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junior doctors in england are beginning the second day of their longest ever strike. the six—day walk—out, which comes just two weeks after their last set of strikes, is part of a dispute over pay and conditions. 0ur reporter leigh milner has been talking to doctors and patients at basildon hospital in essex. they've been out on the picket lines since 7:00 yesterday morning. their decision to walk out follows a dispute over pay. the bma, that's the british medical association, says they deserve more, but it's having an impact on patients. at basildon, broomfield and southend hospitals, half ofjunior doctors are on strike. around 100 scheduled operations have been cancelled and 1,200 outpatient appointments have been rescheduled. this week is usually the hardest week for our staff, particularly in emergency departments. we have prioritised particularly our consultant workforce and the junior doctors that have come into work today to focus on emergency care and cancer surgeries.

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treatments being more expensive, looking at people living longer, looking at people living longer, looking at people living longer, looking at things like robotics, a lot of robotics surgery. although that improves outcomes of patients, it is more expensive. so as you improve outcomes and you improve technology for patients, that comes at a cost. �* , , , ., at a cost. briefly. this is a six-day — at a cost. briefly. this is a six-day strike. _ at a cost. briefly. this is a six-day strike. what - at a cost. briefly. this is a i six-day strike. what facilities at a cost. briefly. this is a - six-day strike. what facilities and six—day strike. what facilities and services will have to wait in your trust because of this? 50. trust because of this? so, outpatients, _ trust because of this? so, outpatients, if _ trust because of this? so, outpatients, if you - trust because of this? so, outpatients, if you look i trust because of this? srr, outpatients, if you look at trust because of this? s57, outpatients, if you look at certain areas, we'd sort of cancelled ent today. we had three connects running out of seven, so patients who are waiting for a benign, out of seven, so patients who are waiting fora benign, not out of seven, so patients who are waiting for a benign, not cancer services will have their outpatients. they would have been cancelled and put back. the most important thing is it's taken us a week to cancel those outpatient appointments so we've now got to go back and rebook those. the weights

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to final approval by ministers. three targets would be maintained. diagnosis of cancer within 28 days of referral, the start of treatment within two months of an urgent referral, and treatment starting one month after a decision to treat. but other targets, for example, a two—week wait from an urgent gp referral to see a consultant, including for breast cancer patients, will be dropped. an nhs spokesperson said the changes would remove the need for unnecessary outpatient appointments in order to comply with waiting time rules and allow more patients to get a faster diagnosis. but a spokesperson for the catch up with cancer campaign said while chasing too many targets could be disruptive, the real truth was not enough was being invested in treatment capacity, and tinkering at the edges with sound bites would not put this right. hugh pym, bbc news.

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last year and the outcome is set to be published imminently, subject to final approval by ministers. three targets would be maintained. diagnosis of cancer within 28 days of referral, the start of treatment within two months of an urgent referral, and treatment starting one month after a decision to treat. but other targets, for example, a two—week wait from an urgent gp referral to see a consultant, including for breast cancer patients, will be dropped. an nhs spokesperson said the changes would remove the need for unnecessary outpatient appointments in order to comply with waiting time rules and allow more patients to get a faster diagnosis. but a spokesperson for the catch up with cancer campaign said while chasing too many targets could be disruptive, the real truth was not enough was being invested in treatment capacity, and tinkering at the edges with sound bites would not put this right. hugh pym, bbc news.

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but other targets, for example, a two—week wait from an urgent gp referral to see a consultant, including for breast cancer patients, will be dropped. an nhs spokesperson said the changes would remove the need for unnecessary outpatient appointments in order to comply with waiting time rules and allow more patients to get a faster diagnosis. but a spokesperson for the catch up with cancer campaign said while chasing too many targets could be disruptive, the real truth was not enough was being invested in treatment capacity, and tinkering at the edges with sound bites would not put this right. hugh pym, bbc news. american fbi agents have arrived in ecuador to help in an investigation into the killing of the presidential candidate fernando villavicencio — who was killed less than two weeks before elections were due to take place. his campaign had focused on tackling drug gangs and corruption. fbi agents have met with ecuadorean police and prosecutors after the current president requested assistance from the us.

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