10/01/2017 BBC News at Six

The sharp rise in people with mental health problems turning

Taken an overdose of prescribed medication.

Numbers in England have gone up by nearly fifty

per cent in four years - experts say it's the

They are very busy. Somebody with a mental health issue, it is not

conducive. It's yet more pressure

on A departments - as leaked documents reveal

the number of patients left Jeremy Corybn sets out Labour's

policy on EU migration - but is he for or against free

movement? We are not wedded to free movement

in the EU but I don't want to be misinterpreted, nor do we rule it

out. A fifteen-year-old girl

is arrested after the death More games, more money -

FIFA decides to expand the number of countries competing in the World

Cup. Coming up, cert Dave Brailsford

criticises the head of anti-doping for undermining an investigation

into anti-doping revelations. Good evening and welcome

to the BBC News at Six. There's been a steep increase

in the number of people arriving at accident and emergency

departments in England The latest official figures analysed

for the BBC show that last year there were over 165,000 psychiatric

attendances at A That's a rise of 47 per cent over

the last four years. That includes a rise of 89 per cent

in the number of children and young Emergency doctors describe the

figures as the tip of the iceberg. Our Social Affairs Correspondent

Alison Holt reports from Birmingham. It's another day of unrelenting

demand in the Emergency Department of Birmingham's Queen Elizabeth

Hospital. Is there any movement

in terms of beds? Patients are lining up

on trolleys in the corridor, She's taken an overdose of some

prescribed medication... The psychiatric team,

based in the department, is dealing with a number of people

who've tried to take She had a follow-on plan, she'd

taken an overdose the last time. Among them, a woman

in her early 20s. Doctors have dealt with the physical

affects of the overdose, but the root cause is her history

of mental health problems. I took an overdose, I went

up to the train track. She is one of a rapidly increasing

number of patients arriving at A's like this with psychiatric

difficulties, many are young. The voices are getting more intense,

wanting to harm myself. It's not attempts, it's

actually trying to do it. I'm not just doing it

as a cry for help. Is this the worst that

you've ever felt? I've never been this

bad before, I'm scared. In a busy A, even finding a room

for this conversation was a struggle, now this isn't

the right place for her, You know, if we were to

discharge her from here, she'd would likely go out

there and try and do Was there any particular trigger why

you took the tablets? At this hospital, they see more

than 100 people a week facing a psychiatric crisis

and the Mental Health Trust has set up a quiet unit nearby to assess

people away from the pressure. Its staff then search

for the psychiatric beds I'm trying to act upon this

as a matter of urgency for this lad because he doesn't sound

well at all. Nobody in a mental health crisis

should be in Accident Emergency unless they've got

a physical health need. Our A, what I see,

are very, very busy, overstimulated places and somebody

with a mental health issue, it's just not conducive at all to them,

to being in that environment. That's why in Birmingham they've set

up this street triage team to intervene before people reach

the Emergency Department. The patient here is

hearing voices stating - With a police officer, paramedic

and psychiatric nurse on board, they respond to 999 calls

where there are mental Already this evening the man

they're visiting has called His physical health is checked,

they listen to and assess him. Are you telling me that there

was these negative voices I think like there's

someone controlling me. It's kind of like, I'm

some kind of machine. After half an hour it's agreed,

rather than going to A, he'll keep a community appointment

in the morning. I think the first step is me asking

for help as well as being assured Over the last four, five weeks he's

been going to A quite a lot. I think he's had six

admissions through A So we've come out tonight to try

and prevent that cycle. Night and day the street

triage team is in demand, but here they believe it's making

a difference in getting We managed to reduce

the numbers of attendance to the A, but what you get,

you get high quality. You get mental health,

police forces and paramedics working in collaboration together to look

after one single patient. For many, A will remain

the first place they turn to, the challenge is to help people

who are vulnerable before Why are so many people with mental

health issues turning up at accident and emergency? It is complex, there

is increased awareness, people are more willing to talk about mental

health, but campaigners say if people are reaching a crisis and

feel the only place they can go is accident and emergency then that is

a sign that the community services are not working well enough because

they are not picking people up before they get that crisis.

Emergency doctors believe the figures are an underestimate, if

someone comes in having self harmed, that will go in a different column

in the statistics. The gold standard is to prevent people needing to go

to accident and emergency in the first place. The Department of

Health has said the Prime Minister has made it clear that they are

committed to improving mental health services in the NHS and across the

community. Thank you very much. Today, there was more evidence

of the pressure on A departments with leaked documents,

seen by the BBC, showing that tens of thousands of patients in England

were left waiting on trolleys Nearly 500 of them waited over 12

hours, that's three times as many Our Health Editor,

Hugh Pym has the story. This was life at one hospital on the

front line today, even more hectic than usual, with an astonishing 20%

more patients than last year. We are urging people to stay away if the

problem is not urgent and seek care elsewhere. The beginning of January

is always a busy time, much busier than this time last year. I think we

will make it through the winter but it is going to be really hard for

us. Since Christmas the NHS has been under immense pressure with some of

the busiest ever days in hospitals. The Red Cross said there was a

humanitarian crisis but this was denied by the government. The BBC

has obtained internal figures revealing the scale of the pressure.

A number of patients relying on trolleys for hours at a time because

beds were not available. The figures come from 131 Hospital trusts in

England, they sure there were 445 patients waiting more than 12 hours

on trolleys in that week. That compares with 158 for the whole of

January last year. One hospital missed the target of treating or

assessing 95% of patients within four hours. For 80 just the outcome

was below that. Jeremy Hunt hinted yesterday before our target might be

changed to cover urgent cases only. Earlier he said some accident and

emergency units had serious problems but had coped better than last year

but there were experts that there were no -- warnings from expert but

there were no easy solutions. We reduce the number of bed by half and

we increase the number of admissions to double. It is about reaching a

crisis situation. The data in Scotland, Northern Ireland and Wales

are not directly compatible and the data did not cover all hospitals but

it acknowledged there was unprecedented demand.

The Labour leader, Jeremy Corbyn, has been under pressure to spell out

exactly what Labour's position is on the free movement of people

from the rest of the EU to Britain - one of the key issues

In a speech he was expected to say they could ditch support for freedom

of movement and a low EU citizens to move to the UK but later said he

would not rule it out and said he did not think immigration was too

high. Here's our political editor. Will you welcome what was billed as

his position on Brexit? Everybody voted for a better future.

On the biggest question, what was his verdict? I don't want to be

misinterpreted, nor will we rule it out. We will demand that they give

us the power to intervene decisively and prevent workers from here or

abroad being used are exploited to undermine pay and conditions at

work. The original version of his speech had suggested freedom of

movement might be ditched but instead he wants to tighten up rules

that allowed foreign workers to be exploited. Does that mean you want

to see more or fewer people? It probably means there will be fewer

but I think we should also recognise there is a massive contribution made

to health service, education, manufacturing industry by people

from all over Europe. You say there will probably be fewer people coming

here, by how many? I cannot put a figure on it because we've not seen

the work that has been done. Is it a question of principle? Employers

should not be allowed to tear up existing arrangements in the

construction industry or industries. We've asked you whether you think

the levels are too high. Have you changed your mind? I've not. My mind

is clear that we need to end the exploitation. We need to maintain

market access within Europe and ensure there are good relations

between communities. Do you want to... I want us to have market

access and trade with Europe. That means continuing freedom of

movement. Let's see what comes out of the negotiation. Mr Corbyn was in

Peterborough, tone that has been changed by immigration. They worry

that the approach does them no favours. The amount of immigration

has not been good for Peterborough. A lot of foreigners are quite nice

but the system cannot cope. I find Labour are confusing and I don't

understand what the issues are. Jeremy Corbyn hopes he might have

more appeal than pounds and pence. Income limits could be on the way. I

think you need to look at each company and think, is it right that

the chief Executive earns 100 times those that are doing the work that

keeps the company going. After being expected to change direction, in the

end he more or less stayed on the spot. It is sticking to principles

that makes him the hero for his supporters but for his MPs it is a

stubbornness that means they could be doomed to fail.

A 15-year-old girl has been arrested after the death

She was found in the Woodthorpe area of the city with serious injuries

The teenager remains in custody and is being questioned by officers.

In the last few minutes they've named the girl as Katie Ruff. What

happened here sounds horrendous. Her mum and dad were here and they

realised the enormity of the situation and how gravely their

little girl was injured. This is Katie Ruff. She was found with fatal

injuries. Her grandparents described her as the darling princess. Friends

left flowers close to where she was discovered. She was very close

friend to my daughter. She was a beautiful little girl. Beautiful

family. People living in this cul-de-sac tries to help her mother,

who arrived just after she was found. A woman ran up the street,

she was shouting, help, help, call for an ambulance. I got halfway up

and I could see a body lying in the field but the police were already

there. Seven-year-old Katie died a short time after in hospital. A

15-year-old girl has been arrested and is being questioned. About half

a mile away, police have also been at a semidetached house as part of

the enquiry. There's been a steep increase

in the number of people arriving at A in England

with mental health issues. Claire Hollingworth,

who was first to report on the start of World War II,

dies at the age of 105. Coming up in Sportsday in the next

15 minutes, on BBC News. Kempton Park racecourse,

home of the King George VI Chase, is set to be closed to make way

for 3,000 new homes. The Jockey Club says

it's for the long-term The Jockey Club says it's

for the long-term benefit of racing. The governing body of world

football, Fifa, has approved plans to expand the tournament from 32

to 48 countries by 2026. The new format will feature 16

Groups of three teams, with the top two of each Group

going through to There'll now be a total of 80

matches, but the winners will still only play seven games

to lift the trophy. The move is projected to generate

?800 million in additional revenue for Fifa through broadcasting,

commercial and match-day income. Critics have called it a "money

grab and a power grab." From Zurich, our Sports News

correspondent, Richard Conway, has been talking to Fifa's new boss,

Gianni Infantino. Fifa has finally cleared a path to a

World Cup of 48 teams from 2026, 16 more countries will join football's

flagship tournament. Speaking to me today, the world gov earning body's

president insisted, in the face of much criticism, it's time for the

sport to look beyond its traditional borders. Football has become a truly

global game because many more countries, many more teams, will

have the chance to qualify, so they will invest in developing football.

They will invest in developing elite football as well as grass-roots

football. They will invest in their technical developments and this will

make sure that the quality raises. The growth of the World Cup will

bring in revenue. Fifa stand to make ?500 million profit in 2026

according tos it own research. . Was elected on a pledge to deliver a

bigger competition insist it is not about cash and politics. It's not at

all money and power grab, it's the opposite. It's a football decision.

So the way we presented it was - OK - we present four for mats, every

one of the four for mats has advantages in erms it of the

financial situation which means we are in a comfortable situation to be

able to take a decision simply based on the sporting merit. -- for mats.

Asia and Africa stand to benefit the most when the extra 16 places are

divided up. There will be more slots too for European nations. The

Scottish FA welcomed today's decision, believing it will give

them and others a better chance of qualifying. After a number of years,

when Fifa was a by-word for corruption, it's new leadership is

determined to assert itself. Gianni Infantino's task is now to convince

his critics a reformed World Cup is a force for good. Richard Conway,

BBC News Zurich. Arlene Foster, Northern Ireland's

former First Minister, says Northern Ireland

is "undoubtedly" heading for a period of direct

rule from Westminster. Under the rules of the power-sharing

Government, she was forced to step down as the First Minister yesterday

after her partner in Government, Sinn Fein's Martin McGuinness,

resigned his post as the Deputy The problems stem from a bitter row

about a mismanaged energy scheme. THE SPEAKER: The Secretary of State

for Northern Ireland. It all has echoes

of unhappier times. In the House of Commons,

a British minister was making Right honourable and honourable

members should be in no doubt, the situation we face

in Northern Ireland today is grave and the Government treats it

with the utmost seriousness. The situation to which he was

referring was the collapse of the power-sharing

Government at Stormont. A decade of broad consensus

between Republicans On the surface, it's

about a green energy scheme, the cost of which was found

to have been exorbitant. The scheme was originally overseen

by the Democratic Unionist leader and the out going First Minister,

Arlene Foster. The major sticking point between us

over this last few weeks has been the fact that Sinn Fein would not

agree to the establishment of an inquiry until I stepped

aside as First Minister. For me, I felt to have done

so would have led to the conclusion that I was guilty of something

improper, which is not the case. Across in West Belfast the leader

of Sinn Fein, Gerry Adams, was issuing two warnings -

a return to direct rule from London would not be acceptable and neither

would a return to the same power-sharing arrangements

with the Democratic Unionists If the DUP think that they're

going to waltz out of Government or are have an election and then

waltz back into Government on the same terms as caused

the collapse, then they'll have The politics of Northern Ireland can

seem pretty impenetrable from outside, but here's

the essential point - it took years to put together

a successful power-sharing That Government oversaw

peace and stability. There is uncertainty about how

to put it all back together. Nicholas Witchell,

BBC News, Belfast. There was more travel misery

for hundreds of thousands of Southern Rail passengers today,

as the network's drivers It's just the latest industrial

action in a row between the unions and the company over plans

for driver-only operated trains. As our transport correspondent,

Richard Westcott, reports, it could More than 2,200 Southern services

weren't running today. Platform 2 for the delayed

0747 Thameslink service. Their passengers were forced

to find other routes in. The whole situation seems

like a complete joke. I'd like to know that

when I get on the train, that I'm going to end up

at my destination at a certain time. Well, this is the queue just to get

into East Croydon station, all of these people are trying

to get to London, it's It snakes around a lot,

then actually goes down the side of the station,

probably about 100 meters For nearly a year, they've been

rowing about changes to the role Southern wants drivers to take over

closing the train doors. The unions say that

threatens safety and jobs. Southern says no-one's

losing their post and the safety This is The Body Shop's

new ?1 million lab in Croydon. They moved hundreds of staff

here last year because of the great train service, but Southern's

drivers aren't working overtime at the moment,

causing delays and cancellations It's having a devastating effect

on The Body Shop's staff. They're missing childrens birthdays,

they can't arrange meetings, They're feeling stressed,

tired and irritable and there's a number of people saying every day,

from about 4.00pm, they're sitting getting more and more stressed

about whether they're going to get home, at all, or on time

for the commitment Back on board, several

commuters said this. I mean the Government need

to do something about it. So the BBC put the question

to the Minister. REPORTER: What are you,

as Transport Secretary, Don't you have a duty

to step in on behalf... The Government's engaged day

in and day out in trying to find a way to get this issued resolved,

and we'll carry on doing that. In Merseyside, unions are fighting

similar plans to bring It's Southern today,

but this issue threatens It was the scoop of the century,

the news of the Nazi invasion of Poland that triggered

World War II. Today, Clare Hollingworth,

the British war correspondent As a rookie reporter in Poland,

she'd spotted German forces James Robbins looks back at her

extraordinary life and career. This is a national

programme from London. Germany has invaded Poland

and has bombed many towns. But three days earlier,

Clare Hollingworth's greatest scoop had already appeared in the Daily

Telegraph. Alone, inside Germany,

she'd seen the Nazis Aged 27 and a journalist

for less than a week, a woman in a man's world had beaten

the lot of them. 1939, I went out to Poland

to become number two to Hugh Carleton Greene of BBC fame,

and I got to Warsaw and he said, "one of us has got

to go to the frontier." And I was on the German-Polish

frontier when the German And Clare Hollingworth's

scoops kept coming. In 1963, she uncovered Kim Philby's

escape to Russia as an MI6 traitor. For weeks, the Guardian refused

to publish, fearing a libel action. But above all, she was

a war correspondent, across the Middle East

and notably in Vietnam, I'm really passionately

interested in war and if one is passionately interested

in war, one can't help Last year in Hong Kong,

fellow journalists celebrated Clare's 105th birthday as even more

extraordinary stories emerged of her role before World War II,

helping refugees escape the Nazis. In danger herself so many times,

Clare Hollingworth was witness the great events across more

than a century. Clare Hollingworth who has died at

the age of 105. It is getting lively over the next

few days. We have a weak weather front moving southwards and

eastwards. Weak in terms of rainfall. As it moves through, a

strong and cold wind coming from a long way north and west. Rain

initially in Scotland and Northern Ireland. Head south across England

and Wales it will become light and patchy. The winds will pick up to

gale force and behind it a lot of showers, turning wintry over the

higher ground in Scotland. A chilly night, major towns and cities in

single figures and cold in the wind. The wind will be a key feature of

things tomorrow. There could be travel disruption to the northern

half of the UK with winds at 60mph-70mph. Maybe more. A Ross

cross wind for the central lowlands of Scotland and quite a few showers.

Showers and windy in Northern Ireland and northern England, too.

The strongest winds over and to the east of the Pennines. Further south

a blustery start to the day, not much in the way of rainfall. In the

western side of Wales there will be a few showers early on. It's windy

the further west you go. Gusts of wind 45mph through the morning. It

will be windy to all parts through the day. The showers will be in

Northern Ireland, northern England and in Scotland the snow showers

will come down the mountains as we get on into the afternoon and

evening. It will be cold across the board, seven to eight in the south,

three or so in Glasgow. Factor in the wind and it will be colder than

that. Snow showers continue across Scotland. Northern Ireland will see

some into the early hours of Thursday. Some of it will get down

to low levels. It will be cold, a touch of frost and icy patches

northern England up to Scotland and Northern Ireland, too. Thursday,

cold and windy day, snow showers around. Further south, wetter

weather for Wales and England. We could see snow as well. Thank you

very much. That's all from the BBC News at Six,

so it's goodbye from me, and on BBC One we now join the BBC's

news teams where you are.