10/01/2017 BBC News at Ten

Tonight at Ten - we have more evidence of the intense

pressure on hospital A departments in England.

Figures released to the BBC show a 47% rise in the number of people

with mental health problems seeking help in accident and emergency.

We'll have a special report on the urgent measures

being taken in the community to try to tackle to problem.

And we'll have other figures on the number of patients facing

Jeremy Corbyn is accused by some of his own MPs

of causing confusion on Labour's policy on immigration.

We are not wedded to me free movement in the EU as a point of

principle, but I do not want to be misinterpreted. Nor do we rule it

out. Police in York name

a seven-year-old girl who died after being found seriously

injured yesterday afternoon. Tens of thousands of travellers

experience another day of disruption because of strikes

by Southern Railway, And we pay tribute to the journalist

who first reported the outbreak of the Second World War,

who has died at the age of 105. Coming up in Sportsday

on BBC News - we've had the first of the League Cup

semifinals, with Wayne Rooney given the chance to break

the Manchester United There has been a significant

increase in the number of people with mental

health problems asking to be seen at accident and emergency

departments in England. Figures from NHS Digital,

analysed for the BBC, show that in the year 2015-16,

there were over 165,000 psychiatric attendances at A

departments, a rise of 47% over And it includes a rise of 89%

in the number of children and young Doctors say the reality is even

worse than the figures suggest. Our social affairs correspondent

Alison Holt has the story, 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 have 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 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 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 and 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 hearing voices, stating,

going to kill someone. 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

that I will get the help. 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, For many, A will remain

the first place they turn to. The challenge is to help people

who are vulnerable before When we look at the range of reasons

for these figures, what would you direct us to? It is a complicated

picture, but better recording and an increased awareness of mental health

issues generally is part of the picture. It does not explain the

significant increase. Campaigners say, if people are turning to A

when they are in crisis, or sometimes they are directed there by

professionals, then that is a sign, they say, that services in the

community are just not keeping up with demand, or they are not the

right services to keep up with the care which prevents them from

reaching that crisis point. Also, doctors say these statistics

underestimate the problem because they only show people who are

recorded by staff as having psychiatric reasons for being there

as the main reason. So, for instance, somebody turned up having

self harmed, although there would be mental health issues involved, it

would go in a different statistics and it would be recorded in another

way. Tonight, the Department of Health has said that the Prime

Minister has made it very clear that they are committed to improving

mental health care across the board, both in the NHS and in the

community, for people who need it. Another set of official NHS figures

seen by the BBC show that so far this year,

tens of thousands of patients in England have waited

hours on trolleys before This winter is proving one of

the busiest on record for accident But the Health Secretary,

Jeremy Hunt, has insisted that most of England's hospitals

are coping well. Our health editor,

Hugh Pym, has more details. A 92-year-old patient at one

hospital A unit today. been lying here so long, it just

hurts. An ageing population, one factor

behind rising patient demand. Here it's even more hectic

than usual with an astonishing 20% more patients than this

time last year. They're urging people

to stay away and seek care elsewhere if their health

problem isn't urgent. The beginning of January

is always a busy time, and it's 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. Now, the BBC has obtained internal

NHS figures revealing the scale of the pressure and problems

in England last week, including numbers of patients lying

on trolleys for hours at a time The figures cover the seven-day

period ending yesterday morning and come from 131 hospital

trusts in England. They show that 485 people waited

longer than 12 hours on trolleys over that week,

whereas only 158 patients faced those long waits in the whole

of January last year. Last week, only one hospital trust

hit the target of assessing 95% And more than half of trusts

failed to see even 80%. The Health Secretary, Jeremy Hunt,

hinted yesterday the four-hour target might be changed to cover

urgent cases only. Are you going to explain to the

public what your intention is? Earlier, Mr Hunt said some A had

very serious problems but, according to service leaders,

most had coped better There were warnings,

though, from one expert Over the last 30 years we've reduced

the number of beds to about half and we've increased the number

of admissions to about double and so it's a sort of reaching

a crisis situation, I would say. The trolley wait data in Scotland,

Wales and Northern Ireland are not An NHS source said the figures

obtained by the BBC didn't cover all hospitals,

but there was unprecedented Pressure on social care services

and a shortage of mental health crisis care are among factors

stretching A services Jeremy Corbyn has been accused

by some of his own MPs of creating confusion after declaring that

Labour was "not wedded" to freedom of movement for EU citizens and then

adding that he wasn't The Labour leader insisted that

Labour DID understand voters' Earlier, Mr Corbyn had prompted

further criticism from his own side when he suggested that capping

earnings would be a way Our political editor,

Laura Kuenssberg, has more details. A welcome for him on the platform,

but will you welcome what was billed as his vision

for Britain after Brexit? Whether you voted to leave

or remain, everybody voted On the biggest question -

how many EU citizens can keep coming to Britain to move freely,

what was his verdict? We're not wedded to free movement

of the EU as a point of principle, but I don't want to be

misinterpreted, nor We'll demand that these

negotiations give us the power to intervene decisively,

to prevent workers from here or abroad being used

and exploited to undermine pay The original version of his speech

had suggested freedom of movement might be ditched,

but instead, he wants to tighten up rules at work that allow foreign

workers to be exploited. Does that mean that you would

like to see more or fewer people from other parts

of the European Union It probably means there would be

fewer, but I think we should also recognise that there is a massive

contribution made to our health service, education and manufacturing

industry by people from all over You say the word "probably be fewer"

people coming here, by how many? I can't put a figure on it

because we haven't yet seen the work Isn't this a question

of principle, though, really? About the kind of levels

that you're happy with? The principle has to be that

employers should not be allowed to tear up existing arrangements

in the construction industry We've asked you previously

whether or not you think the levels are too high and you said that

you don't think the levels are too My mind is quite clear

that we need to end We need to maintain a market access

within Europe and we need to ensure there are good relations

between all communities. But do you or do you not

want to end the wide principle I want us to have market

access in Europe. I want us to have trade

with Europe and let's... And that means continuing

with freedom of movement? Erm, let's see what comes out

of these negotiations. Mr Corbyn was in Peterborough,

a town whose face has been The kind of place where Labour MPs

worry their leader's approach Immigration has been

good for Peterborough, but the amount of immigration has

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

but the island can't cope with them, I don't really understand

what their issues are. But Mr Corbyn hopes he might

have more appeal on how we earn our pounds and pence,

far from party policy yet, but income limits

could be on the way. I think you have to look

at each company and say - well, is it really right

that the chief executive should earn 100 or more times than those

who are actually doing the work that Either you do a cap or you look

at the levels of disparity After being expected

to change direction today, in the end, the Labour leader more

or less stayed on-the-spot. For his supporters, it's

sticking to principles that For many of his MPs,

it's stubbornness that means Police in York have named

a seven-year-old girl who died, after being found seriously injured

in a field yesterday afternoon. A teenage girl is being

questioned about her death. Our correspondent Danny Savage

reports from York. This is seven-year-old Katie Rough,

found with fatal injuries in a playing field in York

late yesterday afternoon. Her grandparents describe her

as their "darling princess". Friends came to leave flowers close

to where she was discovered today. She was a very close

friend to my daughter and a truly unique,

beautiful, little girl. I respect their family,

beautiful family. People living in this

small cul-de-sac tried to help Katie's mother,

who arrived just after A woman ran up the street -

it was obviously the mother of the daughter - she was shouting,

"Help, call for an ambulance." So I put my shoes on and went

to go up the alleyway. When I got half way up

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

were already there attending. Seven-year-old Katie died a short

time later in hospital. Tonight, police say a 15-year-old

girl, arrested in connection with what happened here,

is still in custody. They're appealing for anyone who saw

Katie Rough with an older girl, around here yesterday afternoon,

to contact them. In the past half hour,

a jury in Charleston, South Carolina, has condemned a man

to death for the racist killing of nine black men and woman

in a church shooting in June 2015. had told a sentencing

hearing that he felt he had The jury had an option

to sentence Roof to life imprisonment, but instead

chose the death penalty. The Democratic Unionist leader,

Arlene Foster, has said Northern Ireland is "undoubtedly"

heading for a period of direct The power-sharing Government is in

crisis following the resignation of Sinn Fein's Martin McGuiness

as Deputy First Minister. The main cause of the dispute

is the mishandling of an energy scheme which could cost the taxpayer

hundreds of millions of pounds. Our correspondent, Nicholas

Witchell, reports from Belfast. 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 now former 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 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. Hundreds of thousands of commuters

in the south of England have struggled to get to and from work

today because of the latest strike The dispute, which has been

going on for nearly 10-months, The unions say they're trying

to protect the safety Our transport correspondent,

Richard Westcott, reports 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 children's

birthdays, they can't arrange meetings,

they're having arguments at home. 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 In just a few hours' time,

President Obama will deliver his farewell speech in Chicago -

the city where he claimed victory in the presidential

election eight years ago. But as his second term,

as the 44th President of the United States comes

to a close, how will In his second report, looking back

at Mr Obama's time in office, our North America editor,

Jon Sopel, looks at the international issues which have

defined the Obama presidency. There was always something upside

down about Barack Obama receiving the Nobel Peace Prize before he'd

really done anything as President. When he came to office,

one of the greatest strategic threats was Iran, a resurgent power

in the region, but more important than that was securing

a multi-national deal to curb An agreement struck,

despite fierce opposition When Benjamin Netanyahu came

to address the Congress, nearly two years ago,

there was fury in the White House. They were angry that an invitation

had been extended by Republican leaders and accepted

without the President knowing. But very soon someone much more

to the Israeli Prime Minister's liking will be occupying

the White House and the question the world is asking -

will the Iran nuclear deal survive For over a year, we've

been told that no deal His relationship with Netanyahu

was one of the lows, culminating in the US refusing

to veto a UN resolution critical of Israel's policy

of settlement building. The chemistry with the Russian

leader, Vladimir Putin, was no better - Crimea,

cyber espionage and Syria left The pledge at the start of his

presidency was all about disengaging from costly conflicts and bringing

the troops back home. In 2011, President Obama

achieved something the Bush administration did not,

the successful tracking down and raid to kill

Public Enemy Number One. The United States has

conducted an operation that killed Osama bin Laden,

the leader of Al-Qaeda. The raid and promise

of the Arab Spring would soon be replaced by a Middle East in flames

and the rise of so-called Islamic State, the fight against

which remains unfinished business. Arguably, the low point

for President Obama in the Middle East has been Syria

which has been a humanitarian catastrophe sparking the worst

refugee crisis since World War II and the President's failure to act

against President Assad, despite much huffing and puffing,

has come back to to haunt him. A red line for us is we start seeing

a whole bunch of chemical weapons I think it was a mistake not

to enforce the red line. When the United States says,

very clearly ,that there will be costs and consequences for a certain

action, I think it's important But I also wouldn't confuse that,

enforcing the chemical weapons red line, with the notion

that there was some interventionist Barack Obama's policy towards Syria

is very much like the country's embassy here in Washington DC,

an empty shell, newspapers piling up In the talks to bring

peace to the country, Barack Obama has flipped flopped

over whether to take military action, too slow to react

to the dangers of It's been a period in which American

influence has waned From one empty embassy

to another that has had This is the Cuban embassy

in north-west Washington. For over 50 years it had lain

derelict, a last legacy, In the warmth of a Caribbean island,

Barack Obama consigned the last piece of icy Cold War

legacy to history. Cuba had brought the world

to the edge of nuclear war, now diplomatic relations

are restored, an extraordinary He leaves office largely admired

and popular around the world, not least for his role in the global

climate change deal. He'd tried to carve out

a foreign policy that he saw as right for the times,

but as the Commander-in-Chief was given the traditional send-off,

in his own way was he as destructive to US power and influence

as his predecessor, George W Bush, and what would the Nobel Committee

make of him eight years on? There will be live coverage

of Barack Obama's farewell speech from Chicago at 2.00am on the BBC

News Channel. Sir David Clementi, a former deputy

governor of the Bank of England, is to be the next chairman

of the BBC. The appointment of Sir David

was announced after it was approved He faces the task of leading

a new Board to oversee how the BBC is run while the media watchdog,

Ofcom, takes over the Football's world governing body,

Fifa, has approved plans to expand The new format will be

introduced from 2026. The bulk of the additional slots

are likely to go to African Our Sports News correspondent,

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

Gianni Infantino. 16 more countries have the chance to

get their hands on the World Cup. Speaking to me today, the world

governing bodies president insisted in the face of much criticism it's

time for the sport to look beyond its traditional borders.

Football has now 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

The growth of the World Cup will bring enormous extra revenue,

Fifa stand to make an additional ?500 million in profit in 2026,

But the man elected as Fifa president, partly on a pledge

to deliver a bigger competition, insists it's not

Well, it's not at all a money and power grab, it's

actually the opposite, it's a football decision.

So the way we presented it was - OK - we presented four formats,

every one of the four formats has advantages, in terms

of the financial situation, which means we are in a comfortable

situation to be able to take a decision simply based

Asia, where interest in football is booming,

and Africa stand to benefit the most when the extra 16

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,

its new leadership is determined to assert itself.

Gianni Infantino's task is now to convince his critics a reformed

The former war correspondent, Clare Hollingworth,

who reported the outbreak of the Second World War,

She was the first journalist to report on the build-up of German

troops on the Polish border in 1939, and she went on to witness some

of the most significant events of the 20th Century.

Our world affairs editor, John Simpson, knew Clare

Hollingworth and he's been looking back at her life and achievements.

ARCHIVE: This is a national programme from London.

Germany has invaded Poland and has bombed many towns.

It was Clare Hollingworth's first story.

Three days earlier, she'd spotted the build up of German armour

I rode along a valley and there was tarpaulin up

to prevent you looking down into the valley.

Suddenly, a gust of wind blew the tarp away from the moorings.

I looked down into the valley and there were scores,

That set the pattern for her long career, scoop after scoop.

It was Clare who broke the news of Kim Philby's defection to Russia,

though her newspaper, the Guardian, fearing a libel suit,

In Vietnam, she was a fearless war correspondent.

I'm really passionately interested in war.

If one is passionately interested in war, one can't

Despite her bad eye sight and slight build, she was remarkably tough.

She used her auntie-ish appearance to great effect.

Once in East Berlin, she spotted a brand new Soviet Tank.

The crew had wandered off, so she clambered onto it and got

a look at the spedometer and petrol gauge.

The Russian soldiers came running back furious,

but she said innocently she was just trying to work out how

The next day, her paper led on the new tank's speed and range.

She led the way for all the tens of thousands of women journalists

who are now working all over the world and especially in wars.

I think she was almost fearless and absolutely

She remained a journalist into her 90s and last year,

in Hong Kong, where she lived, her friends celebrated

Clare Hollingworth had been a remarkable witness

The tributes today to journalist Clare Hollingworth, who's

This was meant to be the day that Jeremy Corbyn set out a clear

Labour policy on Brexit, I'll be asking one of his

closest lieutenants why it was such a shambles.

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