this is bbc news, i'm shaun ley. the headlines at ten: the nhs in england plans to rule out some procedures deemed "ineffective or risky". the 17 treatments range from tonsil removal to haemorroid surgery. tata steel, which owns the port talbot plant, has confirmed merger plans with germany's thyssenkrupp. one of the uk's largest water compa ny‘s urges people to conserve water, as it makes emergency deliveries during the heatwave. also coming up this hour, the latest on the saddleworth moor fires which have been burning for the past six days. the army extends its deployment into next week to keep control of the blaze. and at 10:30 the travel show is in bulgaria to explore one of the most extraordinary and controversial abandoned buildings in the world. welcome to bbc news.
the nhs in england has set out plans to stop hundreds of thousands of patients receiving treatments which it says are useless or too risky. it's drawn up a list of procedures, including tonsil removal, breast reductions, and surgery for snoring, as jon donnison reports. nhs england says it wants to stop people from having treatments that are either ineffective or pose too many risks. it has drawn up a list of 17 procedures including snoring and varicose veins treatment, knee arthroscopies for osteoarthritis, and steroid injections for non—specific backpain. in all of these health bodies say there is little evidence the treatments work or that the risks outweigh the rewards. but some doctors have questioned those beliefs and say patients will either miss out or will be forced to pay for private treatment that would actually give them some relief. the proposals are still to be put out to consultation but nhs england says they could mean 100,000 fewer unnecessary treatment a year,
unnecessary treatments a year, saving around £200 million. it says the money could then be reinvested in front—line cancer care, mental health, and other critical services. jon donnison, bbc news. carrie macewen is chair of the academy of medical royal colleges, the organisation that coordinates the uk's royal colleges and faculties, and shejoins me now. thank you for being with us. good morning. let me ask you, you have been involved in drawing up this list. what criteria have you used? it is recognised there is an element of over medicalisation within western practice and the criteria we have used is evidence —based, so research was carried out initially. the input was from experts and front—line clinicians with input
from patients. using these criteria together we have drawn up a list of procedures which probably fall into three categories. 0ne, demonstrated to be ineffective. second, may ineffective but only under certain criteria. thirdly, can be effective but only after other interventions which are less invasive. some of these are because medical practice has changed over years, tonsillectomy being the obvious one. what about the concern some will have that this is a form of rationing by the back door. some of these procedures will be done in certain cases and people will be worried about the judgment is made will stop there is a financial judgment? it is not a financial judgment, it is about safe and appropriate care of patients. any intervention carried out that is not necessary carries harm and risk. we
wa nt to necessary carries harm and risk. we want to make sure that things are focused on the individual patient. this will not only increase evidence for medics, but improve patient input which is very important. it is recognised that informed patients who have had good discussions with their doctors are much less likely to opt for more severe interventions and are much more likely to take more conservative roots. the medical director of the nhs in england, steve powers, said he hoped to save about £200 million a year. there had been some talk not that long ago from doctors that the could have been savings of £2 billion a year. is this a smaller amount of money than people might have hoped? yes, again this is not primarily about funding, although every clinician on the front line is recognising they
have to use taxpayers' money effectively. this is a start, but it is based mainly on quality improvement for patients which means they will get better value for their money. and if people are worried about this because they see one of the procedures and they say, i was due to have that, or maybe it was something i thought i might need, what should they do? this decision will be signed off next week we are told, and if it is signed off it will be implemented from the beginning of the next financial year in april in 2019. if they fulfil the criteria and have had appropriate interventions beforehand in these cases, they will continue to go ahead with the procedure. 0therwise it is worth having a full and informed discussion with a clinician because in maybe in light of recognising these things they may decide they do not wish to go ahead with the procedure themselves. it depends where they sit on the waiting list. thank you very much
for being with us. thank you very much for being with us. tens of thousands of people are expected in london today for a demonstration in support of the nhs. we will bring you coverage of that this afternoon. we will bring you coverage of that this afternoon. the future of britain's largest steel plant, in port talbot, has become clearer after the german firm thyssenkrupp approved a merger with the plant's owner tata steel. the merger would create europe's second largest steel—maker and follows a year of negotiations. but the firms have previously warned that thousands ofjobs could be lost, as tomos morgan reports. it has been a turbulent two—and—a—half years for tata steel's uk workforce. the uncertainty began with over 1000 jobs that were cut across wales, the majority at the port talbot steel production plant. then it looked like the whole of tata's british business was at risk as it put its uk operations up for sale. the then current and former employees agreed to a cut in their pension package to try to secure jobs and tata
offloaded the old pension responsibility in the process. in the background, tata has been working on negotiations with german steel giant thyssenkrupp and in securing the pension agreement with workers, a key milestone was reached in the next stage of this mega steel deal. tata's port talbot plant has been seen as the flagship for uk the business. it employs almost half of the company's 8000 strong workforce. both tata and thyssenkrupp have said they are committed to the south wales factory. unions have been seeking reassurances about the site, including a potential refit of one of the blast furnaces. this deal would bring together some large steel production plants across europe and experts have warned this raises longer—term questions about possible cost—cutting in the future. tomos morgan, bbc news. water companies across the uk are warning customers to urgently reduce how much they use, amid increased demand during the current heatwave.
the first hose pipe ban to be introduced in northern ireland in nearly 25 years came into force last night, while united utilities has warned a ban could follow in north—west england. peter ruddick reports. as the mercury rises, the water flows. however it is the scale of the increased demand during the recent heatwave that is beginning to seriously worry utility companies. in rugby, bottle stations have opened up as a precaution amid fears a nearby water storage facility could run dry this weekend. customers are being asked to conserve supplies and it is a story being played out across the country. severn trent says people are using about one third more water than usual. it has led to several disruptions and outages already and they are asking everyone to act neighbourly. in the north—west, united utilities says it needs urgent help or they may be forced to introduce a hosepipe ban on monday. they have asked people
not to wash their cars or take baths this weekend. a ban is already in place in northern ireland, it came into effect on friday evening and it is the first to be imposed in the nation for nearly a quarter of a century. the problem is not a lack of water, as reservoirs are actually nearly full after a rainy spring. however, huge spikes in peaktime demand mean companies are struggling to treat the water quick enough, so it is ready to be supplied to our homes. the problem we have got is people are watering gardens and using so much more water that it is going out of the pipes as fast as we can get it in. some of them are enormous, probably about that size, and some can go down to that side serving an individual street. that size will not get much bigger and we can only get a certain amount of water down it. with hot and dry conditions set to continue into next week, both weather and water warnings could be here to stay. peter ruddick, bbc news. the army will stay on saddleworth moor in greater manchester throughout the weekend and into next week, to help keep control
of moorland blazes which have been burning for six days. 0n winter hill in lancashire, where grass fires broke out on thursday, a man has been arrested on suspicion of arson with intent to endanger life. our news correspondent, kevin fitzpatrick sent this update from winter hill. about an hour ago the flames were right across this top area and you could see that it was really spreading across that valley. in the time we have been here the fire had spread across that badly, but about 20 firefighters marched in a line there, a couple with pipes, a couple with beaters, and they got on top of this section of the blaze. this is one of two front lines. there is another front line on the other side of the hill and this isjust another front line on the other side of the hill and this is just the bottom section of this front—line. the fire
goes after two miles along this area of the mower. you can see further up on the hill the clouds are bigger and they have got a lot bigger in the last 20 minutes, so even though they are on top of this one, further up they are on top of this one, further up the hill there is a big blaze to deal with. the priority is to stop jumping across the road which is a natural break. it sounds like more could be on the way today. 30 miles east in saddleworth that big fire we have been talking about all week is over a huge area, covering seven mile square. the army turned up to help on thursday morning and they will stay for an extra couple of days. but they do believe they are on top of that fire and it is under control by the time being. the hope would be that with any pockets of fire that pop up again they can keep on top of them for long enough and then hopefully once and for all these fires can be put to bed. but here in bolton it is an ongoing situation and it is very dangerous depending on where you are on the mower. depending on where you are on the mower. there's been a big rise in the number of uk citizens taking on the nationality of another eu
country since the brexit referendum. new figures obtained by the bbc, reveal almost 13,000 britons claimed citizenship of one of the 17 member states which responded to a freedom of information request. less than 2,000 did so in 2015. the figures don't include most people who are already entitled to an irish passport, as our political correspondent chris mason reports. cheering and applause. it is two years since this moment, the eu referendum and victory for the leave campaign. since then, there has been a big rise in the number of uk citizens getting a new nationality. the figures obtained by the bbc were collected from the european union and individual national interior ministries or statistics agencies. they show that seven times more british people took up the nationality of another eu country in 2017 after the referendum than in 2016, the year before it. than in 2015, the year before it. it is really a sense of still having the door open and being able to get
up and go if you really want to. most of the people we know who are getting citizenship in other european countries have no intention at all of living there, it is just knowing the fact that they have the citizenship in their back pocket. so, let's look at the statistics more closely. in 2017, 12,994 uk citizens obtained the nationality of one of the 17 eu member states from which the bbc has received figures. this compares with 5025 in 2016 and 1800 in 2015. the most frequent new nationality was german, with a 12—fold increase between 2015 and 2017. french was the second most popular nationality and then belgian. meanwhile, here in brussels, negotiations trundle on between the uk and the eu before brexit happens at the end of march next year. chris mason, bbc news.
virgin atlantic says it will no longer work with the home office to forcibly deport illegal immigrants. it's faced pressure from campaigners angry about the government's treatment of post—war caribbean migrants, known as the windrush generation. in a statement, virgin atlantic said it had informed officials that it would no longer play a part in the enforced deportation of anyone deemed to be an illegal immigrant, adding that the decision was in the best interests of its customers and people. the headlines on bbc news: the nhs in england plans to rule out some procedures deemed "ineffective or risky". the 17 treatments range from tonsil removal to haemorroid surgery. tata steel, which owns the port talbot plant, has confirmed merger plans with germany's thyssenkrupp. one of the uk's largest water compa ny‘s urges people to conserve water, as it makes emergency deliveries during the heatwave. sport and for a full round up,
from the bbc sport centre, here'sjohn akers. good morning. well england don't play their knockout match until tuesday against columbia. 0ur correspondent david 0rnstein is at their base in reppino, what's the latest from the england camp david? the latest is that the weather is horrible compared to where you are. as for the football, the world cup had a rest day yesterday and it is backin had a rest day yesterday and it is back in action today. england are not playing until tuesday and they will fly to moscow for the match against colombia on monday. today is the first of two keep training sessions because on the day of their ﬂight it sessions because on the day of their flight it will be a gentle session. we were inside for 15 minutes and we we re we were inside for 15 minutes and we were able to film what was going on.
england put through their paces for the first time since the belgian defeat. they looked in shape. no rueben loftus cheek, he was back at the hotel being put through a gentle recovery session. he is working to a different plan but is not said to be an injury concern. fabian delph is backin an injury concern. fabian delph is back in the uk, his wife is due to give birth to their third child. everybody else was out there and we are expecting england to revert to their first choice line—up, the line—up we saw for the first match in the world cup against tunisia, which included dele alli. we think he has overcome a thigh problem which kept him out during the second and third games. this is make or break, it is the first knockout match of the competition. it can go to penalties, so they need to be prepared for that. england have not won a knockout match at any major competition since 2006 and it will
be their second since 1990 and only their sixth since 1996. colombia are tough because they reach the quarterfinals last year and they have got a huge following support out here and they will outnumber the england fans in moscow. it should be a great night. do not start with all those stats, we are all nervous back here. we have got two great games to look forward to today. the big two, the two best players in the world, lionel messi and ronaldo, are both in action today. first up is france against argentina. that will see lionel messi in action again. he is now 31 years old, so there is speculation this may be his final world cup. his goal against nigeria announced himself in this competition. it was a wonderful strike. nigeria did equal, but lionel messi helped haul argentina over the line and they made it
through to the last 16, lionel messi becoming the first player in world cup history to score as a teenager, a player in his 20s and as a player in his 30s, breaking more records. he will hope to continue that momentum against a very talented french side who have not fulfilled their potential in this tournament either. then you're quite against portugal, ronaldo hoping to close in on harry kane's five goals. he is on four, joint second with romelu lukaku. he has got a hat—trick already in this competition. he is 33 years old now, but he says he feels he has the body of a 23—year—old and still has a good amount of years left in him. he wa nts to amount of years left in him. he wants to play until he is 41 and he will go up against luis suarez of uruguay. that will be barcelona against real madrid, a brilliant day in store at the world cup.
andy murray says he will "most likely" be playing at wimbledon, which starts on monday. he'll face the frenchman benoit paire in the first round if he feels he can compete. after 11 months out, murray made his return at queen's this month before playing twice at eastbourne. this is what he had to say at wimbledon yesterday. yeah, the thing is, obviously i don't know, like, every single day exactly how things are going to be. i need to play it a little bit by ear. i can't — i can't predict how i'm going to feel in two days. but if i feel like i do today in a couple of days, i will be playing, yeah. there's much more on the bbc sport website, including the latest from practice for the australian grand prix — lewis hamilton quickest yesterday. prostate cancer kills more men than breast cancer kills women, but the initial test to see if you've got it is hit and miss at best. now a cambridge research team is working on a new, cheaper, quicker and more accurate test using microchips normally found in a mobile phone, as our science correspondent richard westcott has been finding out. there's a touch of the james bond
baddie lair about this place. but the work going on here could play a vital role in finding prostate cancer. using something you normally find in a mobile phone. that is it. that's it? that's a sensor. that is what we're putting all this effort into making. they are developing a new testing device for the disease. because the current method is so hit and miss. hello, mark, how are you? i'm very well. good to see you again. good. and you. so we're just going to do a psa for you today. called a psa test, it takes five days and the results are often confusing. and i heard exercise as well can increase your count? yes, physical activity, having an infection at the time. things like riding a bike. so once you are in position, you just fire it. surgeon vincent gnanapragasam has already invented this low—cost device for safer prostate checks. this dark area here mimics a tumour? a tumour, yes, if you like.
they practice on a model. the prostate is the blue lump. he calls the cancer a two headed beast. one type spreads quickly and is lethal. the other sleepy and may never need treating. but current tests struggle to tell them apart. what we found is there are a sizeable number of men who actually were being treated because they were considered to have potentially lethal disease who probably would be fine by monitoring for long years to come. now, in terms of an estimate, i suspect that probably about one in five men may be treated for cancers they don't actually, will never actually cause a problem. or at least not yet. vincent is leading a multi—skilled cambridge team, including engineer andrew here, to find new ways of fighting the disease. and they've come up with a new testing device. so andrew, this is a silicon wafer, is it? that's right. so this is what we are making our devices on. and then we dice that wafer up into lots of little chips. this is just water. but eventually your gp will simply
put a pin prick of your blood on top of the adaptive chip and it could spot signs of cancer by weighing the molecules inside. critically, it should be able to distinguish between the lethal form and the slow—growing type you can potentially leave alone. it could be ready in just five years' time, cost a quarter of the price of the current test, and give you immediate results. if you could have a test which is in a gp‘s surgery which is really cheap, really easy, where the gps sat there with the patient and saying, you know what, just to be on the safe side, let's look and see if you've got this. probably not, but let's try it. and the cost and ease of doing that is just so low and so easy, it makes that practical. by the time the nhs is 75, the first step to finding prostate cancer may be just a case of putting a drop of blood on this little thing. richard wescott, bbc news, cambridge. a great white shark has been spotted near spain s balearic islands for
the first time in around 30 years. the five—metre shark was spotted by conservation workers on thursday. there have long been rumours of these sharks in the area, but this is the first sighting since a fisherman caught one in 1976. video players may seem a bit clunky nowadays, but once upon a time they formed a multi—million pound industry. video rental shops became a thing of the past when blockbuster finally closed its stores in 2013, due to the rise of dvds and the emergence of streaming services. but one man is trying to rewind time with the opening of a new vhs shop in liverpool. 0ur entertainment correspondent colin paterson has been to take a look. it's one of the least likely openings of the year. liverpool has a brand—new video rental shop. meet the man who wants to rewind to a bygone era. here's the selection? it's really been a dream of mine for a long time. i used to work in a video shop.
and then the crunch came when my dad was downsizing his house and it was kind of like an ultimatum, are you going to take these videos to the tip or are you going to actually do something with them? and so i thought yes, i'm going to go ahead and open a video shop. the video is one of britain's growth industries. it has created 20,000 newjobs in the past two years... vhs players dominated for two decades at the start of the millennium, they were still outselling dvds. but andy is worried film history is being lost. we've actually got a whole range of vcr players that we can rent out as well, so i think there's going to be a lot of people who maybe can't find films on line, they want the hard copy. real good film fans. because when you think about it, these are works of art and they are the first edition. we've got phantasm, hell—raiser. like all good video shops, it has a horror section. evil dead ii. maniac cop iii. maniac cop iii, exactly. and evil dead ii. generally considered the better film! so is maniac cop iii the best of the trio as well? if you going to invest
an evening in maniac cop, go for the third one! this is the kind of advice you don't get online. when you're scrolling through thumbnails, that's right. and a certain boy wizard is represented. what's happening with harry potter fans is they are all reaching that age now when they are starting to experience the nostalgia of it and for people who grew up buying the books, this would've been probably first way they watched the movie at home. but is there really a market for this? we wanted to know when people had last used a video recorder. at my nan's, watching the clangers. that's an old, old kids programme. i had land before time, that's my favourite. and you've still got it on vhs, in the attic? they're just rubbish, aren't they? too big and bulky. i have it in my house. what kinds of things? probably wrestling, i imagine — wwf. we took one to the car— boot sale last week. and did it sell? no, and then it went
to the charity shop. just time to pop back to vide0dyssey and make a decision on my weekend viewing. malkovich. colin patterson, while tens of thousands of people a year climb up mount snowdon, one man has become the first person to perform a wingsuit flight down it. sam laming from kent started his journey 12,000 feet above the ground. he'd been preparing for his adventure for the past five years. his next challenge is to fly down a mountain in holland this weekend. in the jump, you are pretty focused but you still have a bit of that sort of woo—hoo factor going on, obviously, but we say the jump is not over until you are on the ground. we landed and ijust gave my friend one of the nicest hugs we've ever had. breaking news.
several people have been injured after a collision between a car and a taxi in leeds. the crash happened in the early hours of this morning in the horsforth area of the city. police say enquiries are currently on going into what happened on the a6120 and that the road will remain closed for some time. we will bring you more on that story as soon as we get it. 0lympic diver tom daley and his husband, the filmmaker dustin lance black, have become parents. the couple revealed the news in the times with an announcement of a son — robert ray. tom daley first announced they were to have a child via a surrogate mother on valentine's day, by posting an image of the baby scan on twitter. now it's time for a look at the weather with chris fawkes. hello there. the heatwave is going to continue throughout the weekend and well into next week as well. for many of us not a lot of rain around at all in the week ahead.
for today the early morning cloud has burnt away. we have plenty of sunshine to take us through the afternoon with those temperatures lifting. a fresh feel to the weather at least in scotland and north east england. the hottest weather will be towards the south west of england and wales where i think we could see temperatures pushing into the low 30s once again. during this evening and overnight it will be clear initially. maybe a little bit of patchy cloud working into eastern areas of scotland and england later in the night. and maybe also for northern ireland. but it is a dry night for most with temperatures between ten and 16 degrees. tomorrow subtle changes in the weather forecast. south easterly winds will draw in some increasingly humid air across england and wales. and there is the risk of a few thundery downpours getting into parts of the south west. they could be pretty heavy as well. but otherwise it is another hot day, probably one of the hottest days of the year so far in southern england with temperatures in the low 30s. hello this is bbc news. the headlines. the nhs in england is proposing to rule out some procedures which are deemed ‘ineffective or risky‘.
the 17 treatments range from tonsil removal to haemorroid surgery. tata steel, which owns britain's largest steel—making plant at port talbot, has confirmed merger plans with the german industrial group, thyssenkrupp. one of the uk's largest water firms warns people to conserve supplies as it makes emergency deliveries during the heatwave. the army will extend its stay in saddleworth on the edge of manchester to help keep control of moorland blazes which have been burning for six days. new figures obtained by the bbc show there's been a big rise in the number of uk citizens taking on the nationality of another eu country since the eu referendum.