11/09/2016 BBC News at Ten

A warning from within the NHS - the service is under the greatest

The body representing hospitals in England says urgent action

is needed to stem the decline - and bridge the gap

What they are saying very clearly is they cannot provide the right

quality of care and meet the performance standards

on the money that's available, and something has to give.

The government says extra funding will meet the needs of the NHS -

US presidential candidate Hillary Clinton appears to almost

collapse as she leaves a 9/11 memorial ceremony

Great Britain's rowers lead the gold rush on day four

And the race protests at American football games -

more players come out in solidarity tonight.

A senior NHS leader has warned that the health service is under

the "greatest pressure for a generation", with a huge gap

Chris Hopson, chief executive of NHS Providers, which represents

hospitals and other bodies in England, says the sums no longer

add up and that at present - delivering a seven-day service

The government says its giving the NHS the extra funding

It's the strongest warning yet from hospital and other health trust

bosses about the state of the NHS in England, under mounting pressure and

growing patient numbers they say they are sounding a warning bell,

put in more money or the service will get worse. Funding hasn't kept

up with rapidly rising demand. The people we represent, the front-line

senior leaders in the NHS are very concerned that the NHS can no longer

do everything it is being asked. It can't provide the right quality of

care and meet the performance standards on the money available.

They argue that funding hasn't kept pace with patient demand. In 2013 5%

of acute hospitals in England were in financial deficit. By this year

the figure was 80%. Accident and emergency performance has got worse.

In 2013 10% missed A targets, this year the figure is 90%. Waiting

lists are longer, in July 2013 there were 2.91 million patients waiting

for treatment, in July this year there were 3.66 million. In some

areas there have been debates about limiting care, with a few hospitals

reducing opening hours for accident and emergency and commissioning

groups discussing restrictions on routine surgery. Health commentator

say it is time for a debate on priorities. We need to hear these

warnings now before we get into the next winter, to decide what the real

priorities are and whether the government can provide additional

funding, not just for the NHS but for social care, too. That's where

the pressure points. NHS providers also claimed the government

seven-day NHS policy in England, extending urgent care over weekends,

can't be delivered on current budgets. Ministers deny this, are

giving all plans including funding have been agreed with the leadership

of NHS England. We set it out clearly it was something we would

deliver in our manifesto. The Health Secretary and the government

consulted with Simon Stephens and asked him about what's going of

money was necessary. We've delivered on that money. We know it's a

challenge. Actually I'm proud of the NHS, they are delivering 4000 more

operations a day since 2010 and most people tell me that experience is

good. Financial pressures and the seven-day policy have been central

issues in the junior doctors dispute. They are sure to be aired

more vocally with more strikes planned for October and the state of

the NHS high on the elliptical agenda. -- political agenda. There

have been warnings of this sort before, is this one likely to have

impact on government thinking? Talking to government sources today

I did detached any great readiness... Unfortunately although

we could hear him, the line disappeared in terms of the visuals.

Apologies about that. That was our health editor with more on the

latest on the NHS from University College Hospital in London.

The Democratic presidential candidate Hillary Clinton was forced

to leave today's 9/11 memorial event in New York early,

Video footage showed her stumbling and having to be held up

by her staff, prompting fears about her health.

Tonight, with the presidential vote just two months away, she insisted

Our North America Editor Jon Sopel has the latest.

The anniversary of 9/11 is as solemn a day as there

is in the US calendar, and Hillary Clinton took her place

with other dignitaries this morning at the site of the World Trade

Also there, her presidential rival Donald Trump.

After days of stifling heat in the city, it was cooler today,

But Mrs Clinton left early, her spokesman saying

These smartphone images show her being propped up by an aide

Clearly struggling to stay upright, her knees buckle as she's helped

A few hours later at her daughter Chelsea's apartment, she sought

And as if to prove the point, she tried to campaign as normal.

Her Republican opponent, who has raised questions in the past

about Mrs Clinton's health and stamina, interestingly today

chose to deploy that most seldom used weapon

in the Donald Trump armoury, silence.

Mrs Clinton a few weeks ago on a late-night chat show tried

to make light of her age and general well-being.

Well, this has become one of their themes.

Take my pulse while I'm talking to you.

But after today, it's not going to be so easy to joke

Detectives investigating the murder of Stephen Lawrence in 1993

are expected to make a new appeal for information.

They've carried out DNA tests on a leather strap which was found

where he was stabbed to death in London.

The tests suggest it belonged to a girl or woman

and tomorrow police will ask for help to identify its owner.

The Foreign Secretary Boris Johnson has given his support

to a new cross-party campaign aimed at ensuring the UK leaves

He's recorded a video message urging people to support the group,

which says leave and remain campaigners must work together

to ensure the government delivers on Brexit.

Our Political Correspondent Alex Forsyth is here,

Alex this intervention is being seen as controversial by some?

Boris Johnson is of course a leading Leave Campaign. The fact is

advocating Brexit is no big surprise. He's now a Foreign

Secretary at the heart of the government trying to plan its

strategy for leaving the EU. In this message the support Boris Johnson

doesn't say anything that different from what we've heard from the

pro-minister. He talks about controlling trade and borders. But

some people are seeing this as him publicly piling pressure on Theresa

May to keep to that promise but Brexit means Brexit. Number 10 seem

fairly relaxed, the Prime Minister did deliberately appoint senior

Leave figures. But perhaps this demonstrates the scale of the

challenge Theresa May is facing. Not just in the long, complex

negotiations, but in balancing the demands of those who want hard, fast

separation, to those who want closer ties. Boris Johnson making this

public statement shows those demands went just come from the public but

from within her own government. Trade unions are gathered

in Brighton for the annual TUC Congress - the first to be held

since the EU referendum. The unions say they want to ensure

a future Brexit deal doesn't damage From Brighton, our Industry

Correspondent John Moylan reports. From Brighton's newest attraction,

you can see for miles. The trade unions gathering here this

week are still wondering what's on the horizon in the wake

of the vote to leave the EU. Frances O'Grady, who heads the TUC,

campaigned to Remain. She fears workers' rights

that are enshrined in EU We've had the votes,

the vote was close but clear, and now our job is to get on with

representing working people - whichever way they cast their vote -

and make sure that they don't pay Like many people, trade unions

are still grappling with this decision to leave the rest

of the EU far behind us. So today, they called

for the Government to green light some really big infrastructure

projects, to boost the economy. The TUC insists that the UK

still lags behind many richer nations when it comes to this

kind of investment. For one local firm, investment has

been the secret of its success. It exports these nutritional

supplements across the EU, so it's worried about how Brexit

will affect that in the future. The biggest challenge we will have

is if we have to negotiate with individual countries,

it will increase the logistics times that we have, potential legislative

costs, label costs for different legislations within different

markets, it will just add layers of complexity that we would rather

not see, and will definitely As conference kicked off,

Brexit was high on the agenda. Several big unions had urged

their members to vote to Remain. So why had so many

workers ignored them? Far too much of Britain has been

left behind by globalisation. Whole industries have disappeared,

leaving communities derelict. And it's not surprising

that millions of people, including significant numbers

of our own members, voted to give Brexit will have implications

for all of us. And trade unions know

that the coming years In Hong Kong, tensions are rising,

following this week's election of a new generation of pro-democracy

activists to its parliament. Since Britain's handover

of its former colony in 1997, it has been allowed a degree

of autonomy by China. But it still has a big say

on who governs in Hong Kong and how. Two years ago, mass protests called

for full democracy and now some newly elected officials who've

called for independence say they've From Hong Kong, our China Editor

Carrie Gracie reports. Umbrellas are out

again in Hong Kong. But two years ago,

they were a symbol of And now the umbrella generation

have pulled move off a shock election triumph,

to move off the street Thanking supporters,

23-year-old Nathan Law hasn't even But voters backed his message that

Hong Kong should If we don't have autonomy

then our core values So that is a very serious issue

and we will defend Two years ago no one

he was demanding independence. When they brought the heart

of the city to a standstill, they were only asking to choose

Hong Kong's leaders. The right to decide

whether Hong Kong should be part The stage is set for another

serious confrontation here. Not on the street, where it took

place two years ago, China sees separatists

as traitors, as enemies. And although Hong Kong's special

status gives some protection for freedom of speech,

Beijing wants punishment for anyone who uses public office

to call for independence. Beijing also wants to

promote young politicians who will back its message,

like newly elected lawyer Holden Chow, who has a warning

for those who upset China. If they carry on or insist on doing

this independence movement, or advocating self-determination,

it may further stir up the conflict Some call these the locusts,

the millions of mainland Chinese who pour across the border to stock

up on foreign goods. China buys more than

what will fit in a suitcase, from real estate to media,

its influence is growing in every He won his seat by a landslide this

week, but says he now faces death threats because he dared

to highlight links between Beijing, big business and Hong

Kong's criminal gangs. I take this threat seriously

and I am seeking Hong Kong is now being surrounded

by this industry of political The freest city in China,

but under an authoritarian giant, Hong Kong may be the most

fragile city, too. With all the sport, here's

John Watson at the BBC Sport Centre. Paralympics GB have won another five

gold medals in what's proving to be another hugely successful

day in Rio. The rowing team won three of them,

whilst two more came in the cycling events,

to take the team's total British rowing has seen some golden

days, but perhaps nothing like this. Rachel Morris who had both legs

amputated as a teenager only took up roaming three years ago. Before then

she'd been a Paralympic hand cycling champion. Now she's a gold medallist

in two sports after an emphatic and emotional victory. It was the start

of an historic hat-trick. Next up, the mixed doubles. Laurence Whiteley

and Lauren Rowles who's been troubling rowing with A-levels. She

passed the test with flying colours. A second goal for the British fan

club to celebrate. And soon they had another, as the mixed four

successfully defended their title. Three gold medals in less than an

hour, and afterwards they told me not surprisingly they were one happy

team. We'd already seen Rachel when just before we baited for our race,

that lifted us so much that we were like, there's talent in this squad

and we are going to show that. It was a pretty good day in the

velodrome, too. Lora Turnham who's habitually impaired and her pilot

Corrine Hall were chasing New Zealand in the pursuit final. And

relentlessly, they reeled them in. And afterwards, the tears flowed.

First in the stands, and then on the podium.

To round things off, the men's team sprint. 19-year-old Louis Rolfe,

former RAF serviceman John Butterworth and Jody Cundy. They had

trailed China but Jody Cundy clawed it back. An eighth gold for the

track cyclists, Britain's pedal power once again plain to see. But

the prize for celebration of the day, surely went to this man.

Iraqi's Abdul Rahim, a gold medal winning performance. In the last few

minutes there's been more British success. 18-year-old Amy Marren

winning bronze in the pool. It's been quite a day for wheelchair

racer David Weir. Early on he became a dad again to baby led me, tonight

he races in the 400 metres. Four-time Olympic gold medallist

Mo Farah has become the first man to win the Great North Run three

times in a row. He pulled away in the last mile

in his first competition since retaining his 5,000

and 10,000m Olympic titles in Rio. The women's race was won

by Kenya's Vivian Cheruiyot and Scotland's Mark Telford took

the men's wheelchair crown. The England one day captain

Eoin Morgan and batsmen Alex Hales have made themselves unavailable

for the up coming tour of Bangladesh Morgan had expressed

concerns over security following a series of

attacks in the country. The ECB carried out an extensive

review into player safety, ahead of the three one-day

internationals and two Test matches Defending Champions Saracens beat

Exeter Chiefs to move to the top of the Aviva Premiership with two

wins from their opening Sean Maitland crossed over twice

in a 34-13 victory, in what was a repeat of last

season's Premiership final. In the day's other match

Northampton beat Bristol to record their first win

of the season. And England's Steve Cummings won

the Tour of Britain, as Sir Bradley Wiggins

completed his last road After two previous second placed

finishes, Cummings remained with the main bunch on the final

stage at London's Piccadilly Circus, to finish 26 seconds ahead

of his nearest rival. In the United States,

the American Football season has begun amid controversy about players

protesting at what they say is Today, on the 15th anniversary

of the 9/11 attacks, one footballer raised a gloved fist

during the national anthem. Others linked arms in an apparent

show of support for a quarterback who started the high

profile demonstrations. Thhe storyline that has dominated it

for the last two years, with a jury She's accused of attempting

to murder her abusive husband Rob, with the plot raising awareness

of real-life domestic violence. Our entertainment correspondent

Lizo Mzimba reports. For more than half a century

the everyday story of country folk has entertained audiences

with its soft and gentle storylines about the fictional

community of Ambridge. But it has also

explored darker themes. You tried to control me,

you won't let me out, I'm not even allowed to wear

the clothes I... Helen Titchener sucked

into an abusive relationship Henry, write come here,

you little... This week she went on trial accused

of attempting to murder him. This evening came the verdict. An

count one, do you find the defendant guilty or not guilty of attempted

murder? Not guilty. And count two, the charge of wounding with intent,

do you find the defendant guilty or not guilty? Not guilty. Actors

playing members of the jury included Nigel Havers. It was a buzz for me

to do it and I loved it. The standard of the show is wonderful

and to be part of it, this tiny minute, is fantastic. The public

interest has meant the programme team had to work in greater secrecy

than usual. Lots of people have been working

on this programme with this story And we just made an agreement

we wouldn't tell anybody, it was very old-fashioned,

it was all hush-hush. There weren't actually embargoed

scripts, everybody knew what was going on, but we just agree

to keep it a secret. And because it's a family

in Ambridge, everybody agreed The storyline has also had

an effect in the real world. Its increased awareness of domestic

abuse and close to ?150,000 has been raised for a charity that works

with women and children affected While tonight 's episode has finally

brought an element of closure to a story that has been closely followed

by so many. A first look at tomorrow's papers

Channel. Stay with us that the news Channel. Stay with us that the news

wherever you are. Good night.