll take a couple of days 1st of all we remove this front that's pushing most of the warm air out of the way it's become a weaken ragged thing some of this is cloud some of it is what the satellite is picking up his low temperatures already on the ground particularly in canada so the day maxima minus 3 winnipeg plus 4 minneapolis this is slightly warmer them was the case on friday but the streak of snow indicates yet another in. insertion of cold air if you like doesn't reach further west the high ground in the talk about montana and washington and we're up in the teens but the clouds misty so the cold is confined to the northern plains states and the midwest it dips down and goes out again but it is trying to make further subtly progress during sunday going to start up toward $22.00 again and the up is down to rather cold plus one these are the day high temperatures. the caribbean showers are becoming fewer further between

full market access for us products to our national health service. you are going to sell our national health service out to the united states and big pharma. mr corbyn is trying to conceal the void at the heart of his brexit policy and refusing to answer the question of which side he would take. coming up, we'll hear from our reality check correspondent, who will fact—check what the leaders had to say. a leaked report describes a toxic culture at a shrewsbury hospital that left babies stillborn, others brain damaged, and parents still searching for answers. officials in the netherlands say at least 25 people have been found in a refrigerated container on board a ferry bound for the uk. and at 11:30pm, we will be taking an in—depth look at the papers with our reviewers, dawn foster and lord jones. stay with us for that. good evening. with just over three weeks to election day, borisjohnson and jeremy corbyn have come face—to—face in a televised debate, with each party leader questioning the other‘s suitability for number ten. brexit, the fut

scotland already runs its own health service. for people of the border of england and scotland we have got arrangements in place so that if you are in england and you are over the border, you get treated and vice ve rsa . border, you get treated and vice versa. what we need to look at in the event of a scottish referendum voting for independence is how the rules we currently have a work in the future. right now it is nothing for people to worry about. it is something that event the respective government would be thinking about. judy asks if it is more expensive to provide bursaries and train nurses from the uk or bring in nurses from abroad. this is getting at gaps in a number of staff needed. yes, what judy has probably heard is that we have currently got a big shortage of nurses in the uk. in that we think we are about 40,000 nurses assured. and so it is not as simple as one or the other. in the short term it is probably cheaper to bring in nurses from overseas. what we need to do is make sure that we are doing that ethically,

namely, housing, transport, the health service. it wants to make this an election about ending austerity in public services, and if they can do that then it is game on, but we all know brexit is such a massive issue, and mr corbyn has face real issues when he was directly challenged about what his viewers, are you for the eve or do you want to remain? he has only been able to say, well, i want to leave it up to the british people, and that has been weakness which he has been unable to escape from, because the brexit strategy is a balancing act to try to keep on board labour remain as well not alienating those in the west midlands here and in the north of england that have been targeted by boris johnson. north of england that have been targeted by borisjohnson. so, mr corbyn has been having to pursue this very precarious balancing act, and that has been awkward for him, and that has been awkward for him, and that has been awkward for him, and that is why, in here, you will find on the issue of free movements, the conference motion w

cutting waiting lists and improving mental health services? i think you're absolutely right. this is enough money to keep pace with demand and that should mean you are taking as many people off the waiting list is go on it. some of that pressure on target should go down. but unless we sort out the tens of thousands of nursing vacancies in particular, our hospitals will not be able to deliver the care that people need. thank you very much for your time this morning. the impeachment inquiry in washington is about to go public. until now, the testimony has been heard behind closed doors. house democrats are looking at whether president trump abused his power by witholding military aid from ukraine, while pressing for an investigation into one of his main rivals for the presidency, joe biden. mr trump calls the inquiry a ‘hoax‘. 0ur washington correspondent, gary 0'donoghue reports. there was no quid pro quo. no quid pro quo. quid pro quo. three short latin words. in essence, you scratch my back and i'll scratch yours. thank you very much, mr president. that's what the presid

we will fight tooth and nail any attempts to expose the national health service to a post—brexit trade deal with donald trump. the bbc announces plans for two prime—time election debates — a head—to—head between borisjohnson and jeremy corbyn, and one with all the main british parties. jail for an 18—year—old man who stabbed to death his teenage girlfriend ellie gould. and the emotions of a d—day veteran as he sees a memorial being built for his fallen friends. i had a job to do. all these fellows did a good job. all these men, these wonderful men. and coming up on bbc news... all the latest reports, results, interviews and features from the bbc sports centre. good afternoon and welcome to the bbc news at one. severe flood warnings are in place in parts of england — meaning there's a danger to life. some residents have been rescued from their homes. in sheffield, dozens of people spent the night stranded in a shopping —— we had just found the body of a woman has been found in matlock in derbyshire. in sheffield, dozens of people spent the night stranded in a shoppin

this comes after a decade of cuts in our health services. i am appalled by these figures today, they are the worst figures on record. it is devastating for patients that need help and support and treatment. it is devastating for those people that work in our health service. in england, 83.6 patients were treated or assessed in a&e within four hours in october. for the rest of the uk, the latest figures are for september. in scotland the level was 89.3% in that month. in wales, the number was lower at 75%. in northern ireland, just 59.6% were treated or assessed in four hours in major a&e units. there were similar pressures on health services across the uk. they are illustrated by the experience ofjill, aged 88, who has dementia. she was on a trolley in a&e for six hours and a family so she experienced severe stress. a&e for six hours and a family so she experienced severe stressm was bedlam. there were trolleys in the corridors, there were trolleys in doorways, they were bringing trolleys in, moving your trolley and pushing you further and f

service. now we know the truth, whenjohnson says, get brexit done, it's a fraud on the british people. this is the reality. years of bogged down negotiations, and our nhs is up for sale. the documents were then handed out by nhs staff, including labour members wearing their scrubs. the papers do show there've been talks between the uk and the us about a future trade deal. they do show the us wants easier access to uk markets in all sorts of areas, including medicine, but they do not prove there has been agreement between the white house and the tories about privatising the nhs. in these piles and piles of documents, do you have evidence that uk ministers agreed that the health service should be part of trade talks? if you want to know whether ministers were involved in these talks or not, then they sanctioned the talks, they are obviously fully aware of the talks, and they are the ones that were declining to make the documents published and public. the government has said again and again the n

health services. and now i yield back to my friend, the gentleman from arizona. mr. o'halleran: i yield five minutes to my colleague, mr. costa from california. mr. costello: i thank for leading -- mr. costa: i thank the gentleman from arizona. the blue dogs represent the diversity of our country but many of us represent rural areas and health care is a critical need, a critical issue. in 2010 before the affordable care act became law, in the district that i represent in california in the san joaquin valley, 22% of my constituents had no health care insurance whatsoever. and 17% were underinsured. the affordable care act has a number of areas that we could provide much improvements if we could get bipartisan agreement. but the fact that we have the ability to protect individuals from -- who have pre-existing conditions, the fact that children can be on their parents' health care insurance until 25 and things that have expanded medicaid and medicare and what gets often overlooked is the $8 billion that

mental health s.f. will create a 24/7 mental health services center where anyone can go for care. we will have intensive case management and an office of care coordination so people do not fall through the cracks. we will have a responsive stream so that responders are trained clinicians. i want to echo and shout out the staff that are here because our jails right now should not be the place where people are getting mental health care. we need to have actual hospitals and community care and supportive housing where people are getting treatment. so our excitement to partner with the two of you and to create a system that works is so exciting. we're going to expand our system so we're not putting people out on the street because there is not a bed available. we need to have a private service for a system that supports people. people are abandoned on our streets, cycling in and out of our emergency rooms looking for residences. we need a system that looks out for them, takes care of them, and has a place for them to go to get the care they deserve. i want to give a huge, huge thank y

waiting times and improve mental health services. prevention and well—being will be at the heart of our mission to help people live healthier, happier, longer lives. the quality care patients deserve, a rescue fund for oui’ patients deserve, a rescue fund for our nhs. we'll ask whether labour's figures add up. also this lunchtime: as the army arrive in south yorkshire, the prime minister meets people who've lost everything in the floods. i think the shock of seeing your property engulfed by water is huge, and also the anxiety about what may still be to come. is the drive for electric cars risking damage to the ocean bed? we have exclusive access to a project assessing the impact of deep sea mining. so the machines are being prepared for deep sea mining, but is it the right thing to do? i'll be reporting on the risks of damage to the ocean floor. and tree planting, car—sharing and wildlife corridors, how green is your football club? and coming up on bbc news. sam kerr has joined the women's super league leaders chelsea — the a

i am a homeowner and i am a mental health services consumer. unlike a lot of the people who will be served by mental health sf, i have an incredible support system. i have a wonderful family and i don't want for material things. i have kaiser and i have been waiting for three months to access mental healthcare that i need. and i'd like to address the concerns i believe are held by the mayor's office and proponents of urgent care sf. it may be hard to draw the line between holding public insurance accountable and what that means for the city. >> we are the answer that we seek today. you are creating something amazing putting structure to action. hope for people being a voice for those who don't have as voice. i work in with a lot of tenants and we see a lot of fear and now we're seeing tenants maybe lost their homes or they're going through construction as a form of harassment and we're seeing people, for the first time in san francisco saying we're going to make san francisco great again. we're going to make san francisco great because we're ta

services through their health plan. they will actually help to navigate that system. they also have liaisons within all three of our health plans that provide them a direct line. so should there be an issue or a concern a member is having that they don't feel they are getting the right type of care, they connect with these liaisons through our health plans, and those liaisons can actually react very quickly. they also work to do a lots of collecting data to see what is working and what is not working, and that information is provided back to our liaisons to see how the health plans can improve the services and getting the right type of line of connection to our members to the right people. i will pause there to see if there's any question specifically about the referral process. >> are the e.a.p. team members all full time? >> yes. so for organizational services, i will focus on critical incident response. a critical incident response typically is an event that overwhelms an employee when it comes to something that is n

the department of public health services gave money for counties to address vulnerable populations. counties were invited to apply for innovation for their particular vulnerable population, and san francisco chose adults experiencing homelessness. part of the deal was that we were to work in across agencies to address the social determinants of health in order to improve healthcare. we are paid to deliver services that medical doesn't pay us to do, we get money for sobering center, medical respite, care coordination, housing services, for assessing people to prioritize them into housing. so all these services, about $36 million a year to san francisco, half of it is a match. i am going to talk today a little bit about what we're doing now with whole person care. these are our departments. department of health and homelessness are the co-leads with the state. included is benefits to the department of human services, aging and disability services -- aging and adult services. and then e.m.s. services through the fire department. in addition, we do a lot of work with ucla and we can tal

there were similar pressures on health services across the uk. they're illustrated by the experience ofjill, aged 88, who has dementia. she was on a trolley in a&e for six hours and her family say they witnessed severe stress in the hospital. it was bedlam. there were trolleys in the corridors, there were trolleys in doorways, they were bringing trolleys in, moving your trolley and pushing you further and further and further, meaning you could fit in two more people. if they were moving a trolley they had to move trolleys out of the way to get trolleys by. you are not being neglected, but you feel like you are being neglected. her family sayjill should never have been sent to a&e and she was let down by local community care. the hospital's apologised but said a significant increase in the number of very poorly patients meant services were under considerable pressure. the conservatives say they will seek to control immigration by introducing a points based system that would be firm but fair, if they win the election. but the home secretary, priti

a&enational health service departments just had their worst september on record. this morning the royal college of emergency medicine said this winter, the nhs needs over 4000 extra beds. could the prime minister explain why, under his government, the number of people in england waiting for an operation has reached a record high of 4.4 million? >> mr. speaker, there is a reason why more people aren't receiving nhs. the working -- the energy is is working hard at achieving more than ever before. if you want to look at what labor would be like an office, the smp government negotiated a higher price for this drug. they did. they did. they got the price totally wrong. he should have a word with them. countryeople of this want a horrific foretaste of what life would be like under nhs, look atur-run the nhs in wales where all health targets are routinely missed. the waiting target hasn't been met since 2008. inpatient outpatient hasn't been met since 2010. urgent cancer treatment, he talks about cancer treatment. it hasn't been met since june 2008. that is how labour ru

about how bad is the health service crisis that. launching the fights i get.

you national health service and its deterioration. final word. you the final word is we have been very clear on that. the documents are published on the internet but the... what i would say finally is we can only be of this debate forward if we can get brexit done and what is learnt tonight as the labour party have chosen for total indecision on brexit. and on the doorstep sport on the doorsteps, when you open a door, when a door opens and a labour party candidate stands there and says, we've decided to be neutral on brexit, it will go down like a lead balloon. it doesn't, people understand the offering are making very clearly. i knock on doors right around the country thought might men gotta leave it there. thank you for being with us this evening. we know where the fault lines are, don't we? we know where those two were coming from. what on brexit tonight and of course labour party very keen to talk about their manifesto which of course was published just yesterday. let's pick up with someone whose leader was not represented on the station nigh

products to our national health service. [applause] mr. corbyn: you will sell our natial health service out to the united states. prime min. johnson: our nhs will never before sale, and i'm amazed how often this comeup. the only reason it comes up is because mr. corbyn is trying to conceal the void at the heart of his brexit policy and refusinge to answer estion. laura: be aware, this election could be a major juncture for the u.k. the tories re out another referendum on scottish independence. labour? prime min. johnson: jeremy corbyn and the labour party have probably aeady done a deal th nicola sturgeon and the s&p to form a corbyn-sturgeon coalition, and the pricef that deal, the price of nicola sturgeon's support -- she has made it absolutely clear -on would be a sreferendum on the union. mr. corbyn: i think i ought to be able to reply to this nonsense. this nonsense, the idea -- [applause] of. corbyn: there is not going to be a coalitioabor and anybody else. there are no deals that have been done and there will be no deals done. prime