Transcripts For BBCNEWS BBC News At One 20170206 : vimarsana

Transcripts For BBCNEWS BBC News At One 20170206

And coming up in the sport on bbc news fighting for their futures. Five sports begin their appeals against the withdrawal of funding by uk sport. Good afternoon and welcome to the bbc news at one. The number of patients on Hospital Wards has been at levels deemed to be unsafe in nine out of ten nhs trusts in england this winter, thats according to the bbcs analysis of nhs figures. The pressure on beds has meant many patients have been at a higher risk of infection and delays in getting treated. Up to date figures arent available for the rest of the uk. Nhs england says the main problem is finding Alternative Care for patients who were medically well but frail. Our Correspondentjohn Maguire has been to a hospital in somerset to see just how much pressure the nhs is under. Ask staff here how the winter is going, and they use words such as busy, challenging, demanding. Drjohn tipping shows me how they track exactly whats happening here in the emergency department. It allows us to see what the pressures are in the system. It allows us to see how many patients weve had in the last hour. They deal with everything from aches and breaks to problems breathing, a particular issue for the elderly in winter. Comparing this january to four years ago, we are up 10 on attendances, which doesnt sound huge, but actually we are up 20 an Ambulance Arrivals and 28 on the number of patients that weve actually had to admit, which gives you an indication that although the numbers arent massively increased in that time, the complexity and illness level in these patients is definitely rising. Demand is increasing so how should we pay for it . A bbc poll found that 51 are against the idea of charging for some services that are currently free. But 37 do support extra charges. 50 wouldnt want income tax to rise because of the nhs. But 40 would back an increase, something perhaps unsurprisingly more popular with older people. You can never put enough money in but hopefully you can at least keep catching up. So no, if more money was made available to the nhs, i certainly wouldnt object. Lam not i am not an expert on politics, but i would think the fairest way would be to put it on taxes. Those who earn more, pay more on a scale, i would think that would be the fairest way. To live within its means, the nhs has got to develop new ways of working. Here in yeovil they are pioneering the frail Older Persons assessment service. Staff call it a one stop shop, an mot for the body, if you like. They are seen by the nurses, a consultant, a junior doctor, a pharmacist, an occupational therapist, and if they need to see a specialist diabetes, respiratory we will call them into the unit so they are seen in one place. And this team of doctors and nurses, although based in the hospital, goes out into the community dealing with some of the most vulnerable. Called the symphony project, its another new way of helping patients. Patients dont want to be in hospital. They want to be looked after in their own homes where that is possible, so we are trying to make the interventions before crisis point is reached so we can bring all the Services Together so we can manage people in their homes more effectively. The nhs remains cherished, revered and highly valued, but the challenge is to determine at what cost. John maguire, bbc news, yeovil. Today the government announced plans to step up efforts to recover money from so called health tourists, overseas patients who use the nhs in england. From april, there will be a legal duty on hospitals to ask visitors to pay for non urgent care upfront if they dont qualify for free treatment. With me is our Health Editor hugh pym. So called health tourism, how much does it cost the nhs . It is a very complicated situation. First, to be clear, the charging refers to non care, not emergencies. Wherever you come from in the world if you get involved in a Trauma Situation and you are taken in an ambulance to a e, you will not be charged. Then you have two groups. People outside europe are not eligible for care and ought to be charged, and then people from inside the European Economic area who will have a special card which they show and it is up to their government to claim the money. Looking at the figures that we have, it is estimated that £2 billion of health care is provided to overseas visitors but that includes emergencies that they may have encountered. Of that, what is Recovera Ble 7 encountered. Of that, what is recoverable . The government has a target for next year £500 million to be recovered in england from people who to be charged. But the National Audit office regulator in a report at the end of last year found that based on what was happening at the moment, there was a shortfall of £150 million pending. The government is trying to tighten up, to get hospitals to charge upfront. They will have a legal duty from april, but critics are saying this is quite small beer and hospitals can do this anyway. All this week across bbc news we are looking at the state, the health of the nhs. You would say it isa the health of the nhs. You would say it is a fairly sick patient at the moment. Is there a cure . A lot of people are saying it is money. Uk spends less as a share of its National Income on health than france, germany and the usa, and it just needs more money from somewhere. So where . Does it come from taxation . A bbc poll of 1000 adults done by ipsos mori found that 40 of those who responded said they would be prepared to pay more income tax. They were also asked whether they would be prepared to pay for some services and 37 said they would. There are some very Big Questions around this over the next few years. It is also about prevention, making sure people are looked after nearer to home in their community and not getting sick in the first place and that is the really big challenge, i think. Thank you. The number of unexpected deaths among Mental Health patients has risen by almost 50 per cent in three years, thats according to new figures obtained by the bbcs Panorama Programme. The findings are based on data from more than half of englands Mental Health trusts. Our Health Correspondent Sophie Hutchinson reports. In november, sheila prestons son leo died following a suspected accidental overdose. This was her first visit to his flat four days later. This is leo, this is leo here. He was probably 12 years old there. I was proud of him. And he should still be here in this flat today. I wanted to save him. Leo had schizophrenia. Sheila believes he wasnt getting the help he needed. The trust that treated him says it is improving its services. His is what is known as an unexpected death. They include death from suicide, neglect and misadventure. New figures obtained by the bbcs Panorama Programme suggest there has been an almost 50 rise in unexpected deaths over three years. Results are based on data from more than half from more than half of englands Mental Health trusts. Sane is alarmed and shocked by the rise in the deaths of people with Mental Illness and we are particularly concerned because these are the most Vulnerable People that we have entrusted into the care of Mental Health services, and they so often have been failed, both them and their families. The rise in unexpected deaths coincides with the drop in income for Mental Health trusts, according to exclusive new figures from the think tank the health foundation. Over the last four years the amount we spend on health care in england has increased by about £8 billion. But Mental Health trusts have received none of that increase. In fact when you allow for inflation, theirfunding has actually fallen by £150 million. The government says it is improving Mental Health, investing an extra £1. 11 billion by 2020. It insists overall spending, which is notjust for Mental Health trusts, has risen and that rises in unexpected deaths are due to better reporting. And nhs england also rejects the figures and says suicide in particular is reducing for Mental Health patients. Sophie hutchinson, bbc news. And theres more on that story on tonights panorama on bbc one at 8 30. And you can see more on the bbcs Nhs Health Check on our website. Thats at bbc. Co. Uk health. In the Battle Of Trump versus the courts, the courts are winning so far and the president s doing nothing to hide his frustration. Hes stepped up his attacks on the judge who set aside his travel ban on seven predominantly muslim nations. The Justice Department has until this evening to submit its challenge to the decision. Our correspondent Daniel Boettcher reports. Once so proudly we held. America brought together by sport and patriotism the super bowl watched by well over 100 Million People on television. But outside the stadium, the countrys divisions and tensions were all too apparent. More protests against president trump, and in particular his travel restrictions. Un american, say his opponents, and unconstitutional. Elsewhere, his supporters made their voices heard. They believe it is the constitution that gives the president the authority to order these restrictions. Donald trump was at his florida retreat to watch the super bowl, and despite the legal challenges of the past few days he defended his order as being effective. I think it was very smooth, we had 109 people out of Hundreds Of Thousands of travellers and all we did was vet those people very, very carefully. Its more than a week since he signed his executive order. The administration argues the president can decide who can enter or stay in the us, but Last Friday A Federal Court overturned the ban after it was challenged by two states. The following day the president made his first attempt to get the ban restored, arguing his president ial authority was being undermined. Yesterday that appeal was rejected. Now both sides have until later today to file full submissions. Until the case is decided, the restrictions, which include a travel ban on seven predominantly muslim nations, are on hold. But on twitter donald trump has continued his onslaught against thejudge, orso called judge, as the president characterised him, who suspended his ban. Just cannot believe a judge would put our country in such peril, he wrote. If something happens, blame him and court system. People pouring in, bad. Minnesota and washington state, which are challenging the ban, say there will be chaos if its restored. That will be part of their submission for the latest stage of the legal process. Daniel boettcher, bbc news. Our correspondent kim ghattas is in washington. The president is clearly getting increasingly frustrated about this but how long could these legal battles go on . It could take quite a while and it could go all the way to the supreme court. Donald trump, the president himself, is certainly not letting go. Tweeting again this morning about how these orders that he has put out, this executive order, is the right thing to do, dismissing any criticism as fake news, which is his favourite way to dismiss any challenges to his actions. All weekend, as we saw that in nine tweets, he raged against the overturning of his ban against the judge, the so called judge as he called him. Even pre emptively blaming him, the judge called him. Even pre emptively blaming him, thejudge in washington state, for any potential Terrorist Attack that could happen in the United States in the future. This attack against the judiciary has u nsettled attack against the judiciary has unsettled a lot of people and donald trump has been chided by members of his own party who of course want to uphold the separation of powers in their own country. As we saw in this report, later today the Justice Department will present its arguments, saying it is up to the president only to decide who can come into the country, that this is a matter of national security. But until that ban is restored, we have seen manyjoyful until that ban is restored, we have seen many joyful reunions until that ban is restored, we have seen manyjoyful reunions in airports around the country, as people with a valid visa and even refugees have made their way into the us. Thank you. A teenager has pleaded guilty to killing an american tourist and injuring five other people during a random knife attack in london last summer. 19 year old Zakaria Bulhan denied murder but admitted manslaughter by diminished responsibility. Catriona renton is at the old bailey. Sick aria but then had been charged with the murder of 64 year old Darlene Porter and the Attempted Murder of five others. Zac sack aria bohan. He said he was not guilty of murder but he was guilty of manslaughter on the grounds of diminished responsibility. The court are accepting the lesser charges as extra medical evidence showed that bulhan had been suffering Paranoid Schizophrenia at the time and was psychotic and appeared to be hallucinating. The court has been hearing more detail about what happened that night. It was around 10 30pm on the evening of the 3rd of august. Russell square was busy with people who had been spending the night in central london. A man with a large Kitchen Knife was seen veering across the square, and without any warning or provocation he stabbed six people in relatively quick succession. He said nothing. He tried to run away before Police Brought him down with a taser stun gun. While on the ground, Police Officer claims to have heard him matter allah. We heard a Statement Read out in court today by the victims husband. He described the death as an unspeakable tragedy. They had been visiting london and we re they had been visiting london and were due to return the next day. The motive is not clear. It could have been a Terror Threat or a random attack, as it turned out to be. A two day hearing is taking place at the old bailey, at the end of which, bulhan will be sentenced. Thank you. The england Cricket Captain, Alastair Cook, has announced hes stepping down after 59 tests in charge, thats more than any other england captain. He won the ashes twice at home in 2013 and 2015 but didnt fare so well last year. Cook said playing for england had been a real privilege, but after reflecting on the recent disastrous india test series he knew it was the right decision. There is Flash Photography in this report. Our Sports Correspondent joe wilson reports. 2012 and englands new Cricket Captain Alastair Cook post for cameras like a visit to the dentist, he would rather not, but he knew he had to, so smile. Alastair cook captained his way, Old Fashioned, reasonable, and yes, even inspirational. On foreign soil or at home, he withstood more test matches than any other england captain. But it takes its toll. The demands get to every skipper eventually. Having lost the recent test series in india emphatically, 4 0, cook decided hed had enough, explaining in a statement today, stepping down has been an incredibly hard decision, but i know its the correct decision for me, and the right time for the team. Alastair cooks record makes him one of britains outstanding sportsman in an era where live cricket was only available on pay tv in the uk. England Wonjust Cricket was only available on pay tv in the uk. England won just over 40 of the test matches he captained, not the best record, but better than most of his predecessors. As a batsman, no in britain has played more test matches or made as many runs. Cook recently overtook his mentors, graham gooch. He has worked feverishly hard on his technique over the years to improve that technique. We have seen a fantastic test cricketer. The rock of the england batting for the last decade. Cook is only 32 and wants to carry on as cook is only 32 and wants to carry onasa cook is only 32 and wants to carry on as a batsman, but who replaces him as captain . No decision officially as yet, but the Heir Apparent has always beenjoe root. They highly talented batsman, but unknown as captained, as he recently reflected in a bbc interview. Is one of those things you have to learn on the job. The timing of this is quite relevant, but being a dad you dont really know what to do until you have to go with it and see how it goes. I imagine it would be similar. Cook once told me he felt his england era had been tarnished by claims made by Kevin Pietersen in his book. That tension took up so much attention. Pietersen suggested today on twitter hes now ready for an england comeback, far more likely england will still look to cook, freed from the responsibility of captaincy, to make more centuries. Joe wilson, bbc news. Our top story this lunchtime. The nhs Unde

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