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Patients are dying prematurely
in hospital corridors -
the stark warning to
the Prime Minister from
dozens of senior doctors.
They've written to Theresa May
saying safety is being compromised
at some A&E units in England
and Wales, and conditions
are at times intolerable.
There is a clear emergency
and what a number of other observers
have clearly described as a crisis.
The doctors' warning comes with A&E
waiting time levels in England
and Wales amongst the worst
since records began.
Also on tonight's programme.
Dealing with plastic pollution -
the government promises to eliminate
all avoidable plastic waste by 2042.
Still searching for survivors -
rescue dogs are brought
in to look for the missing,
after California's deadly mudslides.
A mixed bag of Christmas results
on the high street -
with some winners and big losers.
I'm 22 years old.
I bought my first house
for $6.5 million...
The famous video blogger
punished by YouTube -
after posting footage of a suicide
victim for his millions
The New York Times was barred
from publishing any more classified
And Steven Spielberg's new film
on Nixon and the press,
and why the director sees echoes
of Donald Trump.
Anybody that offends, you know,
there is a label that is immediately
attached to them which is called,
well that can't be true
because they're all fake news.
And coming up on Sportsday on BBC
News, slam dunks and Celtics -
the bright lights of the NBA hits
London again this evening.
Dozens of senior doctors who run
Accident and Emergency departments
in England and Wales have written
a stark letter to the Prime Minister
warning that patients are dying
prematurely in hospital corridors
and conditions are at
They say thousands of patients
are left in the back of ambulances
waiting to get into A&E.
And very high rates of flu recently
mean that some hospitals
are running out of beds.
Today, there's fresh evidence
of the pressure A&E units are under.
More than 300,000 patients waited
longer than they should in December.
Staff managed to see 85%
of patients within four hours -
that's well below the 95% target -
and some of the worst figures
since records began.
Our health editor Hugh Pym reports.
A long wait in an overcrowded A&E
unit, that's what 87-year-old
Yvonne had to endure.
It was ten hours before she saw
a doctor, and hours more before
she was admitted to a ward.
Her daughter, Esther, used her scarf
to secure her in a wheelchair,
because for some of the time,
there was no trolley.
It was just heaving with ambulances,
ambulance drivers, patients
on the ambulance trolleys,
and it was literally wall-to-wall,
both sides, corridors
just full of patients.
It was like, "Gosh, how long is it
going to take us to get through?"
And with scenes like this
filmed by a patient,
senior A&E doctors say they're
so concerned they've written
to the Prime Minister setting out
some of their own experiences.
Over 120 patients a day
managed in corridors,
some dying prematurely,
an average of 10-12 hours
for a decision to admit a patient
until they are transferred to a bed
and patients sleeping in clinics
as make-shift wards.
They say NHS winter planning failed
to deliver what was needed.
There is no doubt that our emergency
departments are facing
the biggest crisis that we have had
for over 15 years.
We absolutely must work together
as system leaders at every level
in order to find both short-term
and medium-term solutions.
The Prime Minister insisted again
there had been extensive measures
to prepare for winter.
For the first time ever,
urgent GP appointments
being available throughout
the Christmas period,
that was a decision taken to improve
the service for people but also
to ensure that the NHS had that
better capacity to deal
with these winter pressures.
For the opposition, the problem
is really about funding.
Money's got to go in now,
but it should have gone in earlier.
Even if the Chancellor
announced billions today,
you can't spend it all by tomorrow.
While the debate goes on,
Rosie can only reflect
on a humiliating experience in A&E.
She was in severe pain
because of a gynecological problem
and was bleeding heavily
but she was examined
in a crowded corridor.
I think I was trolley number 12.
And there were trolleys,
then, all the way up.
You can't see to someone's dignity,
you can't ensure that they're having
a private conversation and that
if they break down in tears,
which, I think I did,
I'm pretty sure that I cried as well
but you can't look into
anybody's right to privacy
or anything like that.
At some hospitals like Ipswich
they say careful planning paid off
and though staff were stretched,
they coped with the pressures.
At times over the really busy
New Year period there were trolleys
down the corridor here but at this
A&E unit things do seem to have
calmed a little this week,
with fewer patients coming
through the front door
of the hospital, though no-one's
complacent about what the weeks
ahead may bring.
The medical director told me that
flu was a significant concern.
We've worked very well
to get our staff vaccinated
but we're not at all complacent.
I think the next two months
are going to be a challenging time.
We are looking still to get flu
vaccinations for vulnerable
patients and staff members
and the battle isn't over.
And with the latest figures showing
the highest numbers of flu
figures in seven years,
health leaders call for vaccinations
for NHS staff to be compulsory.
Some hospitals have greater
than 90% vaccinations
for their health workers,
others less than 20%.
This has to be an issue
of leadership but we need people
in the health care sector
to protect their patients.
We have a duty of care
to our patients.
Flu's been an even bigger problem
for Scotland's hospitals,
a teenager died after catching
the virus which developed
Scotland and Wales as well as
England have missed A&E
waiting time targets.
One answer, say the consultants
in their letter, is a big increase
in social care funding to allow more
patients to leave hospitals to be
cared for in the community.
It's a debate gaining momentum
as the NHS's bleak winter continues.
Hugh Pym, BBC News.
Our Political Editor Laura
Kuenssberg is in Westminster.
Certainly a very stark letter to the
Prime Minister from these very
senior doctors. Politically, how
awkward is this for the government?
This isn't the first government
that's had to grapple with these
agonising pressures on the health
service in the winter and they are
not the first government to have
been around and in charge when a
conversation about the longer term
needs and sustainability of the NHS
has done the rounds at this time of
year. However, there does seem to be
something a bit different this year,
not just because of how stark
warnings are, how awful the
experiences of some patients that
are emerging have been, but because
there is a mood in the Tory party,
the governing party, there are more
and more voices speaking out,
raising the question of whether or
not the current model can last
without some significant change.
Either in how we pay for it, or in a
significant extra amount of cash
going in. Now Number Ten and number
11 of course who are in charge of
the money, are not yet in a place
either publicly or behind closed
doors where they would acknowledge
that something does have to budge,
but it's well worth noting that the
Health Secretary, Jeremy Hunt, who
remember Fort and won the battle to
stay in his job this week, said MPs
in the House of Commons, not just
that he would quite like to have a
10-year funding deal for the health
service, but that in the coming
years significantly cash,
significantly more money would have
to go into the health service. Now,
plenty of debates and conversations
about the long-term model, should
there be radical change, have
frankly hit the buffers, but there
is a sense round here right now that
perhaps in the coming months the
political pressure on the
government's position in the NHS is
going to build and build and
something might have to give.
the Prime Minister did want to talk
about today was in fact the
yes, very telling.
Theresa May's first big speech of
this first New Year was basically
her message to say, if you will want
to go green, you have to vote blue.
She launched the government's big
environmental plan to cover the next
25 years today. Top of her hit list,
a crackdown on plastics, with the
environment now seeming to be one of
her top political priorities.
What do you think I should look for?
A grand vision, we were promised,
a plan to look after the spaces
around us for years to come,
and the Prime Minister trying
to spot political opportunity, too.
The environment is something
personal to each of us but is also
something which collectively we hold
in trust for the next generation,
and we have a responsibility
to protect and enhance it.
Top of the list, cleaning
up plastics that harm
wildlife on land and sea,
more charges for plastic bags,
possible taxes on containers,
encouraging shops to use less.
But over time, a long time, with no
new law to underline the change.
In years to come, I think people
will be shocked at how today
we allow so much plastic
to be produced needlessly.
This truly is one of the great
environmental scourges of our time.
So we will take action at every
stage of the production
and consumption of plastic.
You're talking about ideas that
will take place over 25 years
with no legal guarantees.
If actions speak louder than words,
do you really believe this problem
is acute and urgent?
This is an inspiring plan,
it is a long-term plan,
it's about the next 25 years.
But it's a plan that speaks
to everybody who has
an interest in our environment.
Everybody who wants to ensure that
future generations are able to enjoy
a beautiful environment
and a beautiful place
in which to live.
Looking on, alongside
the white-faced whistling ducks,
green campaigners pleased
there is a plan.
But not quite convinced that
a government that also believes
in fracking and building high-speed
rail really means it.
The problem about talking
about a 25-year plan right now,
in the absence of hard measures
about what they will do
here and now, is this
is a government where most
commentators question if it
will last 25 months,
or possibly even 25 days.
What we need is to know
what are the actions happening
in 2018 to make a difference.
Theresa May says conservation
and Conservatism have
always gone hand in hand,
but this isn't just
about principles, or policy,
or this new environment plan,
it's also about politics and how
the Tories fell back
at the general election.
Anxious that millions of younger
voters turned to Labour then,
the Tories have tried
to detox their image with those
groups, greening their credentials,
banning microbeads, plans to end
the sale of ivory.
What does Labour make
of the plastics plan?
25 years is far too long.
The plastic culture
has to be challenged.
The throw-away society culture has
to be challenged and the pollution
of our rivers and our seas
by plastic waste is
The Prime Minister believes her
promise is the right one to make.
Her hope - to create a habitat more
friendly to her political breed.
Laura Kuenssberg, BBC News.
Our environment analyst
Roger Harrabin joins me now.
Plastics and dealing with them is
what has grabbed the headlines, but
what the Prime Minister announced
today was much broader and ambitious
plans to improve our environment.
Its ironic she focused on plastics
because that's one of the weakest
areas of the document she produced
today. If she wants to be a world
leader in plastics, which she says
she does, maybe someone should have
told her that Bangladesh banned
plastic bags back in 2002. We are
lagging in the UK behind many
African countries in that. Having
said that, she has set the tone for
government, one that we haven't seen
before. Ministers have been nervous
about talking about the environment.
The plan itself is in many ways
really quite radical. It talks about
not just holding the environment
study, which governments have tried
to do before, but actually improving
it, improving wild flowers, which
are almost down to 2% now of their
previous range, in improving forests
and rivers, perhaps bringing more
greenery back to people's
playgrounds, children's playgrounds,
bringing the environment into
people's lives. All that looks
radical. Some caveats. Nothing on
how they will reduce CO2 emissions
in line with the Paris agreement and
that crucial caveat, no underpinning
by law, no firm policies, no money,
nice pictures of bunnies but it
could be on the shelf within a year.
Roger Harrabin, thank you.
A brief look at some of the day's
other other news stories.
The former Ukip leader Nigel Farage
says he's on the verge of supporting
a second referendum on Britain's
membership of the European Union.
He said a second vote to leave
could "kill off" the Remain
campaign for a generation.
He said he thought the leave vote
would be even higher
if there were another poll.
The Foreign Secretary Boris Johnson
has joined with other
European foreign ministers to call
on Donald Trump not to reintroduce
sanctions against Iran.
Mr Johnson said the current
arrangement was the best way
of stopping Iran acquiring nuclear
weapons, and no one had yet come up
with a better diplomatic solution.
Dominic Chappell, who was in charge
of BHS when it went bust in 2016,
has been found guilty on three
charges of failing to provide
by the Pensions Regulator.
The scheme had 19,000
members and a shortfall
of £571 million when BHS collapsed.
He'll be sentenced at a later date.
Lingerie company Rigby & Peller said
it was "deeply saddened"
at losing its most prestigious
customer - the Queen.
It had held the royal
warrant since 1960.
But the decision to cancel it came
after the retailer's
director wrote a book -
Storm In A D-Cup -
revealing details of life
inside Buckingham Palace.
Shares in Marks and Spencer dropped
sharply today after the retailer
posted disappointing Christmas
results, with falls in both
food and clothing sales.
But there was good news for Tesco
and for some more recent arrivals
on the retail scene,
as our Business Correspondent
Emma Simpson reports.
The show's over, we've moved
on, but the Christmas
story for retailers is only
now becoming clear.
So who are some of
the winners and losers?
Tesco's done well with sales
up today, so have many
of the other grocers.
But food sales, usually a bright
spot for Marks & Spencer,
went into reverse, and there have
been profit warnings at Debenhams,
Mothercare and Moss Bros.
Things are certainly
more challenging here on
the High Street.
Take House of Fraser,
a business under pressure,
it saw another fall in sales today.
And you don't have to go far to see
how the gap between the weaker and
the stronger players is widening.
Here at John Lewis,
it had no problems.
Pulling customers in.
It's one of the winners today.
There's a sort of slight air
of caution about people's attitudes.
They're not coming in for all sorts.
But there is demand there, you just
have to go and find it and you have
to create the conditions where
people want things and of course
that comes to down to
having fabulous products.
And it actually means
you have to be outstanding
at online and shops.
Boohoo is a small but
fast-growing online retailer,
which is doing very
nicely without shops.
...And is expecting to grow
sales by 90% this year.
But some are predicting
problems for the High
This is going to be the year
of retail distress.
We've already seen bits
of distress percolating through
even before Christmas and I think
that the weaker players are going to
find it too tough to really survive.
It's been a season of mixed
fortunes for retailers.
The New Year heralds
the clearance sales and some
what 2018 will bring.
Emma Simpson, BBC News.
Hundreds of rescuers
are using helicopters,
search dogs and thermal imaging
equipment to try to find 8 people
who are still missing in California
after the devastating
mudslides on Tuesday.
17 people are known to have died
after a torrent of mud carrying
boulders the size of small cars
smashed through the
town of Montecito.
More than 500 homes have been
damaged or destroyed.
James Cook is there for us.
James? Yes, Sophie, we have details,
in the past few seconds, the police
released the name of all 17 of those
who confirmeded to have died.
Including four children, aged,
three, six, attendant twelve and the
oldest person to have been killed so
far, an 89-year-old man. There seems
little hope of finding more
survivors from the terrible tragedy.
We've been getting details about the
harrowing moment when the mud
landslide roared down this mountain
in the dead of night.
The flash flood is right there!
Get out of here, go!
This was the moment it began.
Oh, my God, Mom!
And then panic.
Close the door!
It was a million miles
an hour in slow motion,
if that makes sense.
I clicked into survival
gear, survival mode.
Wake Dad up!
Every second, it is just roaring
and banging against the house
and the most vicious and violent
sounds you have ever heard.
Montecito is only just beginning
to grasp the scale of the disaster
which will bear its name.
For this idyllic little town
of just 9000 people,
recovery will be long and hard.
People walked their dogs
through here, there are trails,
my kids have grown
up riding their bikes.
Noelle Strogoff fled with her three
children just before the storm.
But many of her neighbours did not.
Two young boys were swept
out of their home,
along with their mother
in the middle of the night.
And the dog is gone.
And they're lucky to be fine.
It is like a war zone here.
There are homes that
are just missing.
And I walk down the street
and I see balls, and toys,
and bicycles and shoes and socks.
And knives and hammers.
It's like people's lives are just
washed to the ocean.
Much of that debris ended up
clogging the main coastal motorway.
We were told the people
in this car escaped.
Above the town, the scorched hills
are scarred by rivers of mud.
Well, the mudslide came
roaring down here,
sweeping everything before it
and if you want to know how houses
can be swept from their foundations
so easily, well, this is the answer.
Just look at the size
of the boulders that were pushed
down from the mountains.
To drive through this little town
is to be stunned by the
power of this mudslide.
was once famed for its
These days, it reels
from drought, fire and flood.
James Cook, BBC News, Montecito.
Personality disorder -
it affects more than three million
people in the UK and costs the NHS
around £10 billion a year.
Now health professionals
are demanding better access
to treatment for those affected
saying that one in 10 people
diagnosed with it end up
taking their own lives.
Our Home Editor Mark Easton reports.
I'd seen bar codes on the back of my
victim's neck, that were sending
messages to me, telling me to poison
It was only when Kathleen was moved
from a mental clinic, after being
accused of trying to poison a work
colleague, she was finally diagnosed
with a mental disorder.
It is one of the darkest places in
my head, I have ever been. I would
have preferred death to that.
Kathleen tried to control a lifetime
of chronic self-harm and suicidal
thoughts, she is not cured. But part
of her therapy is helping the NHS
getting people with personality
disorder into treatment.
People are waiting months and months
and months for treatment and these
people are dying waiting, Mark.
Because they could kill themselves?
It has happened to a lot of my
friends, I'm afraid.
What is a personality disorder? A
mental diagnosis with two common
types, border line or emotional
unstable personality disorder,
involving disturbed ways of thinking
and problem in solving emotion, Many
kill themselves. Anti-social
personality disorder disorder is
similar. Around 70% of the prison
population are thought to have PD. A
decade ago, mental health
campaigners were trying to convince
that personality disorder existed,
even now some psychiatrists question
if it is a mental illness. But there
is a big change on the estimated
three million people with the
disorder should get.
Sometimes it may be appropriate...
This treatment in group in wind
isson agreed to let us witness the
way that therapy helps them deal
with problematic behaviour, linked
to a past trauma.
Passively suicidal all the time.
are self-destructive and push
It's been a lifetime of depression,
trauma, sexual abuse, rape...
lose a sense of wanting to survive.
Sometimes doing the simple things
can be the hardest thing in the
world. You can't help it sometimes.
Unfortunately, people with
personality disorder, what hits the
headlines is often violent
They see them as bad people?
Absolutely. That then adds to the
problem of those people are not
offered the treatment that they may
They are, I think, the most
let down group of people within the
Today in the Houses of
Parliament, campaigners and health
professionals launched a consensus
statement, demanding help for people
with PD. NHS England says getting
people the help that they need close
to home is at the heart of their
We need early intervention asking
people when younger, what happened
to you, how can we help? Giving them
tools and skills to help them manage
their live, emotions and
Like Katherine and others diagnosed
with it, personality disorder does
not conform to traditional labels.
It causes untold misery and country
beauties to countless tragic early
deaths. It is surely time we helped
to understand it better.
It is surely time we helped
to understand it better.
Details of organisations offering
information and support with mental
health are available at:
or you can call for free on:
08000 564 756.
YouTube has cut business ties
with the video blogger Logan Paul -
after he posted video appearing
to show the body
of a suicide victim.
Logan Paul, whose channel has
15 million subscribers,
for the video, which was filmed
on a location in Japan.
Here's our Media Editor Amol Rajan.
We're going to take a break
from vlogging and take
a break from each other.
Low budget, confessional and often
This couple announced
they were breaking up on YouTube
in a video seen 15 million times.
If I can do it, you
can do it, for sure.
They're part of a phenomenon called
vlogging, or video blogging,
very often on Google-owned YouTube.
This 21st-century cottage industry
has created a vast new fleet
of online celebrities.
Many vloggers have a committed
following among those
aged between 18 and 34 -
a demographic prized by advertisers.
Vloggers like Logan Paul.
The 22-year-old American
is a YouTube star - or was.
I think this definitely marks
a moment in YouTube history.
This morning, YouTube cut
business ties with him
after he naively posted a video
from Japan's Aokigahara forest,
infamous as a suicide spot.
Paul issued an apology to his 15
million subscribers on YouTube.
I have made a severe and continuous
lapse of my judgment and I don't
expect to be forgiven.
I'm simply here to apologise.
YouTube declined to be interviewed.
In a statement, they said: It's
taken us a long time to respond,
but we've been listening
to everything you've been saying.
We know that the actions
of one creator can affect
the entire community.
Vlogging is now a hugely profitable
business with the likes
of Logan Paul making vast sums
of money in a variety of ways.
They get paid between £1
and £3 per 1000 clicks
and can top up their income
and deals with brands.
And they do all of that
without the more stringent controls
applied to traditional media.
OK, rolling that.
Licensed broadcasters in Britain
are regulated by Ofcom
and have to vet material
before publishing it.
Vloggers however face
no such constraints.
They are only censored
after the event.
The boss of Britain's
biggest media agency wants
to see smarter regulation.
I would definitely like to see
vloggers with this much reach
and this much influence
to have the sorts of regulation that
traditional broadcasters have
to adhere to, particularly around
content that can be dangerous,
can be glamorising or condoning
that can be copied by children.
I'm going to be the biggest
entertainer on the planet.
Logan Paul and his ilk portend
a new kind of celebrity -
one that is intimate,
incessant and ever more devotional.
For all of the glory of the open
web, the danger is that his kind
of immaturity exposes
audiences to material that's
in nobody's interest.
I'm just getting warmed up.
Amol Rajan, BBC News.
The Hollywood film director
Steven Spielberg says he believes
the Trump administration
is using the same tactics
as President Nixon to "try
to silence the press."
Tomorrow sees the release
of his latest film 'The Post',
which tells the story of the leaking
of the classified Pentagon papers -
to American journalists -
during the Vietnam war.
Here's our Arts Editor,
This is a devastating security
breach that was leaked
out of the Pentagon.
Before the Watergate Scandal,
there were the Pentagon Papers.
The first expose of a cover-up
in the Nixon government
by the Washington Post,
led by its legendary editor Ben
Bradlee and publisher Kay Graham.
Do you have the papers?
Set in 1971.
But you have described
it as a timely movie.
Well, obviously you just flip the 1
and the 7, or the 7 and the 1,
and you really get to see the great
arc of the pendulum that has brought
us right back to the same tactics
that Richard Nixon used
to try to silence the press.
I'm talking about the current
administration and their absolute
broadsiding of media,
social media, news,
anybody that offends.
You know, there is a label
that is immediately attached
to them, which is called,
well, that can't be true,
because they're all fake news.
I mean, it's a lot more
insidious today, by the way,
than it was in 1971.
If you publish, we'll be
in the Supreme Court next week.
We could all go to prison.
There's been another massive press
expose in the last six months,
which is what looks like the endemic
sexual harassment and exploitation
which is, what looks
like the endemic sexual
harassment and exploitation
of women in Hollywood.
I mean, you're a really senior
figure in Hollywood and you've
been around a long time.
Do you ever think, you know what,
I think I could have done
a bit more to stop this?
Well, you know, I can only basically
react to that question
within my own workplace environment.
Within my organisation,
there weren't incidences,
except for just a couple of years
and years ago, that I would say
gave me the experiences to be
the authority on that
question you ask.
What happened in those incidences?
There were just
a couple of incidences.
I don't go into detail on them,
but they happened years
and years ago, where we had
to let somebody go.
People are concerned about having
a woman in charge of the paper.
That she doesn't have the resolve
to make the tough choices.
Thank you for your frankness.
My prediction is that this
watershed moment for women,
in extolling the courage of women
who, like Katherine Graham,
with the Pentagon Papers,
and with her decision to publish
or not to publish, so many women
have found their voices
and they have been given
so much support.
Not just by other women,
but also by certain men.
I think this is not just
another news cycle.
I think this is not just
another news cycle,
I think this is a permanent
change in the culture.
But as Kay Graham showed
with her courageous leadership
of the Washington Post,
exposing deeply rooted corrupt
behaviour is one thing -
changing it is quite another.
Will Gompertz, BBC News.