Government is going to have to be unpopular if it Wants to change the country. Speaking to sunday with Laura Kuenssberg and in his first major interview in number ten, Sir Keir said it was vital to do difficult things now such as the cuts to Pensioners Winter Fuel payments, and not run away from hard choices, which he accused previous Governments of doing. The decision to end Winter Fuel payments for all but the poorest is among the difficult decisions. Mps will vote on it next week and we know several are planning to make their unhappiness known. But this Morning Keir Starmer defended those plans on Winter Fuel. Talking about it with the Laura Kuenssberg. Its talking about it with the Laura Kuenssberg kuenssberg. Its tough, its not easy. Kuenssberg. Its tough, its not easy, and kuenssberg. Its tough, its not easy, and no kuenssberg. Its tough, its not easy, and no prime kuenssberg. Its tough, its not easy, and no Prime Minister Wants not easy, and no Prime Minister Wants to not easy, and no Prime Minister Wants to take a decision like this Wants to take a decision like this but Wants to take a decision like this. But the Winter Fuel payments are now to be targeted, they were untargeted before targeted, they were untargeted before i targeted, they were untargeted before. I think everybody thought that wasnt a particularly good system so it needed particularly good system so it needed to be targeted. Obviously those most in need will continue to get the payment. All of those on pension payment. All of those on Pension Credit will get the payment and we want to get as many payment and we want to get as many people on to Pension Credit many people on to Pension Credit as many people on to Pension Credit as we can. The Trades Union Credit as we can. The Trades Union Congress conference also ets Union Congress Conference also gets under way today, they will vote gets under way today, they will vote on gets under way today, they will vote on this policy next wednesday and we know there will be wednesday and we know there will be some serious opposition there will be some serious opposition there. ~. will be some serious opposition there. A,.. there. Moving onto the nhs, which he there. Moving onto the nhs, which he spoke there. Moving onto the nhs, which he spoke a there. Moving onto the nhs, which he spoke a lot there. Moving onto the nhs, which he spoke a lot about. There. Moving onto the nhs, l which he spoke a lot about this morning. A new report from Lord Darzi setting out in detail some of the monumental challenges facing the nhs. Today we have had some of it, talking about worsening Health Outcomes for children. So Keir Starmer was asked about the nhs in england, saying it had been broken by successive conservative Governments. Here he is now talking about Lord Darzis report. He he is now talking about Lord Darzis report. Darzis report. He has been really clear darzis report. He has been really clear that darzis report. He has been really clear that the darzis report. He has been really clear that the nhs i darzis report. He has been really clear that the nhs is | really clear that the nhs is broken really clear that the nhs is broken but not beaten. The reason broken but not beaten. The reason he identifies, i will rattte reason he identifies, i will rattle through without spending much rattle through without spending much time, is because of the money much time, is because of the money taken out of the nhs, particularly in the early years of the particularly in the early years of the coalition 2010 onwards. The Andrew Lansley reforms which the Andrew Lansley reforms which were hopelessly misconceived, took a lot of money misconceived, took a lot of money and then had to be reversed. And then covid on top of that, reversed. And then covid on top of that, which has put us in this of that, which has put us in this awful of that, which has put us in this awful position for the nhs this awful position for the nhs in this awful position for the nhs.. this awful position for the nhs... this awful position for the nhs. ,... nhs. In response, Shadow Health Secretary victoria nhs. In response, Shadow Health Secretary Victoria Atkins nhs. In response, Shadow Health Secretary Victoria Atkins said, Secretary Victoria atkins said, after ia years in opposition, Labours Instinct is to politicise Childrens Health rather than provide solutions and reform the nhs. But lets think about next week. The conservatives have joined virtually all of the Opposition Parties in the Uk Parliament in opposing those Winter Fuel payment changes. Keir starmer says today he is prepared to be disliked, so next week when parliament and Unions Vote on this, we will see the scale of just how unpopular he is prepared to be on this. Labour also aims prepared to be on this. Labour also aims to prepared to be on this. Labour also aims to increase prepared to be on this. Labour also aims to increase the also aims to increase the number of appointments and operations done each week by A0,000, to help hit the 18 week waiting time target. Research found that would only deliver around 15 of the extra capacity needed to get back to reaching the target. I spoke to matthew taylor, the Chief Executive of the nhs confederation, and he told me what else needs to be done. The Re Ort we what else needs to be done. The report we have what else needs to be done. Tie report we have done what else needs to be done. Tt;e report we have done jointly demonstrates is what Wes Streeting has announced so far in terms of Weekend Working and hospitals sharing will only take a small way to meeting that target. That is for to reason, partly because there are so many people waiting, 7. 6 million, but also all the time new people come onto those Waiting Lists. So demand is likely to grow by about 3. 8 per year. So you have to deal with the stock of people built up, but also the flow of people. So today we argue that were going to have to put in place a range of other measures if we are going to have any chance of meeting that 18 Week Target by The End of this parliament. Target by The End of this parliament. ~.. ,. parliament. What measures are needed . Its parliament. What measures are needed . Its a parliament. What measures are needed . Its a range parliament. What measures are needed . Its a range of parliament. What measures are needed . Its a range of things. | needed . Its a range of things. Better analysis of Waiting Lists. You need digital tools to do that. There were people on Waiting List who dont need to be there. There are people who have been on multiple times. If you can contact people on Waiting Lists, you find some of them dont need an operation any more, that can reduce it by an extent. Using methods we know work, like elective hubs, which are places where you only do this elective surgery, hips and knees, no emergency department. Generally elderly frail people who are not able to get out of the hospital because there is no social Care Or Community provisions. Theyjust focus on these operations. They are 20 more efficient than doing them in general hospitals. I have visited several. We just dont have enough. We need an awful lot more of those. We also have to address the issue of demand. If the nhs continues to meet ever growing demand only, we are not going to be in a sustainable position. Nearly everything we recommend today is already out there in the health service, but its only in pockets. We need that to be everywhere. If you took the best practice that exist in the nhs and made it universal, we could meet this target, but that requires investment. When Ou Sa that requires investment. When yOu Say there that requires investment. When yOu Say there is that requires investment. When yOu Say there is best that requires investment. When yOu Say there is best practice i yOu Say there is best practice happening in pockets, where are those and what is stopping that already from happening elsewhere . I get you are saying investment is needed to move that elsewhere, but what is it in the first which means some pockets are doing better than others . We pockets are doing better than others . ~. pockets are doing better than others .. ,. others . We have a 12 Billion shortfall in others . We have a 12 Billion shortfall in maintenance others . We have a 12 Billion shortfall in maintenance in i others . We have a 12 Billion. Shortfall in maintenance in the health service. Reports in the past, hospitals are crumbling with outdated it systems. But where we have had investment, you can see it. I was in newcastle a few months ago, looking at their Day Treatment centres. Innovating all the time. People arrive, they have the operation quickly, they go home. Just a few hours later. Patients really enjoy it, its a very efficient process that enables them to get on with their lives. Similar work in london, in ascot. These places exist but we need twice as many, and thats only part of what we have to do. One of the Big Question is now, as i understand it, the chancellor will talk about Capital Investment in the Autumn Statement in a month. That was the Chief Executive statement in a month. That was the Chief Executive of statement in a month. That was the Chief Executive of the statement in a month. That was the Chief Executive of the Nhs L the Chief Executive of the Nhs Confederation Matthew taylor. Thousands of offenders who have served A0 of their Prison Terms will be eligible for early release next week. The Government said it is necessary because of severe overcrowding in jails. Because of severe overcrowding injails. There are because of severe overcrowding in jails. There are fewer than 500 spaces left in mens prisons in england and wales. The crisis had been made worse by the convictions of hundreds of people involved in the riots last month. The ceo of a charity that helps young men find a way out of the Justice System gave us her assessment on whether the early release of this many prisoners is a cause for concern. This many prisoners is a cause for concern this many prisoners is a cause for concern. We know that every Day Prisoners for concern. We know that every Day Prisoners are for concern. We know that every Day Prisoners are released. For concern. We know that every Day Prisoners are released. The | Day Prisoners are released. The significant fact is people are being released early, 10 early, for some people that means a week early, but for other people may be up to a year. But the key concern is always about what happens on release. When you are released, to stay out of prison, you need key things. Somewhere to sleep, so you can actually stay off the streets. You need work, support, access to benefits, mental health support. And the big challenge we face as a sector, both statutory and voluntary sector supporting people Living Prison, we have more people Living Prison than we would normally on a day to day basis, so we need more support services. Thats the concerns. Along with many other organisations in the sector, we have worked really closely with the Probation Service and the Prison Service to get ready. We are concerned there is not enough housing, not enough support, but we are working closely to make sure as many of those people released now are able to stay out of prison and build a new life. So if there is this lack of necessary support to stop reoffending, what do you fear that the Reoffending Likelihood will be . . That the Reoffending Likelihood willbe ... will be . Again, another good but very hard will be . Again, another good but very hard question will be . Again, another good but very hard question to but very hard question to answer. On average, one in three people released from Prison Returns to prison. Thats not always about a new offence, they might have breached their licence conditions, and that might be not sleeping at the address they have been registered to when they left prison. Those things are often out of their control. So we absolutely know that when people are suddenly released, as happening, many more than we would normally see, and there is a crunch in this country with the housing crisis, we anticipate more people will be recalled to prison for breaching their licence conditions. Thats why we are working so closely with the prison and Probation Service. But we really want to see a change, an understanding of the support needed for someone Living Prison. Switch and other organisations is calling for a national resettlement framework, making sure that when someone is released, they have housing not just for the first six weeks as often happens, but actually ongoing, so they can really build a stable light. Expect to see the Recalls Increase but we are doing everything to prevent that for the people we are working with. A stable life. So it sounds like things are going to get worse. If we are going to get worse. If we are going to get worse. If we are going to have all these recall is on top of the lack of space, isnt this going to worsen the situation . Situation . The thing about recalls, situation . The thing about recalls. They situation . The thing about recalls, they are situation . The thing about. Recalls, they are preventable. The Probation Service are overloaded but they are also taking this really seriously. We have been really impressed with what we have seen from the Probation Service and the work they have done. We had longer to prepare, we are getting information about young people leaving prison much earlier than we normally work. Brilliant conversations, really helpful conversations with the Probation Service, making sure we are getting referrals as early as possible. So the challenge is there are not enough places. Theres Nothing Anyone can do about that right now except to reduce the demand, we cant build a prison overnight. So the really important thing is the prison and Probation Service work in collaboration with the third sector to make sure support is provided. Everything we see from the prison Probation Service right now is really positive so we are encouraged. The challenge is to make sure we keep the numbers of recall down. King charles has arrived at Crathie Kirk near balmoral on the second anniversary of the death of his mother, Queen Elizabeth ii. The king could be seen in the Back Seat of the State Bentley with camilla at his side as they headed to the church for a service, which also marks two years since his accession to the throne. Here in the uk, surgeon and former Labour Minister Lord Ara Darzi says children are being let down in several ways, including a shortage of some medicines to treat adhd Thats Attention Deficit hyperactivity disorder. Young people who have the condition say they Cant Concentrate at school, and feel like theyre being set up to fail, as Ben Moore reports. New term, new challenges, but one thing wont change in Sixth Form for 16 year old alice, her Adhd Medication is still in short supply. It Adhd Medication is still in short simply Adhd Medication is still in short supply. It gave me the ability to short supply. It gave me the ability to actually ability to actually concentrate. Like, Ifi Ability to actually concentrate. Like, if i hadnt had the medication, i wouldnt have been able to sit down and study, orfocus on my exams. Alice relied on her medication for Gcse Revision and exams. And is pretty chuffed with her results. T and is pretty chuffed with her results.. results. I got higher than my predictions. Results. I got higher than my predictions. I results. I got higher than my predictions. I got results. I got higher than my predictions. I got sevens, i predictions. I got sevens, eights, nines and a6, so. But there are eights, nines and a6, so. But there are still eights, nines and a6, so. But there are still a eights, nines and a6, so. But there are still a uk wide shortage or some hd hd Adhd Medications, so her mum is looking for a pharmacy that actually had stock. It looking for a pharmacy that actually had stock. Actually had stock. It got worse rather actually had stock. It got worse rather than actually had stock. It got| worse rather than better. Actually had stock. It got worse rather than better. Our normal worse rather than better. Our normal Pharmacist Couldnt fulfil normal Pharmacist Couldnt fulfil the prescription at all, so we fulfil the prescription at all, so we were unable to get anything. We have just found some anything. We have just found some sombre different pharmacist which was really lucky pharmacist which was really luc.. pharmacist which was really luc. lucky. This is a brand ive never tried lucky. This is a brand ive never tried before. Lucky. This is a brand ive never tried before. I lucky. This is a brand ive| never tried before. I have lucky. This is a brand ive i never tried before. I have to mix these two to make the dose i need. Ideallyi mix these two to make the dose i need. Ideally i dont want to be starting a new School Year with meds that ive never tried before. .. Before. Alice is starting her alevels before. Alice is starting her alevels making before. Alice is starting her alevels making the before. Alice is starting her alevels making the best l before. Alice is starting her| alevels making the best of A Levels making the best of what the family can get hold of. T what the family can get hold of.. of. I could be getting a headache of. I could be getting a headache as of. I could be getting a headache as a of. I could be getting a headache as a side of. I could be getting a I Headache as a side effect, of. I could be getting a headache as a side effect, i could be feeling sick, all because im changing medication, which you are not meant to do, but i have to do it to prepare for Sixth Form and the next few months of my life to make sure i have enough. Life to make sure i have enough life to make sure i have enou h. ~ , enough. In the uk, Adhd Medication enough. In the uk, A