09/01/2017 BBC News at Ten

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Tonight at Ten - a key NHS commitment in England


might be modified - as accident and emergency


departments come under intense pressure.


Demand over Christmas was unprecedented -


ministers say that being seen within four hours might be


restricted to the most serious A cases.


It is clear we need to have an honest discussion with the public


about the purpose of A departments.


But doctors are warning that bigger budgets are needed to free up space


We need money in order to allow patients who are fit to be


discharged from hospital, back into the community.


We'll be reporting on the latest pressures -


Theresa May makes the case for a shared society -


and promises more helps for mental health services.


The political crisis deepens in Northern Ireland -


as Sinn Fein's Martin McGuinness resigns as Deputy First Minister.


A warning that many local newspapers could be forced to close -


if new proposals on press regulation become law.


And, Donald Trump's mocking of disability -


gets prime attention - at the Golden Globes.


And coming up in Sportsday on BBC News:


The Best Manager in the World -


Claudio Ranieri is honoured by Fifa for taking Leicester


An honest discussion is needed - about the way people use accident


and emergency departments - in England's hospitals.


That's the message from Jeremy Hunt - the Health Secretary -


as hospitals report unprecendented demand -


He's also suggested that patients with less serious problems -


might no longer be covered by a commitment to be


But he has denied suggestions - from the Red Cross -


that the NHS is facing a humanitarian crisis.


Our health editor Hugh Pym has the latest.


Whatever the intense pressure on the NHS there's a commitment for


hospitals to assess or treat almost all patients within four hours of


arriving at A But at a time when the service in England is creaking


under the strain that's been thrown into doubt. Secretary Jeremy Hunt.


The Health Secretary Jeremy Hunt surprised MPs by claiming that


people going to A without good reason were undermining the target.


It is clear we need to have an honest discussion with the public


about the purpose above stomach about stomach of A departments.


There is nowhere else outside the UK that commits to all patients that we


will sort out any health need within four hours. With NHS England


estimating that nearly a third of people using A don't need to be


there Mr Hunt hinted the four our target could be restricted.


If we are going to protect our four our standard it needs to be made to


kneel we will sort out urgent health problems within four hours but not


all health problems, however minor. Labour argued this could mean a


vital pledged to patients was being watered down. Is he now really


telling patients that rather than trying to hit the four hour target


the government is now in fact rewriting and downgrading its? If


so, does NHS England support this move? Part of the Government's


thinking is to try to stop people going to A in the first place if


they are not seriously ill. Medical leaders say there has been tried for


years without success. Despite all that educational attempts for the


last 20 years attendances have only risen. I think what we need is


better designed systems and education to send patients away,


unfortunately from a historical perspective, not going to work. The


four hour waiting time targets in A is 95% of patients should be


treated in that time. Anything above the black line so shows the target


in England being missed. It has been happening consistently in the last


couple of years. The latest debate over targets comes


days after the Red Cross said there was a humanitarian crisis in the NHS


and social care, a claim rejected by the government. Mr Hunt's comments


have caused some confusion tonight. The Department of Health has


stressed there are no plans to drop the four hour waiting time target


but it has left open the possibility of alterations. It's hard to see,


though, how changing the target system will make any difference to


the underlying realities. Patient numbers rising faster than available


resources and hospitals under extreme pressure. Hugh Pym, BBC


News. The Prime Minister acknowledged


the pressures on the NHS - when she set out some


of her priorities for the year ahead in her first


policy speech of 2017. Theresa May set out measures


to improve mental health services in England -


and said she wanted government to play its part in creating


what she called a shared society. Labour says she's confronting


the effects of six years of her own party's policies -


as our political editor Six months since she walked


into the famous street. Six months since she's


been your Prime Minister. But piecing together


what Theresa May But today she made clear she


believes for millions life doesn't feel fair and her government can


be part of the answer. When you see others


prospering while you are not. When you try to raise your concerns


but they fall on deaf ears. When you feel your very


identity, all that For we know what happens


when mainstream centre The politics of


division and despair. They turn to those who


offer easy answers, who claim to understand people's


problems and always know what and It is to show that mainstream


centre ground politics A plain attempt to appeal


to Middle England. But David Cameron's dream


of a Big Society is gone. The shared society


is one that doesn't just value our individual rights


but focuses rather more on the responsibilities we


have to one another. It's a society that respects


the bonds that we share, as The bonds of family, community,


citizenship and strong institutions. And government will step up


to support and, where necessary, enforce the responsibilities we have


to each other as citizens. But although there


were promises of more help for housing in weeks


to come, controversial plans for schools,


the only new commitments today Made with passion but no


extra taxpayers' cash. For too long mental illness has been


something of a hidden Shrouded in a completely


unacceptable stigma and dangerously disregarded


as a secondary issue Yet, left unaddressed it destroys


lives, separates people from each other, and deepens the divisions


within our society. But as with all prime


ministers, whatever they say on the steps here or anywhere else


quickly rubs up with reality. But Theresa May has


an extra dilemma. As she starts to manage the most


complicated project any leader has faced in decades, there


is a risk her government becomes simply consumed with how we leave


the European Union and her political enemies


say her words ring hollow. If only we could believe


that she actually meant it. She's been part of a government


now for the last six years which has cut back


on public expenditure, And she's making the speeches


about shared society with a on trolleys waiting for care in our


hospitals. So I think there is


a credibility gap here. It's only six months,


but those days of summer Few prime ministers


in the end choose how Laura Kuenssberg, BBC


News, Westminster. The Prime Minister's decision


to highlight the issue of mental health was broadly welcomed


by charities - although some experts pointed out that money


which had already been promised - Our health correspondent


Elaine Dunkley has this assessment It's been nearly two years since


Steve Mallon's son took his own life after a short and severe


episode of depression. Today, visiting his


grave, he could reflect on a personal campaign to get


politicians to take mental health A coroner ruled that Edward Mallon,


who was 18, was let I stood next to my son in this


church and I made him a promise and the promise was that


I would investigate his tragic and And at the same time also


investigate the whole mental Like many people


I didn't know a great deal about mental health prior


to this appalling tragedy. And when you look at


what has happened in this country and the current state


of affairs it really is an To see the Prime Minister


come forward now is really quite significant


and very welcome. One of the Prime Minister's


key messages is that mental health is a


challenge for the whole of society


and not just the NHS. Schools will play a bigger role


in helping pupils dealing with problems before they


reach crisis point. Schools like this one


in Hertfordshire already employ a therapist and train sixth formers


as mental health mentors looking out for fellow students


who may be struggling. Sort of like relationships


with friends, but it's The school has welcomed


the promise of more training for staff in mental health


awareness, but says more resources In order for other schools


to pick up and do something similar to us and have in-house


therapists or counsellors there needs to be funding,


especially if staff are going to be expected


to The question then is


what do you do with You need to do something


with them immediately. The Prime Minister has


outlined her commitment. But the reality is that


mental health trusts in England are under


serious financial pressure. Analysis by The King's Fund


think tank found 40% of the 58 trusts saw budget cuts


in the last financial year. Six were cut three years


in a row and 63% of mental health trust leaders thought


they would miss out on the full NHS spending increases


which have been pledged. It's very worrying because we've had


a number of commitments in the past around increasing spend


on mental health but that doesn't seem to be then translated


into extra It's great having ministers


make commitments to mental health but if it's


then not translated into extra spend then,


to be frank, the commitments


are worthless. For the Mallon family,


today is an important step on a journey leading towards high-quality


mental health care and fewer tragic But Steve says his campaign


is far from over. And there is still much


more work to be done. Our political editor


Laura Kuenssberg is here. What has today's speech by the Prime


Minister told us about her ambitions for the year ahead? There is a new


mantra, this phrase the shared society, but there was no dramatic


departure either Prime Minister today, no dramatic measures in her


plans for mental health. It was the beginning of what her team describe


as a lot of activity in the coming weeks and a very deliberate effort


to show that No 10 under her charge will not, they hope, be completely


consumed by trying to get us out of the European Union. She is


determined to try to do things to intervene in the country to try to


make society fairer for everybody. As that rather unflashy speech


progressed, a drama in the NHS in England appeared to be unfolding


with Health Secretary speaking as he did in the House of Commons. The


Tories struggled for years all the time through David Cameron's


leadership while he was in charge to detoxify their reputation when it


comes to the National Health Service. There is significant strain


on the health service, nobody can argue with that and Jeremy Hunt


admitted that today. With that comes a significant political risk and the


idea of a shared society might not get that far if what so many people


are experiencing in sharing their experiences in the NHS are


increasingly dire as the months go on. Laura Kuenssberg, thank you very


much. The political crisis


in Northern Ireland has deepened - with the resignation


of Sinn Fein's Martin McGuinness as Deputy First Minister -


raising the prospect of new Assembly elections - just seven months


after the last ones. The crisis was prompted


mainly by the mishandling of a controversial energy scheme -


which has cost hundreds of millions Sinn Fein blamed


the First Minister - the DUP's Arlene Foster -


for the problems and wanted her to step aside


while an investigation took place. Our correspondent Nicholas Witchell


reports from Belfast. It was the most improbable of


alliances. The party which was the political face of the provisional


IRA sitting down and working with the party of hardline unionism then


led by The Reverend Ian Paisley. Yet for ten years the power-sharing


government at Stormont has brought peace stability to Northern Ireland.


Now it is on the brink of collapse and ostensibly it's all over heating


scheme. Martin McGuinness, the IRA man who turned to politics and


became Deputy First Minister, is in very poor health. He's had enough of


what he calls the arrogance of deep Democratic Unionists. I have


tendered my resignation effective from five o'clock today. -- the


Democratic Unionist. I believe now is the time to call a halt to the


DUP's arrogance. So, what is it that threatens to wreck a decade of


political progress? It's something called the renewable heat incentive


scheme. Suffice it to say it's likely to cost the Northern Ireland


taxpayer ?500 million more than expected. The minister who set up


the scheme was Arlene Foster. Now DUP leader and First Minister of


Northern Ireland. Tonight, via social media, she responded to Mr


McGuinness's departure. I am, of course, disappointed Martin


McGuinness has chosen to take the position he has today. His actions


have meant that at precisely the time when we need our government is


to be active we will have no government.


Martin McGuinness's resignation by possibly brings to an end the career


of a man who was once a committed and active republican paramilitary.


In the 1970s he was second in command of the IRA in Derry. Can you


say whether the bombing is likely to stop in the near future in response


to any public demand? Well, we will always take on the considerations


and feelings of people of Derry and these feelings will be passed on to


the HQ in Dublin. The man who helped to lead the IRA


to violence ultimately help to bring Northern Ireland to peace. He


recognised that there could never be a so-called military victory in


Northern Ireland and something that had seemed inconceivable became a


reality. Republicans and Unionists found that they could work together.


Martin McGuinness and Ian Paisley got on so well they were nicknamed


the chuckle Brothers. But in recent times the atmosphere has soured.


There have been disagreements on a number of issues. Now the way


forward is uncertain. Under the power-sharing system the first and


Deputy First Ministers have to work together. If one resigns the other


cannot continue. In effect, the political institutions have


collapsed. For year after year many people here in Northern Ireland and


elsewhere have marvelled at what political leaders here have achieved


in the past decade. Those achievements are in jeopardy now and


it's not, as might have been expected, over a constitutional


issue or a security crisis, it's over a heating scheme. Political


leaders here have overcome so many problems. But if they cannot find a


solution to this in the next seven days, there will have to be


elections to a new Northern Ireland Assembly. Nicholas Witchell, BBC


News, Belfast. Our Northern Ireland political


editor Mark Devenport How serious a threat is this


to political stability Is this sequence of events?


Undoubtably the most serious threat to storm and since the government


was able to piece together devolution under the dominant


parties of the DUP and Sinn Fein. Over this green energy scandal


they've very quickly run out of road and whilst the government wants to


try to avoid a fresh election, it seems tonight there will be no way


they can do that. Once they have the election, if things, as seems


likely, that two main players will be facing each other again across


the table, but it will be hard to know how they can piece things


together. Not only this deep rift over this heating scandal but a


whole other issues on which Sinn Fein believes they've been treated


as second-class citizens by their partners in government. Difficult


terrain here instrument. Thank you for bringing us up to date. Mark


Davenport at Stormont. A brief look at some of the day's


other other news stories: Millions of commuters in London have


been struggling to get to and from work


because of a strike, forcing the closure of large


parts of the underground system. Members of two unions have been


staging a 24-hour walk-out in protest at job cuts


and the closure of ticket offices. The pound sterling has


fallen to its lowest level The pound dropped by 1% against both


the Euro and the US dollar. Many analysts linked it


to Theresa May's apparent suggestion yesterday,


that the UK would withdraw from the single market


when it left the EU. Scotland's First Minister,


Nicola Sturgeon, has made clear that a second referendum on independence


won't be held this year. The Scottish government has drafted


legislation for a referendum, after Ms Sturgeon said the UK voting


to leave the EU made another President Obama will deliver his


farewell address in the city of Chicago tomorrow -


the city where he claimed victory 8 years ago -


in the historic election which put the first African-American


in the White House. But as his second term comes


to a close what will his legacy be? In the first of two reports looking


back at his time in office, our North America editor Jon Sopel


looks at the domestic issues, which have defined


the Obama presidency. It wasn't just the hope


when Barack Obama came to office, That the country's problems


would be solved at a stroke, that the first African-American


president would usher No more black America


or white America, But the lingering vestiges


of that dream disappeared in the summer of 2014,


in clouds of tear gas, in a nondescript suburb of St Louis,


Missouri, called Ferguson. An unarmed black man had been shot


by a white police officer. It was a pattern that


would become all too familiar. In Charleston, South Carolina,


Walter Scott had been pulled over Footage captures the


white police officer who stopped him, shooting him


in the back several times At his trial, which ended


last month, the jury The court, therefore,


must declare a mistrial... Another symbol for the


black community that I think his legacy to him is more


important right now, to paint a picture that he did


a real good job in America. But most black folks are very


disappointed, because we feel The issue of race and another


of America's great intractable social problems, gun violence,


came together in horrific effect inside this famous African-American


church in Charleston. A white supremacist who,


with his string of drug convictions, should never have been able


to purchase a gun, walked inside a Bible study group


and killed eight worshippers Barack Obama had always seemed


reluctant to define himself as a black president,


preoccupied by racial issues, but after these shootings that


changed, as he came to Charleston and showed how he felt


the community's pain. SINGING: # Amazing grace,


how sweet the sound, Obama's two terms


in office were punctuated You've dialled 911, what's


the location of your emergency? ...I think there's


somebody shooting here. Then a series of random mass


killings that started with the slaying of 20 children


and six of their teachers that The President's famously cool


demeanour was gone after this. Every time I think about those


kids, it gets me mad. And by the way, it happens


on the streets of Chicago every day. I refuse to act as if this


is the new normal. This is not something


I can do by myself. Such violence, such


evil, is senseless. Again and again he wanted tougher


legislation on gun-control. But he failed, to his


evident consternation If you ask me where has been the one


area where I feel that I've been most frustrated and most stymied,


it is the fact that the United States of America is the one


advanced nation on earth in which we do not have sufficient


common sense gun safety laws. But there have been some


legislative successes. Millions more Americans now


have health insurance than was previously the case,


although Obamacare has And the economy, which was flat


on its back eight years ago, is starting to boom,


and people are spending We have not just come back stronger


from the great recession, we have actually built an economy


that's the envy of the world. That is an important part


of President Obama's legacy. But it proved to be a voterless


recovery where it mattered. They'll be no Democrat


succeeding him in the White House, and so, one of his final acts


was to make a last journey to Capitol Hill, to urge his party's


lawmakers to fight off Republican attempts to dismantle Obamacare,


and the rest of his domestic legacy. Hundreds of local newspapers


could be forced to close, if new proposals on press


regulation become law. That's been the warning


from editors during a public consultation on how newspapers


should be regulated. Change is essential,


according to victims of press intrusion,


but newspaper editors say the Our media editor Amol


Rajan has the story. Britain has had robust and raucous


newspapers free of state control for more than 300 years,


but now the majority of the industry believes that a form of government


interference is set to return. Ian Murray is the editor in chief


of the Southern Daily Echo and other titles on the south


coast of England. We've got files that goes


back to 1776, the time Like many editors,


he fears centuries of press This is a principle,


the principle of free speech - a free press, which has existed


for 300 years. This paper was founded,


as a weekly paper, in 1823, and those founders would be


absolutely horrified to think that we were now being bullied,


bullied by the state to giving up the freedom that they


basically founded. Their concern is over new proposals


for press regulation. At the heart of it is Section 40


of the Crime and Courts Act 2013. This says newspapers


would have to pay legal costs of anybody who sues them,


unless the newspaper joins But editors fear that any such


body would ultimately be It's getting harder for newspapers


to keep the presses rolling, but while Bob Battle for press


freedom is often cast as a fight between big newspaper tycoons


and victims of newspaper mischief, there are hundreds of publications


who see this legislation as a threat One publication that knows


all about legal action is the satirical magazine,


Private Eye. Its editor believes


Section 40 would be fatal I mean it is completely


mad, as a proposition. Anyone looking at it from outside


would think, what is this about? I mean dictators will love it,


it will be very popular in Turkey. I'm sure Syria will incorporate it


any day now, but really it is a punitive attack


on the freedom of the press. This proposal came out of


the Leveson Inquiry five years ago. Madeleine McCann's family gave


evidence, so did the parents And the businessman Max Mosley,


whose private life was exposed Mr Mosley's family


trust is now funding We need this new Section 40,


to give access to justice. The problem at the moment


is unless you're rich, if you are turned over by a big


newspaper, there's nothing you can do, because the lawyers say to you,


well, you have a good case, you can sue, but you do


realise if you lose, we don't think you will lose,


but if you do lose it will be Protesters today calling


for tighter regulation. But the newspapers are digging


in for a bitter fight and Leveson's recommendations,


which aimed to bring back trust, are still causing division


nearly five years on. The Golden Globes ceremony


in Los Angeles became a platform for some of Hollywood's biggest


names to criticise the policies and attitudes of Donald Trump,


though the President-elect was not Meryl Streep attacked


Mr Trump's actions in mocking a disabled reporter


during the election campaign, but the three-time Oscar


winner was later dismissed James Cook reports on the winners


on and off the stage. Nowhere is more horrified


by the election of Donald Trump than the liberal bastion


of Hollywood, and no one commands Receiving a Lifetime Achievement


Award, the actress spoke for many of her peers


when she delivered an impassioned There was one performance this year


that stunned me. It sank its hooks in my heart. It was that moment when


the person asking to sit in the most respected seat in our country


imitated a disabled reporter, someone he out ranked in privilege,


power and the capacity to fight back. It kind of broke my heart. The


poor guy, you should see this guy, I don't know what I said, I don't


remember. Mr Trump denied mocking the reporter's disability and went


to twitter. A British invasion, and what could


be more British than playing the Queen?


She has been at the centre of the world for the past 63 years,


and I think the world could do with a few more women at the centre


Won three awards. I did not expect to win a Golden Globe tonight, and I


was sat next to Hugh Laurie when he won and I thought, I can go home


happy. Then when it came to my category, up against some real


legends. Coming of age movie moonlight had been tipped to win


quite a few but won just one, Best drama. But the biggest was...


There were a record seven Golden Globes for the old-fashioned


musical, with both Ryan Gosling and Emma Stone waltzing


This is a film for dreamers, and I think that hope and creativity


are two of the most important things of the world, and that's


Well, Hollywood can be fun and frivolous, but it also prides


itself on tackling serious subjects, and many stars here on the red


carpet are predicting a surge in political films this year,


following the most divisive of elections.


James Cook, BBC News, at the Golden Globes in Los Angeles.


A quick reminder Newsnight is about to begin on BBC Two.


Tonight: Can a Prime Minister ever define her own legacy?


Theresa May set out the soul of her premiership today.


Here on BBC One, it's time for the news where you are.