A spectacular view of earth. Heres our Science Correspondent Pallab ghosh. Back at home, we all have a lot of Work back at home, we all have a lot of Work to back at home, we all have a lot of Work to do. Back at home, we all have a lot of Work to do, but from here Earth Looks Work to do, but from here Earth Looks like Work to do, but from here Earth Looks like a Work to do, but from here Earth Looks like a perfect world. Historic worlds for an looks like a perfect world. Historic worlds for an historic looks like a perfect world. Historic worlds for an historic moment. Looks like a perfect world. Historic| worlds for an historic moment. Out comes the first private Sector Astronaut to walk in space, silhouetted in earth orbit, Billionaire Jarrod Isaacman paid millions for this experience. Your mind is partly in the capsule, so more like baby steps, but a chance to move around to test the mobility of the spacesuit. The to move around to test the mobility of the spacesuit. Of the spacesuit. The entire operation of the spacesuit. The entire operation is of the spacesuit. The entire operation is two of the spacesuit. The entire operation is two hours, of the spacesuit. The entire operation is two hours, so l of the spacesuit. The entire L Operation is two hours, so we of the spacesuit. The entire operation is two hours, so we will see how everything progresses, but we dont need very long out there, we dont need very long out there, we are not building structures on the international Space Station or repairing anything, soon as soon as we can get the data we have, we will cycle another Crew Member out. But at the crewmember is sarah gillis, her first at the crewmember is sarah gillis, herfirst time and at the crewmember is sarah gillis, her first time and space, and she at the crewmember is sarah gillis, herfirst time and space, and she is already making history, standing outside the capsule. Most Crewed Spacecraft have an airlock, which is a sealed door between the vacuum of space and the rest of the spacecraft. Normally, its depressurised when the astronauts go in and out, but dragon doesnt have an airlock, so the entire craft was depressurised. The non spacewalking astronauts were fully suited up and strapped into their seats, and extra Nitrogen And Oxygen tanks have been installed to repressurise the capsule when the spacewalk is over. The astronaut blasted off on tuesday, going further into space since the Apollo Moon missions of the 1960s and 1970s. The spacecraft reached a maximum altitude of 870 miles above the earth, thats nearly three and a half times the distance to the international Space Station, which is 250 miles. Its orbit to go to the region of space that is higher in radiation, called the van allen belt, which starts at about 600 miles, but the astronauts were safe inside the spacecraft. The muscle then came below the Radiation Dose to 435 miles of the astronauts could carry out their spacewalk safely. Lip could carry out their spacewalk safel.. , safely. Up until now, every single sacewalk safely. Up until now, every single spacewalk has safely. Up until now, every single spacewalk has been safely. Up until now, every single spacewalk has been professionall spacewalk has been professional astronauts through a government agency, eitherthe astronauts through a government agency, either the soviets or the americans, the russians these days, so to have the first one done commercially is a big step forward for the commercial sector and will push the boundaries of what they can do, and it will extend their capabilities, and we are likely to see many more of these in the future. It see many more of these in the future. ~ ,. see many more of these in the future. ~ ,.. see many more of these in the future. It has only been astronauts Working for Government Space agencies to have done this. Until now. This is the first ever sector grew to have walked in space. The aim is to reduce costs so that Space Travel can become more commonplace and humans can have a long Term Presence on the moon, and possibly even on mars. on the moon, and possibly even on mars. , on the moon, and possibly even on mars. ,. mars. Rather than Ust Stepping Out of a spacecraft. Mars. Rather than jUst Stepping Out of a spacecraft, next mars. Rather than jUst Stepping Out of a spacecraft, next time mars. Rather than jUst Stepping Out of a spacecraft, next time they of a spacecraft, next time they might be stepping onto the surface of the moon, building research bases, places for people to live for extended periods of time on the moon. Everything is incremental, but there is real forward moon. Everything is incremental, but there is Realforward Momentum now. The historic spacewalk now over, and are so many first already achieved, the Crus Attention returns to carrying out experiments before Beginning Theirjourney Home in two days time. Pallab ghosh, Bbc News. And pallab is with me. Are we entering a new era of Space Exploration . It isa it is a new era, and i am excited too. 50 years ago, 12 men landed on the moon, and then nothing, not a lot happened, but that rush is back on, and it was triggered by china announcing that it wanted to see an astronaut on the moon. So all of a sudden, it became about geopolitics, dominance and space, national security, so after decades of not caring, the us congress suddenly started pouring money into it, and other nations have their interest, in europe and asia, and if you add to that the private sector that is getting bolder and bolder, driving down the costs of Space Travel, all taken together, we will get back to the moon, we will get there often, and we are likely to stay. {lilia the moon, we will get there often, and we are likely to stay. 0k, Thank Ou Ve and we are likely to stay. 0k, thank you very much. And we are likely to stay. 0k, thank you very much, pallab and we are likely to stay. 0k, thank you very much, Pallab Ghosh and we are likely to stay. 0k, thank you very much, Pallab Ghosh there. The statistics and peoples lived experiences have for years now told a story of an nhs in england under severe strain. Now the Prime Minister has concluded the nhs is broken but not beaten, after a review by lord darzi, a surgeon and former labour minister. It found long waits for care and poor Survival Rates for cancer. Sir Keir Starmer said investing in the Health Service would always be a priority, but he added before the Money Taps were turned on, the plumbing had to be fixed. The government said three big shifts were needed preventing illness in the first place, moving more care from hospitals to care in the community, and continuing to improve technology to create a digital nhs. Heres our health editor, hugh pym. Voices from the nhs Front Line today. Its a really difficult time to be a gp. The attitude and some of the rhetoric that you hear is just really demoralising. When i talk to people, its, i cant wait for my retirement, ive got this amount of time left. Its a burnt out Workforce. And callers to the bbc included patients. I just thought what brilliant people thatjoined those dots and literally saved my life. I think it is really important that no one expects anything to change overnight. All on a day when a bleak report on the state of the nhs in england was published. Louises experience sums up one of the key problems long waiting lists. We spoke to her in april, when shed waited a year and a half for a Knee Replacement and had to take early retirement as a teacher. My mobility was so poor that i didnt feel comfortable or safe in the classroom. Five months later, we meet her again. Shes had the operation but went private. She felt she just couldnt wait any longer on the nhs. I feel selfish for doing that and for betraying something that i believed in very firmly all my life. But i believed in very firmly all my life. But i fell believed in very firmly all my life. But i fell i believed in very firmly all my life. But i felt i didnt have any choice, and i but i felt i didnt have any choice, and i feel but i felt i didnt have any choice, and i feel so guilty about the people and i feel so guilty about the people who cant do what ive done and are people who cant do what ive done and are not people who cant do what ive done and are not lucky enough to have a pension and are not lucky enough to have a pension to and are not lucky enough to have a pension to ride. I mean, we are not wealthy, pension to ride. I mean, we are not wealthy, irn pension to ride. I mean, we are not wealthy, imjust pension to ride. I mean, we are not wealthy, im just a teacher, my husband wealthy, im just a teacher, my husband is wealthy, im just a teacher, my husband isjust an it, but were still husband isjust an it, but were still lucky husband isjust an it, but were still lucky enough to do it. The Prime Minister says the answer is nhs reform, rather than just money, but what does that mean in practice . You talk about shifting resources into community health care, improving technology, and prevention of ill health. But these ideas have been talked about for some time, some progress has already been made. Whats new and different about your Reform Ideas . That weve got a raw and honest assessment of where were really at, that were clear eyed about this, meaning we need a ten year plan, not a short Term Set of decisions, and that weve got the mandate for change to carry this through. The diagnosis of whats gone wrong came from this leading surgeon, lord darzi. He carried out a rapid review for the government. The nhs is in a critical condition, but the vital signs are stable. We need, as i said, the resources, we need to motivate the staff, we need the infrastructure to transform every pathway of care, and we can get it back. He is highlights crumbling nhs buildings and low investment in equipment. Tackling that, he says, will make the nhs more efficient, but that will need money which ministers warn is hard to find right now. Hugh pym, Bbc News. Our political correspondent Joe Pike is at westminster. How high are the stakes for the Prime Minister . They are incredibly high, reeta, is partly what weve seen today from Sir Keir Starmer is a big dose of expectation management. As with the public finances, he wants to make it clear there will not be a quick or easy fix, and he wants voters to give it ten years to sort it all out. But from my conversations with government, there are a couple of other things he was trying to do in that speech. One of the things was making a plea to those within the nhs to change their culture. We have seen stories in recent years of things going wrong in hospitals, in some cases being covered up, Senior Manager being accused of not taking the wrap. As one source told me today, we need the nhs facing up to things going wrong, sounding the alarm when it does, and shock the nhs out of that Cover Up Culture for the sake of patient safety, of course. The other thing that im told Sir Keir Starmer wanted to do was try and set the landscape for the battles ahead, make it clear that the diagnosis is bad because the prescription will not be easy. Those within government think they could be significant battles over further Public Health interventions, restrictions, battles with unions, battles over the complexities of social care, and also potentially battles over a larger role for the private sector, and therefore Keir Starmer wants to make it clear how bad things are before those battles begin. But also, finally, reeta, he has made it clear that health in england is at The Centre of his premiership, and now there is pressure to try and deliver, and as one in government told me today, failure is not an option. Thank you very much, Joe Panik reporting from westminster. Well, earlier today, the government confirmed that a ban on Junk Food adverts being shown on tv before 9pm will come into force on 1st October 2025 as part of a drive to improve Public Health. In addition, online adverts for products that are high in fat, Salt And Sugar will be banned altogether. The inquiry into how the countess of Chester Hospital handled Lucy Letby s crimes has been told about a review of letby s time at a different hospital where she did placements in 2012 and 2105. The inquiry heard that liverpool Womens Hospital found that babies Breathing Tubes became dislodged at a markedly higher rate when Lucy Letby was Working there. Judith moritz reports. The crimes Lucy Letby s been convicted of all stem from one year of her time as a neonatal nurse in chester. Hello lucy, is it . Yesm but after her trial, the police confirmed that they were investigating her full career, including Training Placements elsewhere. Letby spent three months at liverpool Womens Hospital in 2012 and another few months there in 2015. Shes been convicted of attempting to murder a baby at chester by dislodging her endotracheal, or breathing, tube. Today, The Public Inquiry heard that its very rare for such tubes to move during a nursing shift, but the hospital in liverpool has made a startling discovery. You will hear evidence that it generally occurs in less than 1 of shifts. As a side note, you will hear that in audit carried out by liverpool Womens Hospital recorded that whilst Lucy Letby was Working there, dislodgment of endotracheal tubes occurred in 40 of shifts that she Worked. One may wonder why. The inquiry heard opening statements on behalf of The Babies parents. Those families are anonymised because of court orders, but today their lawyer said some of them are concerned that thats cultivated an environment where people feel able to voice vile opinions about the case on Social Media whilst humanising letby. They also pointed their anger at the hospitals former executives, having seen the written statements they provided to the inquiry. Their continuing denials and deflections are painful to bear. It is hoped and expected that by the time they attend to give evidence before you in a few weeks time, they will demonstrate far greater understanding of what went wrong at their hospital. The families pointed the finger at former Chief Executive tony chambers, who they say should have overseen investigations into why babies were dying, along with medical director ian harvey. They said consultants whod tried to raise concerns at the hospital were met with the Obdurately Closed Minds of their managers. Tomorrow, the inquiry will hear opening remarks on behalf of some of those bosses who were running the countess of Chester Hospital during Lucy Letby s time there. Judith moritz, Bbc News. A court has been hearing that a placard held by a pro palestinian demonstrator depicting Rishi Sunak and Suella Braverman as coconuts was racially abusive. Marieha hussain, whos 37, held the poster up at a protest last year. She pleaded not guilty to racially aggravated public order offences and her lawyer says the placard was political criticism. Scotlands only Oil Refinery will close next year, with 400 jobs set to be cut. Petroineos, the owners of the Grangemouth Plant on the firth of forth, confirmed that the company would transform the site into a terminal for importing rather than refining. The Unite Union called the closure an act of industrial vandalism. Our scotland editor, james cook, is in grangemouth. James. Yes, this site contains three businesses james. Yes, this site contains three businesses which james. Yes, this site contains three businesses which employ james. Yes, this site contains three businesses which employ around i james. Yes, this site contains three i businesses which employ around 2000 people between them. There is a petrochemicals plant, there is a Pipeline Handling System for Crude Oil coming from the North Sea and then there is the refinery. The operators of those first two businesses say they will be largely unaffected by the decision to close the refinery but that still comes as a big blow to the Workforce here. It is also a blow to the local economy and its a blow to both the scottish and its a blow to both the scottish and Uk Governments who had said they would do what they could to try to persuade petroineos and assist petroineos in keeping the refinery open. Grangemouth has been refining the fuels for a century, but its now losing thousands of pounds a day, struggling with declining demand for Petrol And Diesel as the world begins to shift to renewable energy. And so the site is going to import petrol, Diesel And Aviation fuel instead of making them, and that will mean at least 400 job losses. Well, theres a realfear a