12/11/2015 BBC News at Six

England's NHS is under huge pressure with record numbers

The latest figures show key targets for ambulance responses, A waiting

times, and cancer treatment have all been missed again.

There is definitely more demand on services and that means we have

to work smarter and in different ways to make sure people are getting

We will have detailed the possible industrial action by junior and

doctors. Brussels warns that

the migrant crisis means a race against time to save

passport-free travel within Europe. On trial - the leader of a Maoist

cult accused of imprisoning his daughter in London

and sexually assaulting followers. India's prime minister begins

a three-day visit to the UK as ?9 billion worth of deals between

the two countries are announced. And how George Clooney set hearts

a flutter when he dropped You spoke to him? And touch him!

Lovely man, worth the wait. And in the sport paid to the former

Sunderland goalkeeper Maton Fulop who has died after a long battle

with cancer. -- Marton Fulop. Good evening and welcome to the

BBC News at Six. The NHS in England is struggling to

cope with growing pressure on its services,

even before winter arrives. New figures from September show

a record number of people were stuck in hospital beds because

of delays in discharging them. A major target covering

the treatment As was a target

for ambulance waiting times And the number of A patients being

seen within four hours was also NHS England says the service is

dealing with an increasing number of admissions, as our

Health Editor, Hugh Pym, reports. Here's one hospital accident

and emergency unit which hasn't seen This brand new facility at

New Cross Hospital in Wolverhampton Final preparations are being made

ready for the winter rush expected The patients do tend to be sicker,

we tend to have higher admission rates, infections, flu,

other things around during the winter period which tend to make

the more frail people sicker. The demand on the hospital over

the winter period is intense. The latest figures show,

even before winter, major In September, 19%

of patients diagnosed with cancer still hadn't started their treatment

two months after being diagnosed. 27% of the most urgent ambulance

call-outs did not arrive within The four-hour target to be seen

in A was also missed, The only major target that was hit

was the waiting time for patients to see a consultant,

that's within 18 weeks. The problem coming into even sharper

focus is when patients can't return home or go back to their local

community because there isn't an That means they stay in hospital

beds for longer and that can cause congestion going all the way back to

the front door with a constant flow How many empty beds have you got

at the moment? Here at St Pancras Hospital they are

handling the flow of patients and bed requirements in partnership

with local care providers Nationally, patients delayed

in hospitals is at the highest It would be difficult to

fault anything really. That's very kind of you to say,

thank you. There is definitely more demand

on services and that means new have to work smarter and in different

ways to make sure people are getting the care they need in the right

place for them at that time and it NHS leaders said the service was

well prepared for winter but they Of course it always helps if

patients who don't really need to use these emergency services do act

sensibly and make sure they either go to the pharmacy or the GP surgery

and save our hospitals for those Scotland, Wales and Northern Ireland

release figures at different times. In September,

Scotland's A performance was All this comes at a time when NHS

chiefs are demanding bigger investment in health and social Web

by the Chancellor in his spending review in a couple of weeks. --

social care. Others say the NHS needs to look hard at its own

performance. Thereafter headaches ahead with the possibility of a

junior doctors strike in England. The doctors union is that if there

is a yes vote, there will be a walk-out on December one effecting

non-emergency care and full walk-out on December eight and 16th. NHS

employers say it would have a big impact on patients and it is hugely

regrettable. The migrant crisis could spell

the end of passport free travel within most of Europe, that's

the warning from the President of His warning came after

a two-day summit in Malta where European and African leaders have

been trying to find a solution. The European Council President's

words were very alarming on the future of the continent's free

movement zone for those who see it as the cornerstone of EU

integration. It is not Eurosceptics who have prompted this crisis over

free movement, but Syrians and Afghans, Somalis and Eritreans. This

comes at the end of a two-day summit that saw some progress in the EU

establishing mechanisms to control migration.

Malta's national graveyard, serene and tranquil today but filled

with an anguished crowd back in April at the burial here of some

of the 800 migrants drowned in just one night off the Maltese coast.

Graveyard official Eman Bonnici was there.

It was very emotional because the child was buried in this vault here.

It's failing now to stop hundreds of thousands more refugees

and other migrants trying to cross the Mediterranean.

That's why the EU called this, by now it's sixth summit

It's like trying to repair leaking dam.

Block up the hole in one area and water comes gushing through

The migrant route to Europe has moved from Morocco to Libya

This issue isn't almost over, it's going to be with Europe

for years to come and long-term problems need long-term solutions.

So far, the EU's reaction has been chaotic and uncoordinated but these

meetings in Malta are a real attempt at finding a more strategic

The president of the European Council says it has to

We are under no illusions that we can improve

the situation overnight but we are committed to giving people

Here in Malta, the EU has been working with African leaders,

asking them to crack down on people smugglers and offering cash to help

improve life in African countries to make Europe less enticing.

What Africa needs today is not charity.

This is what drives society forward, both in Europe and in United States.

And when you talk of investment, actually, 1.8 billion is not much.

Today, the UK pledged a further ?200 million for Africa to tackle

Britain gives more overseas aid than any other European country.

But EU partners complain about lack of solidarity

when it comes to dealing with asylum seekers already in Europe.

Balkan countries are now managing to move migrants smoothly

Successfully dealing with this crisis means European nations

are doing what they often find difficult, working together.

Otherwise the EU will continue to lose credibility on other continents

As you saw, a more orderly situation exists on the all can migrant route

but what about the other big access point for people reaching Europe via

Greece? Ed Thomas reports from the island of Lesbos which has seen the

greatest number of arrivals. On dark nights through rough seas,

this is a journey like no other. And so many children now. This baby is

soaked and freezing. His mother's only help, her two sisters from West

Yorkshire. She is a GP but nothing prepared her for this. What must

they be winning from to be forced to do this? The governments need to be

doing so much more, the governments in Europe, they are disgusting. This

is what they are putting innocent families through. European leaders

are acting. At night turns today, the birds don't stop. Syrians Iraqis

and more more Afghans. I am the captain. A young generation of

Afghanistan is coming in Europe and right now in Afghanistan there is no

young power. All of the people is going to come in Europe. There is no

stopping this flow. Smugglers are paid and migrant boats sail when and

where they want, in full view of the Turkish coast guard. But don't think

this is an easy journey. For some, there is no law on the Aegean. These

people say they were held at gunpoint and robbed. We almost died.

Nobody knows exactly who is on these boats. This is Joe. You might

recognise his accent or even his face. What was it like? It was very

scary, believe me. This is a return trip to the place he calls home. I

was in Wembley in two years and two years in Kent. You are in the UK? I

live there for five years. How did you get back to Afghanistan? They

sent me back. So who stays and who goes? In Sweden and Germany, the

mood music of this crisis is changing but who will tell this man

to return to Syria where Islamic State said they would kill him for

playing the music he loves? And who would force this Yazidi mother back

to a home that no longer exists? And who will explain to this

six-year-old girl and her sister what this is about? Today was not

just all about migration, there were some strong words from Donald Tusk

on another issue, Britain's renegotiation of its relationship

with the EU. What did Donald Tusk say and how significant are his

comments? This is the first time since the Prime Minister put his

full wish list in writing that we have heard from the European Council

president and the matters because he represents all the other 27 EU

countries who have two agree to these reforms if they are to be

passed. He said they will be tough, really tough. We know there will be

some difficulties, particularly with the prime Minster's ideas to curb

the new migration to the UK but we also note that the EU wants to keep

the UK in but perhaps there is an element of these leaders wanting to

give David Cameron the fight they know he needs to silence critics

back home. Donald Tusk also said that there were no guarantees on a

decision by the reforms by next month and that brings us back to

migration. It is not Britain in or out of the EU that is the burning

issue here for European leaders, it is the migration crisis. Many

thanks. An interesting end to what has been an eventful summit here

Malta. Back to London. Thank you. Four men have been arrested

in England as part of a counter-terrorism operation to

dismantle a jihadist network which The four, from Hull, Derby,

Birmingham and Sheffield, were among 17 people detained

across five European countries, A man who founded a far-left commune

in south London in the 1970s has gone on trial at Southwark Crown

Court accused of sexually assaulting two of his followers

and imprisoning his own daughter. Aravindan Balakrishnan denies

the charges, including four counts rape and seven

counts of indecent assault. Our Home Affairs Correspondent,

Tom Symonds, reports. This is Aravindan Balakrishnan, the

man once known as Comrade Bala. He is now 75 but he is accused of

presiding over a commonest cult lusting for decades within which

women were raped, assaulted, imprisoned and brainwashed. Today,

the court heard it began in the mid-70s when a much younger man well

at a radical brand of politics based on the teachings of Chairman Mao

China. He was charismatic and energetic as a speaker. Follow was

formed collective in this Brixton building which now houses and

unconnected restaurant. They were determined to overthrow what they

saw as the British fascist state that the men drifted away leaving

just the women. The prosecution said that for years he subjected to to

mental and physical dominance and violence. They were forced into

sexual acts over which they had no choice and were deliberately

degrading and humiliating. The jury heard there was a third woman and he

controlled every part of her life. She is his daughter. The court heard

that she was born into the collective and kept hidden for 30

years during which she was bullied and beaten. The jury was told she

had no friends, you didn't go to school or so a doctor and barely

left the house. Rosicky. Rosina Cottage QC read from the diaries of

the women, detailing how they were forced to worship him as if he was a

god. Aravindan Balakrishnan was arrested here in the last of many

properties the collective occupied over four decades. As you can see,

it is boarded up. He now faces 16 charges, all of which he denies, in

a trial expected to last a month. The NHS in England is struggling to

cope with growing pressure The latest figures show key targets

for ambulance responses, A waiting times and cancer treatment have all

been missed again. And still to come - it is all smiles

and selfies in Edinburgh, as George Clooney pays a visit to

a local sandwich shop. And coming up on

Reporting Scotland... Doctors say nurse Pauline Cafferkey

is fully recovered, one month after being readmitted to hospital

with complications from Ebola. And Rangers chairman Dave King

urges the club's critics to move on It's the first time an Indian

premier has visited the UK This morning,

Narendra Modi flew in to London Within hours,

he and David Cameron had announced trade deals between British and

Indian companies worth ?9 billion. India is now

the fastest-growing large economy in the world, and Britain is hoping

for a piece of the action. Our Delhi correspondent

Justin Rowlatt reports. It is the first time all old Indian

Prime Minister has visited the UK chain decade, and David Cameron was

very keen to put on a good show. Mr Modi was greeted by a fly past from

the Red Arrows. And a bit of good old-fashioned British pomp from the

regimental band of the Irish Guards. But the real business of this trip

is, well, business. These days even Belgium exports more to India than

the UK. And it is that sad fact that David Cameron is hoping this visit

will begin to address. I do not believe we are realising the true

potential of this relationship, and that is what Prime Minister Modi and

I want to change. Who want to forge a more ambitious, modern

partnership, harnessing our strengths and working together for

the long term to help shape our fortunes at home and abroad in the

21st century. And with the inevitable pageantry as a backdrop,

the 2 leaders agreed in ?9 billion worth of new deals between British

and Indian companies and initiatives to Indian businesses to raise more

money through the City of London. But do not expect it all to go

smoothly. You can see what a divisive figure Mr Modi is. He is

associated with a rising climate of intolerance in India. This noisy

crowd of protesters is expected to follow him throughout his visit. We

are going backwards in human rights in India, compared to other

countries, where we should be going forwards. It is a superpower but it

is not looking after its people. He is wearing a veil of democracy, and

he is inside. Mr Modi, India is becoming an increasingly intolerant

place chuckers why? TRANSLATION: India is the land of border, of

Gandhi, it is a vibrant chrissie which protects every citizen. The 2

leaders scattered petals at the feet of the hero of Indian independence,

evidence perhaps that the bitterness of the imperial era is finally over.

Mr Cameron hopes this visit will foster an invigorated commercial

relationship in its place. Cuts to mental health service

budgets in England are damaging patient care

and putting services under huge pressure - that's according to

the King's Fund think-tank. It claims funding for beds

and crisis support is being cut in favour of cheaper schemes

that are often unproven. This is a damning report on

England's mental health services. Patients are being put at risk

by fast-paced, 50% of mental health

trusts are cutting staff. A quarter plan to use less

qualified non-medical staff. And 10% are reducing beds

for the acutely ill. Kate, whose name we've changed to

protect her identity, is painfully aware of the distress

caused when help isn't available. One night, when her father became

suicidal, the family called an ambulance but was told it was

taking him to a mental health cafe. I still remember Mum saying,

he needs to go to this cafe and it was just, like,

how can that even be possible? Everyone knows,

they know how poorly he is. What kind of chaos is there that

that would even seem This centre in south London

is one of many with a cafe. It is run by people with mental

health problems and helps hundreds But researchers at the King's Fund

are concerned the NHS is hoping to rely on places

like this to provide cheaper care. By day, this is a cafe,

but at night, the area at the back here is transformed

into a cosy sitting room, offering cups of tea and conversation for

people feeling unwell in the night. But staff here are clear it's not an

alternative to expert medical care. We would never pretend that we could

manage We would never pretend that we could

manage people's clinical symptoms. We are laypeople, we don't talk

about medication or therapy. Today the NHS responded to

the report and said it was confident What we have been doing is putting

in place many of the systems we need to be able to deliver better

standards of care for people. But that's too late for Kate's

father, who spent three days confined in a room at home until

hospital It's extremely dangerous and

in the current situation we are, without a shadow of a doubt,

putting people's lives at risk. HM Revenue

and Customs says it plans to close 137 of its offices as part of plans

to modernise the way it works. Staff will move to 13

regional centres. The changes are expected to take

place over the next five years. Unions claim thousands

of jobs could be at risk, posing a significant threat to

the performance of the department. More women should be offered hormone

replacement therapy, despite concerns over

its link to some cancers. The health spending watchdog Nice

says that for most women, HRT is an effective treatment

for symptoms of the menopause. Now it has issued guidelines

for the first time about how to Shares in the engine-maker

Rolls-Royce have lost a fifth The company's fourth profits warning

in a year sent The British-based firm says weak

demand in aerospace and marine markets are to blame

for its bleak outlook for 2016. The actor George Clooney swapped

Hollywood for a local cafe He paid a visit to a sandwich shop

which employs homeless people and Our correspondent Kevin Keane was

there when the film star dropped His report obviously

contains flash photography. It felt like a royal visit,

but this was a welcome the Palace The Hollywood heart-throb was

heading for a coffee shop whose customers can also buy drinks

for people who are homeless. George, BBC - why are you here?

Well, I'm working for a charity. What do you think of what they do?

It is pretty amazing. Why are you supporting this

charity in particular? I like what they are doing, I think

it is a very important cause. The idea that we can all

participate in everyone's You must be used to a crowd like

this, but we're not in Scotland. Oh, you're not? It's beautiful.

They are really nice. I feel bad for them because they

are standing out in the cold. Inside, and he met the staff, many

of them once homeless themselves. I'm going to give you some money

but all I have is dollars. Well,

we will take whatever dollars... It was all selfies and smiles

as this A-lister was shown around. So you mostly come to work

at seven o'clock in the morning? We invited him to Scotland

and we said we'd help fundraise And whilst he was here we invited

him to come and visit one of our local sandwich shops,

Social Bite, and to After 15 minutes, George was back

out, bringing the scent of stardom It is just great to see a

Hollywood A-list star in Edinburgh. You did manage to see him

and speak to him? And touch him. He shook our hands.

Lovely man. No red carpet,

but a bit of glitz on a gloomy day. But this one has managed to roll him

himself into the record books. Otto the bulldog coasted under

the legs of 30 people in Lima in Peru to get himself

into the Guinness World Records. Apparently his talents don't

end here - Otto is said to be Time for a look at the weather,

with Helen Willets. And some pretty serious weather

heading this way? Yes, we have got our first named storm of the season.

We have got some pictures of the big waves coming in already today. What

is in store? Well, Sophie said, a big storm is on the way. We have

been watching it all week, Abigail. It looks as if Scotland will be

bearing the brunt of it but we will all feel the effects of this weather

front and vigorous area of low pressure. It is already bringing

some fairly intense rainfall and thunder and lightning and the wind

scares and pretty squalling as well. Up to 70mph in northern and Western

areas. But they could get up to 90mph in the north and west of

Scotland overnight, hence the warnings. The kind of impacts we are

talking about include travel disruption and potential power cuts.

But also the lightning. Behind it, some picked air. Actually it will be

about average for the time of year. For England and Wales in the morning

and especially western areas are these winds could get up to 70mph

quite easily. It clears away from East Anglia later on. Tomorrow, 7-12

on the thermometer. Our first covering of snow of the year for the

Scottish mountains and for the northern Pennines as well. It will

feel significantly colder. But it will not last long. It is back to

businesses usual, the mild south-westerly coming back in.

However, the next low pressure at the weekend has got tropical air in

it, which is renowned for giving us lots of wet weather. So we are

increasingly concerned that we could have some significant rain and

flooding. We are talking to or three inches quite widely, with some

places perhaps up to 6-8 inches of rain. But before that we have got

this storm, Abigail. The NHS in England is struggling to

cope with growing pressure on its services. A record number of people

were stuck in hospital beds in September.