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tv   BBC News  BBC News  January 14, 2017 11:00am-11:31am GMT

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our top stories... gps warned by downing street to keep surgeries open longer to meet demand or risk losing funding. the one thing general practice needs is more resources , thing general practice needs is more resources, more funding, more doctors, more nurses. what we cannot cope with is having any further pressure. and the idea of cutting funding would be a disaster. the east coast of england escaped significant flooding after a tidal surge past overnight. more than 500,000 homes were evacuated. a group of mps says theresa may must speu group of mps says theresa may must spell out whether she wants the uk to stay in the single market by the middle of next month before talks can begin. a girl stolen as a baby is found 18 years after she disappeared from a florida hospital. police made the discovery after a tip—off. a woman has been charged with kidnapping. does the trump
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presidency promised a new golden age for the united states? we will be discussing that later on dateline. —— dateline. hello and welcome. downing street has warned gps in england they must keep their surgeries open longer to meet the demand for patients or risk losing funding. numberten is demand for patients or risk losing funding. number ten is concerned many patients may be going to hard—pressed many patients may be going to ha rd—pressed accident many patients may be going to hard—pressed accident and emergency departments because they cannot get appointments with their gp. the government wants surgeries open 12 hours per day, seven days per week u nless hours per day, seven days per week unless they can prove the demand is not there. here is our correspondent. four days the government has faced a blizzard of criticism about its management of the nhs. targets have been missed,
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major alerts have been declared, seniorfigures in the health major alerts have been declared, senior figures in the health service sounded doom laden about the future. now the prime minister is turning her attention to family doctors and what they can do to help. a downing street source said most gps do a fantasticjob. street source said most gps do a fantastic job. but it street source said most gps do a fantasticjob. but it is increasingly clear a large number of surgeries are not providing the access patients need and patients are suffering as a result because they are then forced to go to a and eto they are then forced to go to a and e to seek care. the doctors union said the remarks amounted to scapegoating during what it called a very serious crisis. the association added one third of gp surgeries in england had unfilled vacancies because the existing workload put off doctors wanting to go into general practice. i have been speaking to a doctor from the british medical association and
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asked what he thought of the proposals. i think what the governor should be doing and the prime minister is taking responsibility to address the real crisis in the nhs. which is a situation where we are grossly underfunded. we spend less on health than most other european countries. we have fewer doctors than most of europe, fewer hospital beds than the rest of europe. we have cuts in social care. and on gp services we have a major alerts where we are several thousand gps short. one in three practices is running with almost permanent vacancies. more than eight out of ten gps say the care they provide is u nsafe ten gps say the care they provide is unsafe because of the pressure. we should address the root cause of the problem rather than scapegoating and deflecting blame on one part of the system. the east coast of england has escaped largely unscathed from a
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tidal storm surge during the night. thousands of people have been advised to leave their homes but the high tide failed to breach flood defences. after all the words of warning the... just the sight and sound of a huge display of strength by nature. in ten minutes it was coming over the walls and plugging straight in, running all the way down the street. it was awful. about 30 homes were inundated in hornsey. businesses as well. in the evening people in the path of the storm surge still tried to protect their properties. many were advised to leave but some in great yarmouth we re leave but some in great yarmouth were keen to stay put. we saw all this happened three years ago. you have to take precautions at the end of the day. that is all we are doing, filling up the sandbags and putting them on the doorway. others found comfort however they could. special rest centres opened up. when high tide arrived in each town
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conditions appeared to ease. the environment agency said in pumps and over five miles of temporary barriers. officials insert the emergency response was not over the top. the worst appears to be over. the defences have held. the rest centres will be laid off now. to be honest, if it had reached we would have been in a much worse situation and this would have been needed. it is wise to say we followed everything by the book as far as the environment agency were concerned and the emergency services were concerned. for those of you who wants to go home, get out of here! some are now returning home. where there are still warnings in place people are being urged not to take any chances. studio: alex dunlop is in great yarmouth. how are things going there? not bad at the moment. the river that flows through great
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yarmouth, it is quite benign. we are ona high yarmouth, it is quite benign. we are on a high water. it was a very different picture at half past nine last night. the water was within 13 inches of the concrete ramp. there we re inches of the concrete ramp. there were no breaches of the flood defence in great yarmouth, mercifully. but emergency services at everything in place to deal with it if that happened. if we go across to the houses just some feet away from the edge of the riverside, these are among the 5000 homes in these are among the 5000 homes in the severe flood risk area. the police and raf teams knocked on doors and tried to persuade them to leave. about 80% of them refused to go to the emergency evacuation centres. you can see the sandbags in front of their doors. a lot of them picked up three sandbags and decided to hunker down and stay at home. i went to one emergency centre and with the 400 places they had at one school only five turned up. it was a
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much more quiet event than expected. the question is why did we not get this surge as expected? there were three factors, the high tide, the surge and of course the wind. those three needed to come together to get this massive surge and mercifully it didn't happen. i am told the wind slightly changed and those things did not align, if you like. i had a chat with the environment agency some minutes ago and asked if there was a chance you overreacted and put too many plans into place. he said the point was it could have gone either way. we didn't know. we had to make sure everything was in place. you are dammed if you do and dammed if you do not, in a sense. the situation now is that out of 17 severe flood warnings last night, all on the norfolk, suffolk and essex coastline have been demoted to know severe flood warnings. late
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last night we had about 135 flood warnings and we now have 41. it looks like the danger has now passed. alex, thanks very much. the government should publish brexit plans by mid—february at the latest according to a cross—party group of mps. according to a cross—party group of mp5. the exiting the eu committee said parliament should have a vote on the final deal. here is our correspondent. next week theresa may will give a major speech on britain's future outside eu which could give more detail on what kind of brexit she will look for. before that she is under pressure from a key group of mps from all parties including prominent leave campaigners like michael gove. the committee says the government should set out by mid—february whether it aims to remain in the single market or the customs union. it should press rate transitional arrangement with the eu if it cannot get a full deal in the two years time frame and city banks should have unfettered access to european markets.
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crucially the committee said the government should offer mps a vote on whatever is agreed by the end of the negotiation. we are made up of people who campaign for leave and remain. the committee has come together because we know what other side we took in that debate we have to get the best deal for britain. the government said, we will set out our plans by the end of march and parliament will be appropriately engaged in the process of exit, abiding by all constitutional and legal obligation. this report by cross— party m ps legal obligation. this report by cross—party mps is likely to be seized upon by those hoping for a softer and more transparent exit from eu. studio: david campbell bannerman is a conservative member of the and the leave means leave campaign. what you think of this plan that it should publish by mid—february at the latest and
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parliament should have a vote on the final deal? you do not normally go into negotiations publishing what you want from them. i think that is very bad negotiating. i think on the other point, the main worry we have is transitional arrangements. we do not need them. i work on the trade committee of european parliament and all these trade deals. they are not like britain in the sense that they had to negotiate thousands of ta riffs had to negotiate thousands of tariffs and we don't. we don't have any tariffs and quotas. we are co nve rg e nt any tariffs and quotas. we are convergent in terms of regulation. we start in a very different plays. we start in a very different plays. we should spend the two years of negotiating on the financial services and making sure the city is all right. we do not need a transitional arrangement. we had an interesting front page on the guardian today suggesting that the chief eu negotiator was worried about the city of london, which would play into the arguments you are making. he is saying today that he does not want a special deal to
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access the city. when asked on equivalence i said it would need special vigilance on financial stability risk. he is worried about financial stability risk but no special deals. that is his point. we took ourselves down too much. we should go into negotiations positively. we have the biggest financial centre in the world. german and french companies and companies all round the eu want access, to borrow money, to use the services in the city. he was involved not in the financial services regulation, he was quite anti—city in many ways but it is an important reflection here of the eu being concerned. they are the potential big losers because we are such big customers of the eu. we have a massive deficit of 56 billion per year. they will have to get a great deal if it is not going to hit them with bigger tariffs than we would pay. thanks very much for
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joining us. let's get more on the top story, gps in england are being warned they must keep their surgeries open longer to meet demand from patients or risk losing funding. i'mjoined by nigel edwards, chief executive of the think tank, nuffield trust. in terms of what gps do there has been a lot of what gps do there has been a lot of publicity this week. at a lot of surgery is simply not open in the afternoons when they should or could be? some surgeries do close in the afternoon. they do audits and administration and training for junior doctors, so they are not going and playing golf, which is an unfairand out of going and playing golf, which is an unfair and out of date if it was ever true... they are doing important work. we need gps to keep up important work. we need gps to keep up to date. i was thinking, theresa may taking on the doctors, the gps we see all the time, politically this is quite risky, one would think. i'm not a specialist but
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taking on the medical profession often ends badly. one might be sympathetic if it solved the problem it set out to deal with. the issue in accident and emergency is waiting for bed admissions. that is about social care and acute medicine in hospitals and the ability of community services to deal with it. general practice has been under massive pressure in the last five yea rs. we massive pressure in the last five years. we do not have the doctors. the issues of spreading the current number of appointments over a longer period of time in the week does not solve the problem. it might solve other problems but it is a strange one to go to battle with. if part of the problem, there are a lot of problems, but it part of the problem isa problems, but it part of the problem is a lack of gps, then threatening a loss of funding is possibly not a big incentive to say, that is the careerfor me. big incentive to say, that is the career for me. there is a choice about how you engage with people and help them and make them change. you can beat them with a stick or try to
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persuade and ask them. these are smart people and you could say, these are the problems, how can you help solve them? but how can you? one of the obvious points, and we have talked about this any time in the last 20 years, it is not peculiar to the theresa may government, it is a chronic health service problem. the availability of appointments on sunday has been tested and there does not seem to be a big demand. the real issue is probably the number of gp appointment slots and availability of urgent gp slots on the day. this is an issue of capacity rather than timing. iwould regard is an issue of capacity rather than timing. i would regard extra opening hours as something nice to have but it does not really solve the fundamental problems facing general practice which is demand has been rising and the number of start has not kept pace. patients are getting much more complex. we are losing the continuity of care. people with chronic problem seeing the same gp
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and ina chronic problem seeing the same gp and in a dash for access we have lost a very important part of access which is continuity, you see the person you saw before understanding your history and what brought you there today and they are more likely to be effective in caring for you. and ten minutes is often not enough, particularly for older people. that is definitely no longer fit for purpose. general practice itself recognises that and across the country it has been massively reforming in the last four years with bigger practices who often offer available slots from eight till late. my local practice offers a walk service on a sunday morning. so people are addressing these problems. one would want to maybe see a solution which goes with general practice rather than frankly what looks like a little bit of a panic response which will not in fa ct panic response which will not in fact solve the problem. thanks very much. the headlines on the bbc news... gps are warned by the prime
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minister to keep their surgeries open longer to meet demand or risk losing funding. coast of england escaped significant flooding of great tidal storm surge past through the night with more than 500,000 homes evacuated. the labour party leader uses a speech in london to defend his leadership strategy after claims his party is too weak to win a general election alone. jeremy corbyn has used a speech in central london to defend his leadership of the labour party after claims by a centre left think tank it was too weak to win an election. the fabian society ‘s warning label would lose out on returning to power u nless would lose out on returning to power unless it could get a coalition. jeremy corbyn said his party offers a break from a jeremy corbyn said his party offers a breakfrom a rigged system. he has outlined plans to bring care homes into public ownership.|j outlined plans to bring care homes into public ownership. i don't keep talking about the national health service because it is in the labour party comfort zone. i talk about the
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nhs because it is in a danger zone at the present time. much of this is about the systematic neglect of our elderly people. more than 1 about the systematic neglect of our elderly people. more than1 million of whom are not getting the social ca re of whom are not getting the social care they need. we will not let the elderly down. people who have worked and contributed all of their lives in taxes and made a big contribution to our society. a total of 380 care home businesses have been declared insolvent 2010. that is because the amount councils pay towards fees for residencies have fallen and costs have increased. we are warning the government that if you do not put money into social care now the system is at serious risk of breaking down. the fifth annual report of the care quality commission found one in five nursing homes did not have enough staff to make sure people received good and safe ca re. make sure people received good and safe care. frankly that is
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outrageous. one in five. a labour government would give social care the funding it needs and give a firm commitment to take failed private ca re commitment to take failed private care homes into public ownership to keep the social care protection our people need. jeremy corbyn. a baby taken from a hospital in florida in 1998 has been found alive and well more than 18 years later. the child was tracked down in south carolina after a tip she had been living under a different name. police said until some months ago she had no inclination the woman who raised her was not her biological mother. a 51—year—old woman has been charged with kidnapping and taking the baby on the pretext she had a fever. she was only eight hours old when she was only eight hours old when she was taken by a woman posing as a health care visitor injacksonville in florida. 18 years later police have charged this woman, gloria williams, with kidnap, seen here at
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her court appearance. original images circulated at the time of the disappearance in 1998 have also been released. the police say she was living under another name in apparent good health and in the care of gloria williams. the authorities say a tip—off last year provided a breakthrough and dna results confirmed her real identity. in south carolina we found an 18—year—old young woman with the same date of birth but a different name. further investigation revealed fraudulent documents were used to establish that young woman's identity. interviews with people supported the possibility this young woman will may in fact be this charge. they try to locate the daughter after the disappearance. a biological grandmother said they never gave up hope. biological grandmother said they never gave up hopelj biological grandmother said they never gave up hope. i felt like she was alive because they never came through with anybody dead or nothing. i felt like she was alive
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and somebody was taking care of her. she is taking it as well as you can imagine. she has a lobster process, a lots to think about, as you can imagine. icannot a lots to think about, as you can imagine. i cannot even begin to comprehend. officers said they acted on thousands of tip—off is before the breakthrough, giving some hope to other parents of abducted children. banks still needs to do more to improve day—to—day services, especially when it comes to being clear about charges. that is according to a customer satisfaction survey. the consumer organisation found several of the biggest banks like natwest, hsbc and rbs came out bottom. it said banks are doing better with mobile banking but could improve in other areas. a 22—year—old daughters has been fitted with a set of wheels to help get around. the african spurred tortures injured his back legs and can now move without assistance
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again and is at home in the dinosaur adventure park in norwich. a p pa re ntly adventure park in norwich. apparently he has plenty miles on him because he can live for up to 80 yea rs. him because he can live for up to 80 years. good john birt. and now a round—up of the week and sport. —— good on bird. dan evans has missed out on a first atp tour title, just. he lost in straight sets in sydney against gilles muller of luxembourg. it isa against gilles muller of luxembourg. it is a warm up of the australian open. andy murray is hoping to add this grand slam to his collection. he will hope to bounce back from defeat last week against novak djokovic in qatar. was that final loss a shocked andy murray?” djokovic in qatar. was that final loss a shocked andy murray? i think if it happened at the end of last year it would have been but because of the break it felt a little bit like you are starting from scratch again in the new year. i had not played a match for about six weeks.
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at the end of last year i was playing, it felt like everyday, pretty much. but, yes, a good start to the year and i hope i pretty much. but, yes, a good start to the yearand i hope i can pretty much. but, yes, a good start to the year and i hope i can get another run going soon. he might be top scorer in the premier league but diego costa has not trained for a couple of days with chelsea had not travelled with the squad for the match today at leicester after an apparent dispute with coaching staff and a disagreement with the coach about his fitness, that is the official line, but there are reports he has been subject of an offer from a chinese club who may be willing to pay about £30 million per year for his services. that is around £577,000 per week. there will be tributes around the ground this weekend to remember graham taylor. the first match of the premier league sees the late tom against west brom at albion. spurs hope to build on the victory against chelsea and not repeat a dipping form after and not repeat a dipping form after an impressive earlier win against man city. some months ago, if you
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remember we drop a little bit the performance after a fantastic victory. and now after chelsea it is a great opportunity to show that we deserve it and to keep the momentum, it will be key. the north london rivals arsenal are currently outside the top four. they play second from bottom swansea city later and the swa nsea bottom swansea city later and the swansea manager as his first match in charge. really looking forward to it. it has been a big ambition of mine to manage in this league and at this level. my first home game at swa nsea, this level. my first home game at swansea, going up against arsenal—macro and arsenal will be a very special moment. lead united are up very special moment. lead united are up to third in the championship after a victory over derby at elland road and are four points from the automatic promotion places and on a real role. chris would add a header
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just before the break. it was an unhappy return to bradleyjohnson, sent off later. away from football, a potentially decisive weekend in european club rugby union. leinster are into the quarterfinals after a big win against montpellier last night. the french team had a man sent off and they took advantage. jack collins scored three out of eight tries in a 57—3 victory. joe root will star in tomorrow's one—day international against india. just days after becoming a father. he missed both warm up matches after his partner gave birth to their first child last weekend. owen morgan has said he has great faith in giroud. he has been an integral pa rt in giroud. he has been an integral part of our success in the last couple of years. —— joel route. we are thrilled he has become a father. it is great news for the team. he
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could go three or four months and go back into the side. he is a level—headed man and he feeds on where he is at at the moment. he had a reasonably strong test series in tough conditions. he looks in good form. that is the sport for now. now the weather. a quieter day for most of us today. a quieter day for most of us today. a scattering of showers but hopefully some sunshine to go with it as well. some showers down on the north sea coast could be wintering and the north—westerly breeze has been driving some showers off the irish sea so far this morning. as you can see, almost organising themselves out of the isle of man in an organised band of rain and pushing down through manchester and liverpool. in contrast it was a lovely start across much of east anglia, yes, it was cold but lovely spells of sunshine. that will be the story for the rest of the day. a slice of sunshine for many and
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showers in east anglia, always a risk of some sleet and snow. staying cold here but further west some clout and some scattered showers, more mild here with seven or 8 degrees. hopefully some sunshine. if you get some showers we could have a light dusting of snow in east anglia but it should be few and far between. temperatures struggling here. here we have the milder air with 7 degrees and a cloud and some showers but generally a better and day for scotland. for the football, in the premier league, it looks like a selection of everything. in the east, the sunshine continues and a further west you are, a chance of a little more clout being a nuisance. those clear skies in the east will allow an early frost. a weather front pushing from the atlantic. swinging to a westerly wind and on the edge of it, we could have some sleet and snow for a time before it becomes rain again. milder air arriving in the west. still cold
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into the east. it will get there. it will take its time. the weather front trysts steadily eastwards. for a time of first thing in the morning, lincolnshire, east england and the south—east could have some wet snow. it again turned back into rain. it looks on sunday like you will have a grey and grisly affair. cold across eastern england. milder in the west and showers continuing. temperatures across east anglia struggling at only two degrees, a shock to the system. it could remain cold in the south east early next week. further north and west it is likely to remain cloudy but mild. hello and welcome to dateline london. does the trump presidency promise a new golden age for the united states? us troops head to poland. and britain's prime minister promises to work for a "shared society" while the red cross says there is a humanitarian crisis in the british health service. separating the facts from the fake news today, my guests are michael goldfarb, of politico, nesrine malik,
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who is a sudanesejournalist, stefanie bolzen, of die welt, and iain martin, formerly editor of the scotsman, now editor of reaction. very good to see you. it's all a conspiracy against donald trump by us intelligence and the media, or it's a conspiracy by donald trump's supporters — and perhaps russian intelligence — to help trump become president and embarrass the media with fake news. either way, how far can mr trump's team of talented family members, billionaires, ex—generals and others heal america's obvious divisions? this is the week when he will become president of the united states. detox about bringing the country together. people want that. will it happen? now, it will not happen. the country is divided. it is not a new thing. it is not something that has happened in last year and a half since donald trump declared he would run for president and he has become a divisive figure. the country has been building to this since you are correspondent in washington, gavin.
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you wrote a book about her angry americans wear. sometimes when the economy is bad, the sense of being ata economy is bad, the sense of being at a distance with fellow citizens is pushed to the site when the economy is ok. it
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