Premier League ChampionsLeicester City issue their unwavering support for manager claudio ranieri, despite being just one point above the relegation zone. Good evening and welcome to the Bbc News At Six. Tonight we bring you the second of our Special Reports on the mounting pressures facing the Nhs In England. It comes as the latest Economic Forecast from the influential Institute For Fiscal Studies says spending on the Health Service is struggling to keep pace with Population Growth and ageing patients. More on that in a moment, but first, bbc news has been given exclusive access to the royal blackburn hospital. It was built to serve a population of 300,000 people, but now looks after half a million. As our Special Correspondent ed thomas reports, that is just one reason why doctors and nurses are pushed to their limits as they care for their patients. You may find some of the images in the report distressing. Every bed on every ward. Never know what is coming through the door. Never. Lives depending on the nhs. I wouldnt be here today but for them. For a week the bbc was allowed inside the royal blackburn hospital. A rare opportunity to see the every day pressures. It is a fight today for the beds. By Monday Morning the medical wards in a e are full. We can give that bed back. But in Intensive Care Space must be found. So that gives one bed on the unit. Every day operations are planned, and patients need to recover here. Get that bed turned round as quickly as possible. That will be our only bed. We didnt get up this morning to think we are going to ruin somebodys life but telling them they cant have their operation. We are trying tojuggle they cant have their operation. We are trying to juggle the beds. Sometimes the staff laugh because i walk up and down like this and we are still spinning. At some point today the plates wont crash. That is the same today, hopefully today we will have enough beds for everybody. Right now this means patients are waiting. Steven has elective surgery, for throat cancer. He has been told if no Recovery Beds are available. Iam in he has been told if no Recovery Beds are available. I am in him bow it might be cancelled. Hopefully it is today. With cancer you have to take it out as fast as. Staff talked about the challenges of finding beds all week. In theatre, with the operation nearly over, Vascular Surgeon robert gets a call from the a e. 0n gets a call from the a e. On his mind, beds. You are having your hand on somebodys aorta is what you do. Someone wants to go on the ward and you have another patient to do and you dont know if you are a bed, that stresses you. Inmanagers later. He has come into hospital and his Blood Pressure has gone down. He is on his way to the emergency department. Ronald is 84 and has clpsed collapsed. Another elderly patient with an acute complex condition. Another family desperate. How important is is this place to you . Lifeline. A lifeline, because her mother, ronalds wife has been admitted on the same day. Upstairs, waiting for an operation. Betty has type two diabetes. She has been told she could lose her foot and with it her independence. So you are waiting for your operation and you are worried about your husband . Yes, because he is blind and deaf, we cant do anything for himself. You have to concentrate on your operation . I cant concentrate on that until i know he is all right. I dont want my foot gone and my leg because i wont be able to stay at home. I wont be able to walk. They will have to put me in a nursing home. I am will have to put me in a nursing home. Iam not will have to put me in a nursing home. I am not going will have to put me in a nursing home. Iam not going in will have to put me in a nursing home. I am not going in a will have to put me in a nursing home. Iam not going in a nursing home. Iam not going in a nursing home without my husband, that is not going to happen. They will put us in two different places. But this is the reality of the nhs today. Today. Increasing demands, inside and outside the hospital. M is not just bedding inside and outside the hospital. M is notjust bedding i am worried about. It is her husband, they have been with each other for 50 year, they co depend on each other. It is dreadful. If you lock at bed capacity, cost, management of patients with ulcers it is enormous. Type two diabetes. It is just, i cant even convey what a serious problem it is to society, the nhs, and us on the front line. And this is what the front line looks like. The davenport, waiting six hours in a e. Ready for the surgery. Six hours in a e. Ready for the surgery. It seems to be the bed that is the problem. On the medicalwards we have used every possible bed available. Daily meetings to find beds. Senior nurse, trying to move people through the hospital. Females arent moving off here. There are no beds in the hospital. And some surgeons is and nurses left upset and frustrated. Every year we have to make savings and most people are feeling like there is is not a lot of fat left on the bone and we still dont have enough to do what we need to do. There is not enough staff. Too many patients coming in and out. Its a too many patients coming in and out. Itsa numberof too many patients coming in and out. Its a number of thing, we go home deflated and upset because we feel cant cant do any more than we are doing. The Chief Executive here wa nted doing. The Chief Executive here wanted to show this pressure for beds, and the need for solutions, outside his hospital. We are trying to support staff, by looking at the bed capacity we have, by trying to work with partners to keep people out of hospital, where they dont need to be in hospital. Would you rather have another ward being built ora rather have another ward being built or a care home in the community . Rather have another ward being built or a care home in the community7m has to be a care home in the community. You dont want to be in hospital if you dont need to be in hospital. I would fa rather have capacity any the community, in terms of Nursing Homes and care homes. Everyone here is treated, no one is turned away. And take betty, she was due to move to ca re and take betty, she was due to move to care home this week. Together, with her husband ronald. And this is the moment a bed was found and steven got his cancer operation. What about that . Couldnt have been timed better. Are you ready . Yes. Life. Inside the black i. Inside the black i. So that is the picture in one hospital. But the pressures faced by staff there are felt throughout the nhs. 0ur Health Editor hugh pym has been looking at the funding available to the nhs and social care in england, and the the growing demands on that money. Yes, george does the nhs need a lot more money, how can you get Health Working more closely with social care, run by local authorities . What about more efficient use of resources and how much responsibility do we have as patients to do more to avoid lifestyle related diseases . These are all Big Questions in the search for long term solutions. Health care is all about looking after the changing needs of the population. Its growing and people are living longer. There are big demographic change, those are challenges facing the nhs, and the nations of the uk and Health Systems in leading economies around the world. New figures from the Institute For Fiscal Studies illustrate the problem. Health spending in england has risen well above inflation, for the last few yea rs. Looking ahead it carries are on rising, though it does tail off a bit ina rising, though it does tail off a bit in a couple of years time. But spending per person adjusted for the changing age profile of the population has risen more slowly, and in the years ahead, it will actually fall back, and that will leave a £i. 3 actually fall back, and that will leave a £1. 3 billion short fall, on what is needed to get back to where it was a decade before. Health spending is rising but the population is getting bigger, quite a bit bigger and the population is getting older, once you take account of the size and age of the population, actually Health Spending per person, taking account of their age, will be a bit lower by the end of this parliament, than it was back in 2010. Something we have never seen in 2010. Something we have never seen before. But some argue it is about more than money and there need to be new ways of working in health and social care as well as more efficient management in hospital, and across the nhs. There is huge variation in the way ca re there is huge variation in the way care is offered and the amount of medical care offered for example and in the outcomes of care to for patient, so that the area to focus attention and that is outwith any funding level. Prevention as well as cure is another part of the long term answer with conditions like type 2 diabetes, linked to diet, taking up an increasing amount of the nhs budget. Thats alljust a sketch of some of the challenges. Theres lots more data, analysis and detail on our website, bbc. Co. Uk health. Both houses of parliament are to get a vote on the final brexit deal before its put to the european parliament. Its the governments response to some mps whove been demanding a vote on the deal, and comes as the Scottish Parliament at holyrood staged its own debate on theresa mays plans. In a moment, well be speaking to our scotland editor, sarah smith, but first to our deputy political editorjohn pienaar. John, just how significant is this, imean john, just how significant is this, i mean some people are calling it a concession . Well, this was always a tricky, even a dangerous moment for Theresa Mays Brexit process, but mps Theresa Mays Brexit process, but m ps start Theresa Mays Brexit process, but mps start voting in about five minutes type and it looks as if that danger has passed. Why is this because potential tory rebels have backed away, and ministers are Standing Firm against the rest. The government has promised that parliament will have a vote on the final brexit deal but that will be a Ta Ke Final Brexit deal but that will be a take it or leaf it deal. A choice been saying yes, and accepting the best deal the government can do, or saying no, and falling back on International Trading rules which would mean new tariffs and rules on experts and imports and few mps want that. It looks as if the government not parliament will work on the final brexit deal. There will be more votes tomorrow. Labour is as split adds ever, that will help theresa may. Then i is go [el reluctant to goagainstthewitbof ; house reluctant to gcragarnatthewitbcf aefi house of commons. So tlie elettee feeeeet eehfifieheeeee fi stan, the elettee feeeeet eehhheheeeee fi stan, george, the elettee feeeeet eehhheheeeee fi stan, george, it looks as if things stan, george, it looks as if the government will get to the start of the long hard brexit talks on schedule in a few weeks time. Sarah scotland doesnt have a veto on this, so what was todays debate there about . Well, you are right. The Scottish Parliament cant delay or prevent the triggering of article 50 but the Scottish Government hope an overwhelming vote at holyrood, 90 msps against 34 against the trigger of article 50 will send a serious message to westminster. The snp want to increase the pressure on the prime minister, to try to get her to sore us loy consider their plans for a separate brexit deal for , ee sinle market. E ee sinle market. New. The and the during the Debate Labour and the tories both accused the snp of trying to stoke up grievances against westminster, to try and further their agenda of independence. The snp do want it to be known they are perfectly serious about calling a second independence referendum, if they cannot find a way to protect scotlands place inside the eu single market, scotlands Brexit Minister said that time is running out to try and agree a joint time is running out to try and agree Ajoint Uk Time is running out to try and agree a joint uk approach to the brexit negotiations, before the end of march. The commons speaker, john bercow, has been defending his position after saying that President Trump shouldnt be allowed to speak to parliament on his state visit later this year. Hes been criticised by a number of conservative mps, who say hes jeopardised the neutrality of his position. Mr bercows counterpart in the house of lords, lord fowler, E The Royal Marine serving a Life Sentence for murdering an injured taliban fighter in afghanistan in 2011 is appealing against his conviction. Alexander blackman, previously known as marine a, is arguing that he was suffering from Combat Stress at the time of the incident. 0ur defence correspondent, jonathan beale, reports from the royal courts ofjustice. This video, filmed on a Helmet Camera by one of the marines on the patrol, shows the moment an Apache Helicopter opens fire and then Sergeantrblackmanrandrene The Insurgent whod been wounded. The court refused an application by the bbc to release the clips of the next moments, when he was dragged across the field and then shot by blackman. In 2013 a Military Court found alexander blackman, also known as marine a, guilty of murder. But today his wife arrived at court at the start of a fresh appeal to have that sentence quashed and substituted with manslaughter instead. Blackman himself listened to the proceedings by video link from the Wiltshere Prison where he is serving an eight year sentence. His new defence team argued to a Panel Ofjudges that he was suffering a Mental Illness at the time he shot the insurgent. In court, blackman was described as very reserved, a john wayne like character who downplayed his Mental Health problems at the time of his original trial. But giving evidence three psychiatrists said he was in fact suffering from an Adjustment Disorder that impaired his ability to make rationaljudgments and that led to a loss of self control when he shot the insurgent. But were these the words of a man who didnt really understand what he was doing . And then after he fired the shot. The prosecution argued that blackman knew what he was doing, even making sure he couldnt be seen by a helicopter above. Marine as supporters will be back tomorrow to hear more evidence but his defence has to prove that his symptoms were both substantial and significant. Jonathan beale, bbc news, at the royal courts ofjustice. Our top story this evening the toughest of times for the Nhs In England a new report says funding is struggling to keep pace with demand. And still to come. You shop online, the robots do the work a peek into the future of the retail business. And in sportsday on bbc news Alastair Cook speaks for the First Time Since stepping down as england cricket captain, saying he could no longer give his all to the role, but wants to continue breaking records for the side. Fixing the broken Housing Market in england that was the pledge from the government today as it set out new plans to build 1 million new homes by 2020. The new strategy includes putting more pressure on councils and better deals for people who rent. Labour says the measures are feeble beyond belief. From manchester, our home editor mark easton reports. This part of england could be seen as a test bed for Central Governments housing ambitions. Local councils recently produced a joint plan for the new homes they say must be delivered if Greater Manchester is to become the engine for a northern powerhouse. Creating the jobs that will drive the growth will need, councils estimate, another 220,000 homes in the next 20 years. Some on Greater Manchesters green belt. The ink was barely dry on the draft plan before the protests began. Demonstrations have been held across the region in recent weeks. At least nine of the local mps, both labour and tory, have come out against the proposals. Todays white paper demands Councils Come up with realistic plans for delivering the houses their area needs. Four this side and four that side. But these campaigners dont think Greater Manchesters plan is realistic in the slightest. The campaign to save burys green belt is adamant the proposal to turn farmland into a new Residential Community based on faulty logic. I know we need housing, but use the brownfield first. Theres 11,000 empty homes in Greater