0:00:06 > 0:00:08Tonight at Ten:
0:00:08 > 0:00:10Britain and France sign a deal agreeing new measures
0:00:10 > 0:00:16to tackle the numbers of migrants at Calais.
0:00:16 > 0:00:18At a summit in Sandhurst, Theresa May committed tens
0:00:18 > 0:00:20of millions of pounds to strengthen the UK's
0:00:20 > 0:00:25border controls in France.
0:00:25 > 0:00:28These are all important developments for the future.
0:00:28 > 0:00:32Enhancing our bilateral relationship, increasing
0:00:32 > 0:00:34the security of both our countries and also increasing the prosperity
0:00:34 > 0:00:37of both our countries.
0:00:37 > 0:00:39And both countries have committed to closer defence and security
0:00:39 > 0:00:45co-operation in the coming years after Brexit
0:00:45 > 0:00:47TRANSLATION:
0:00:47 > 0:00:48TRANSLATION:.
0:00:48 > 0:00:50Brexit discussions should not in any way impact
0:00:50 > 0:00:54the quality of the relationship between our two countries.
0:00:54 > 0:00:56It will never prevent a high level of cooperation
0:00:56 > 0:00:58between Britain and France.
0:00:58 > 0:01:00We'll have the latest from Sandhurst where President Macron
0:01:00 > 0:01:03also confirmed the loan of the Bayeux Tapestry to Britain.
0:01:03 > 0:01:07Also tonight...
0:01:07 > 0:01:10Hospital consultants in Wales say patient safety is being compromised,
0:01:10 > 0:01:16and that the NHS and social care are chronically under resourced.We've
0:01:16 > 0:01:20got patient in the apartment where we don't have space to see them.
0:01:20 > 0:01:24We're coming back the next day and some of the patients are still here.
0:01:24 > 0:01:30It's getting worse every winter but this is the worst we have seen it.
0:01:30 > 0:01:33Scientists say that man-made climate change is now
0:01:33 > 0:01:35the most important factor in pushing up the
0:01:35 > 0:01:36earth's temperatures.
0:01:36 > 0:01:39The Court of Appeal is to consider whether terminally-ill patients ,
0:01:39 > 0:01:41should be allowed assistance , if they wish to die.
0:01:41 > 0:01:43And at 36,000 feet, the Pope has officiated
0:01:43 > 0:01:46at an improvised marriage service.
0:01:46 > 0:01:48And coming up on Sportsday: Defending Masters snooker champion
0:01:48 > 0:01:50Ronnie O'Sullivan says he's glad to
0:01:50 > 0:01:58be knocked out of the tournament after losing in the quarterfinals.
0:02:14 > 0:02:16Good evening.
0:02:16 > 0:02:20Britain and France have tonight agreed to closer ties
0:02:20 > 0:02:22on defence and security and measures to tackle
0:02:22 > 0:02:23the migrant crisis.
0:02:23 > 0:02:25The deal was struck between Theresa May and Emmanuel Macron,
0:02:25 > 0:02:28who was making his first visit to the UK since becoming President
0:02:28 > 0:02:29of France last year.
0:02:29 > 0:02:33The talks took place at the Royal Military Academy, Sandhurst.
0:02:33 > 0:02:35Mrs May committed tens of millions of pounds
0:02:35 > 0:02:38to strengthen UK border controls in France.
0:02:38 > 0:02:40The Sandhurst treaty will also accelerate the processing
0:02:40 > 0:02:46of migrants trying to come to the UK through Calais.
0:02:46 > 0:02:50And while both countries committed to closer military cooperation,
0:02:50 > 0:02:53Mr Macron warned that if Britain wanted access
0:02:53 > 0:02:55to the single market after Brexit, then it would have
0:02:55 > 0:02:57to play by the EU's rules.
0:02:57 > 0:03:02Our deputy political editor John Pienaar reports.
0:03:02 > 0:03:05Nothing like a bit of pomp and ceremony to get a big meeting
0:03:05 > 0:03:13started.
0:03:14 > 0:03:16Monsieur Macron and Mrs May won't be EU partners much longer, so
0:03:16 > 0:03:19they are now keener than ever to keep in step where
0:03:19 > 0:03:21they can, to stay in tune.
0:03:21 > 0:03:24France is a key ally.
0:03:24 > 0:03:27Brexit is coming and the Prime Minister is treading a delicate
0:03:27 > 0:03:34line.
0:03:36 > 0:03:39Cooperation now, always hoping friendship pays off in the
0:03:39 > 0:03:40future.
0:03:40 > 0:03:42At least, goodwill is on Theresa May's wish list.
0:03:42 > 0:03:44The president came to this Sandhurst summit to talk business about
0:03:44 > 0:03:46military collaboration and border co-operation.
0:03:46 > 0:03:47He wanted more cash for border control.
0:03:47 > 0:03:49He went to a migrant centre near Calais this
0:03:49 > 0:03:53week, and he's been promised another £44 million for border security.
0:03:53 > 0:03:56More child migrants would be allowed into Britain and families reunited
0:03:56 > 0:03:57faster.
0:03:57 > 0:03:59Boris Johnson and a troupe of Cabinet colleagues mingled with
0:03:59 > 0:04:03French counterparts.
0:04:03 > 0:04:07The two countries are the EU's biggest
0:04:07 > 0:04:09military powers, and today they promised British helicopters
0:04:09 > 0:04:10to help French troops fighting jihadists in
0:04:10 > 0:04:15West Africa.
0:04:15 > 0:04:17So although the deals and agreements being struck and
0:04:17 > 0:04:20signed here are important, this summit matters more than just the
0:04:20 > 0:04:23sum of its parts.
0:04:23 > 0:04:26France will be crucial to Britain's chances of
0:04:26 > 0:04:29getting a good Brexit deal including on trade, and the France- UK
0:04:29 > 0:04:31relationship will also be important in determining Britain's clout as a
0:04:31 > 0:04:34global player after Brexit.
0:04:34 > 0:04:36When the two leaders appeared to face the
0:04:36 > 0:04:41media, Mrs May was clearly keen to make her guests feel at home.
0:04:41 > 0:04:44SHE SPEAKS FRENCH.
0:04:44 > 0:04:46Her ambition?
0:04:46 > 0:04:50Enhancing our bilateral relationship, increasing the
0:04:50 > 0:04:52security of our countries and also increasing the prosperity of both
0:04:52 > 0:04:59our countries, and that is good for the people of France and of the UK.
0:04:59 > 0:05:03He sounded friendly too, having agreed to lend the 1000-year-old
0:05:03 > 0:05:06Bayeux Tapestry, he joked it was time for a new one, more peace for
0:05:06 > 0:05:07this time.
0:05:07 > 0:05:09-- peaceful.
0:05:09 > 0:05:10-- peaceful.
0:05:10 > 0:05:12But as for letting British financial services free
0:05:12 > 0:05:13access to Europe?
0:05:13 > 0:05:15Be my guest.
0:05:15 > 0:05:17Be my guest, he said, but only if you pay
0:05:17 > 0:05:19into the EU budget and obey the European court.
0:05:19 > 0:05:21President, Prime Minister, ladies and gentlemen,
0:05:21 > 0:05:22thank you very much.
0:05:22 > 0:05:24On the count of three, a little bit of a smile,
0:05:24 > 0:05:25please.
0:05:25 > 0:05:28To look at the leaders and their top teams beaming on cue, you
0:05:28 > 0:05:31would never know the two countries have been Europe's biggest rivals
0:05:31 > 0:05:35and closest neighbours for time out of mind.
0:05:35 > 0:05:38They still are, but it suits both sides to get on well.
0:05:38 > 0:05:43Mrs May is certainly hoping they will.
0:05:43 > 0:05:45With me is our diplomatic correspondent James Robbins.
0:05:45 > 0:05:47We'll talk to James in a moment, but first
0:05:47 > 0:05:51to John Pienaar at Westminster.
0:05:51 > 0:05:55This obviously wasn't a Brexit summit today, but clearly that was
0:05:55 > 0:06:00the context.Yes, Mrs May quite clearly wants to stay as far as
0:06:00 > 0:06:04possible on president Macron's good side for all sorts of reasons, but
0:06:04 > 0:06:08among them the fact his voice will be as influential as any lead in
0:06:08 > 0:06:11Europe and much what influential than most when it comes to deciding
0:06:11 > 0:06:15the shape of Brexit in negotiations. As things stand, Britain and France
0:06:15 > 0:06:21do not see the shape of Brexit the same way in every respect at all,
0:06:21 > 0:06:26and among those reasons and problems is the access to the European single
0:06:26 > 0:06:30market for the financial services business centred in the City of
0:06:30 > 0:06:34London. As things stand, after Brexit, the city will lose the
0:06:34 > 0:06:37access it has now and Paris certainly would like a slice of that
0:06:37 > 0:06:42cake. We saw President Macron this evening saying, look, if you want to
0:06:42 > 0:06:46carry on without accessing the future, be my guest, but you'll have
0:06:46 > 0:06:50to carry on paying into the EU budget as you do now. You'll have to
0:06:50 > 0:06:53carry on following European Union regulations and have those
0:06:53 > 0:06:56regulations watched over by the European Court of Justice.
0:06:56 > 0:07:00Politically Theresa May could really not agree to that, it would be
0:07:00 > 0:07:03politically impossible. Even if she wanted to go along with that,
0:07:03 > 0:07:09Brexiteers, much of her party, would not allow it. As I say, a great deal
0:07:09 > 0:07:13more diplomacy required.I'm going to turn to James in the studio. When
0:07:13 > 0:07:17you look at the kind of deals being struck today, what does today tell
0:07:17 > 0:07:21us about the state of play now between Britain and France?It tells
0:07:21 > 0:07:25us how complex this relationship is. The arrangements to support France
0:07:25 > 0:07:30in the field against Islamists in Africa by sending helicopters is
0:07:30 > 0:07:35generally militarily useful to the French, as they will reinforce
0:07:35 > 0:07:39Britain on the Nato border with Russia and Estonia. It was very
0:07:39 > 0:07:42clear this wasn't altogether a meeting of equals, these are two
0:07:42 > 0:07:45countries with very similar economic power in the world. They both sit on
0:07:45 > 0:07:50the Security Council. You were very aware, I was very aware at
0:07:50 > 0:07:54Sandhurst, you are watching a man who feels immensely powerful as a
0:07:54 > 0:07:57consequence of sweeping to victory in the presidency at the head of a
0:07:57 > 0:08:01new party and sweeping all before him in French parliament. Facing a
0:08:01 > 0:08:06woman who had no such success in her election the same year. There was an
0:08:06 > 0:08:09imbalance of power, you felt, between them, and very striking
0:08:09 > 0:08:13President Macron was the one who spelt out the terms of the changes
0:08:13 > 0:08:18to Britain's immigration procedures in Calais, accelerating the process
0:08:18 > 0:08:21of getting unaccompanied children to Britain. Theresa May didn't want to
0:08:21 > 0:08:24talk about that, it's highly politically sensitive. You felt
0:08:24 > 0:08:28there was a lot of tension in the room. Not, as President Macron said,
0:08:28 > 0:08:32that he wants to punish Britain. But he said he didn't want to award
0:08:32 > 0:08:36Britain. You felt this was a man who knew he would play a very
0:08:36 > 0:08:38substantial part in Brexit negotiations, and that Britain was
0:08:38 > 0:08:45the one that for better or worse was heading into uncharted waters.James
0:08:45 > 0:08:47Robbins our diplomatic correspondent. And John Pienaar
0:08:47 > 0:08:49earlier at Westminster.
0:08:49 > 0:08:52The UK is in the grip of the worst flu season for seven years.
0:08:52 > 0:08:55The latest figures show that the number of people who went
0:08:55 > 0:08:57to their GP with suspected flu in England rose by 40%
0:08:57 > 0:09:00in the past week, with similar numbers in the rest
0:09:00 > 0:09:01of the UK.
0:09:01 > 0:09:03The cold weather is keeping up the pressure on accident
0:09:03 > 0:09:04and emergency units.
0:09:04 > 0:09:07In Wales, dozens of senior doctors have written to the Welsh government
0:09:07 > 0:09:09saying that patient safety is being put at risk
0:09:09 > 0:09:11to an unacceptable degree.
0:09:11 > 0:09:13They said planning for a winter crisis had been inadequate,
0:09:13 > 0:09:16and the NHS in Wales is "chronically under-resourced".
0:09:16 > 0:09:20Here's our Wales Correspondent Sian Lloyd.
0:09:20 > 0:09:23We've heard of emergency units across the UK in crisis and today
0:09:23 > 0:09:26doctors in Wales raised concerns about the system here.
0:09:26 > 0:09:28Tim Rogerson is one of 46 consultants in emergency medicine
0:09:28 > 0:09:32who put their name to a letter sent to the First Minister warning that
0:09:32 > 0:09:39patient safety is being compromised.
0:09:39 > 0:09:41Well, there's good evidence that in a crowded emergency
0:09:41 > 0:09:45department that patients have their treatment delayed.
0:09:45 > 0:09:49And that can make their illness more protracted and, ultimately,
0:09:49 > 0:09:51it can make people's lives be at risk.
0:09:51 > 0:09:54So yes, people may die because of the pressures
0:09:54 > 0:09:55that we are facing.
0:09:55 > 0:09:57She had to wait three or four hours for the ambulance,
0:09:57 > 0:10:00then she had to sit outside accident and emergency in the ambulance,
0:10:00 > 0:10:03then she got transferred to a trolley in a corridor.
0:10:03 > 0:10:0582-year-old Joan Phelps is now being cared for in hospital,
0:10:05 > 0:10:08but her daughter, Tricia, is horrified at the 13 hours it took
0:10:08 > 0:10:11for her mother to be treated.
0:10:11 > 0:10:16So as a patient, especially in South Wales, you almost come to expect it.
0:10:16 > 0:10:19You know that once the winter comes you know if anything happens
0:10:19 > 0:10:21and you need an ambulance, get comfortable in that ambulance,
0:10:21 > 0:10:24because that's where you're going to be staying for the next
0:10:24 > 0:10:26couple of hours.
0:10:26 > 0:10:28Resus is full, trolley bays are full.
0:10:28 > 0:10:31The team at Morriston Hospital in Swansea is trying to come up
0:10:31 > 0:10:33with ways of dealing with busy times.
0:10:33 > 0:10:36Many of those packed into this room have volunteered to leave their desk
0:10:36 > 0:10:43jobs to join medical staff on the front line.
0:10:43 > 0:10:45Are you being looked after?
0:10:45 > 0:10:46Donna Day is one of them.
0:10:46 > 0:10:48A personal assistant with the health board.
0:10:48 > 0:10:56She's now working to speed up the flow of patients to the hospital.
0:10:58 > 0:11:01I'll come down onto the ward, get the bed state and see how
0:11:01 > 0:11:04many beds we've got, if we've got any discharges due,
0:11:04 > 0:11:06or potential discharges for the various times of the day.
0:11:06 > 0:11:08And if there's anything delaying those discharges,
0:11:08 > 0:11:09then I can chase that up.
0:11:09 > 0:11:12The scheme is having some success, but the NHS in Wales
0:11:12 > 0:11:14is facing many challenges.
0:11:14 > 0:11:17The latest figures show that in December less than 80% of A&E
0:11:17 > 0:11:19patients in Wales were admitted or discharged within four hours.
0:11:19 > 0:11:21That is way below the Welsh government's 95% target
0:11:21 > 0:11:26and worse than a year ago.
0:11:26 > 0:11:29The Welsh government says that this December was the busiest on record.
0:11:29 > 0:11:32It recognises the challenges faced by staff and says it has invested
0:11:32 > 0:11:35an extra £60 million to help people working in emergency units like this
0:11:35 > 0:11:41one deliver their services.
0:11:41 > 0:11:44We are better prepared than ever before, but there are real
0:11:44 > 0:11:45risks in where we go.
0:11:45 > 0:11:47Spike in demand, unavoidable pressures, but also
0:11:47 > 0:11:48planned for pressures.
0:11:48 > 0:11:56And we've seen some of those.
0:11:58 > 0:12:00Politicians and doctors recognise that this problem is not
0:12:00 > 0:12:02going away any time soon.
0:12:02 > 0:12:04In fact, it's feared patients could wait even longer
0:12:04 > 0:12:06unless there is a revolution in the way health and social
0:12:06 > 0:12:11care is delivered.
0:12:11 > 0:12:12Sian Lloyd, BBC News, Swansea.
0:12:12 > 0:12:15As we said, the latest figures show the number of people in England
0:12:15 > 0:12:19who went to their GP with suspected flu rose by 40 % in the past week,
0:12:19 > 0:12:21with similar numbers in the rest of the UK.
0:12:21 > 0:12:29Our health editor Hugh Pym is at St Mary's Hospital in London.
0:12:29 > 0:12:35What has been said about this growing pressure?Public health
0:12:35 > 0:12:40officials are confirming this is the worst flu season we seen since the
0:12:40 > 0:12:44winter of 2010-11 in terms of hospital admissions. They are not
0:12:44 > 0:12:48back at the levels seen before winter but officials say this is a
0:12:48 > 0:12:51significant flu season and when you look at the number of people going
0:12:51 > 0:12:55into GP surgeries with flu-like symptoms, there has been a really
0:12:55 > 0:12:59sharp increase since the New Year. Nearly four fold in Wales. It may
0:12:59 > 0:13:11explain some of the pressures on A&E between two and three fold increases
0:13:11 > 0:13:14seen since the New Year in other parts of the UK. Public health staff
0:13:14 > 0:13:16say there are things people can do to minimise the risk of catching was
0:13:16 > 0:13:19spreading through, it's not too late to have the flu jab. In English A&E
0:13:19 > 0:13:21units performance improved very slightly in the second week of this
0:13:21 > 0:13:25year compared to the forced. Few ambulances stuck outside hospitals
0:13:25 > 0:13:29waiting to hand over patients. One leading virus expert has said it's
0:13:29 > 0:13:32very possible this is just another bad flu season which the NHS has
0:13:32 > 0:13:35dealt with before. But this time you have a lot of pressure already
0:13:35 > 0:13:40there. The challenge is an ageing population is facing multiple health
0:13:40 > 0:13:44conditions and that I think is why there is concern that high levels of
0:13:44 > 0:13:48the NHS about what flu might yet bring.Many thanks for the latest,
0:13:48 > 0:13:51Hugh Pym at St Mary 's Hospital.
0:13:51 > 0:13:53Severe gales have hit much of northern Europe and
0:13:53 > 0:13:55four people have been killed by falling trees or debris,
0:13:55 > 0:13:58where gusts of up to 90 miles per hour have been recorded.
0:13:58 > 0:14:00Across the Netherlands and Germany, winds caused severe disruption
0:14:00 > 0:14:02on roads and damage to property.
0:14:02 > 0:14:10Hundreds of flights and trains were also cancelled.
0:14:13 > 0:14:15Here, powerful winds have caused disruption across parts of the UK,
0:14:15 > 0:14:17with gusts of over 80 miles an hour.
0:14:17 > 0:14:20Tens of thousands of homes have been without power for much
0:14:20 > 0:14:22of the day in East Anglia and the south-east of England.
0:14:22 > 0:14:25The high winds brought down trees and power cables, blocking
0:14:25 > 0:14:27rail lines and roads and damaging homes.
0:14:27 > 0:14:31For the first time, scientists say they're confident
0:14:31 > 0:14:33that the impact of humans on the global climate
0:14:33 > 0:14:35is dwarfing that of natural change.
0:14:35 > 0:14:41Research from agencies that monitor climate change,
0:14:41 > 0:14:43including the UK Met Office and the US space agency
0:14:43 > 0:14:45Nasa, shows that 2017 was the hottest year on record.
0:14:45 > 0:14:48And 17 of the 18 warmest years recorded since 1850
0:14:48 > 0:14:49have been in this century.
0:14:49 > 0:14:51Researchers say that burning fossil fuels is to blame,
0:14:51 > 0:14:59as our environment analyst Roger Harrabin explains.
0:15:02 > 0:15:05The recent wildfires in California, not caused
0:15:05 > 0:15:07by man-made climate change, but influenced by high temperatures
0:15:07 > 0:15:12drying out parched land.
0:15:12 > 0:15:14Followed by the deadly mudslides there, caused by an unusual
0:15:14 > 0:15:19combination of extreme rain and heat.
0:15:19 > 0:15:22Some scientists say the latest global temperature record proves
0:15:22 > 0:15:24it's CO2 emissions that are the main thing
0:15:24 > 0:15:27heating the planet.
0:15:27 > 0:15:31Look back to the worldwide temperature graphs of the 1990s
0:15:31 > 0:15:32from the Met Office.
0:15:32 > 0:15:38The warming El Nino current caused that spike in 1998.
0:15:38 > 0:15:41Temperature dips for a few years after that, but in 2015 and 2016,
0:15:41 > 0:15:43El Nino is back with record highs.
0:15:43 > 0:15:45But look.
0:15:45 > 0:15:482017 had no heating from El Nino, and it's in the top
0:15:48 > 0:15:52three hottest years.
0:15:52 > 0:15:55a clear sign that greenhouse gases are the main drivers of warming.
0:15:55 > 0:16:00What this is showing really is that these influences
0:16:00 > 0:16:03of the human activity on climate through our emissions of greenhouse
0:16:03 > 0:16:05gases are really dwarfing the natural climate processes
0:16:05 > 0:16:10associated with El Nino.
0:16:10 > 0:16:12Flooding near the coast like this after Hurricane Harvey is the most
0:16:12 > 0:16:15certain outcome of climate change, as the seas rise and
0:16:15 > 0:16:16the planet keeps on warming.
0:16:16 > 0:16:18Today's report has been a real wake-up call.
0:16:18 > 0:16:26It really shows that climate change is happening and it's happening now.
0:16:26 > 0:16:29You know, it shows that we can't keep burning coal, oil and gas,
0:16:29 > 0:16:32and that politicians need to stop dithering and take real action.
0:16:32 > 0:16:38In Scotland, travellers may be wondering why they've got snow
0:16:38 > 0:16:43while the world is warming, but that's just short-term weather.
0:16:43 > 0:16:45Heatwaves in Australia look more like climate change,
0:16:45 > 0:16:46records being broken all the time.
0:16:46 > 0:16:48All nations except the USA are committed
0:16:48 > 0:16:50to tackling climate change.
0:16:50 > 0:16:52They all accept they need to do more.
0:16:52 > 0:16:56Roger Harrabin, BBC News.
0:16:56 > 0:17:03A couple in California accused of imprisoning their 13
0:17:03 > 0:17:05children for several years while subjecting them
0:17:05 > 0:17:07to appalling abuse have appeared in court
0:17:07 > 0:17:08for the first time.
0:17:08 > 0:17:10David and Louise Turpin pleaded not guilty to more than 90
0:17:10 > 0:17:12charges, including torture and false imprisonment.
0:17:12 > 0:17:17Our correspondent James Cook is at the hearing.
0:17:18 > 0:17:26What's been going on?David and Louise Turpin appeared a few seconds
0:17:26 > 0:17:33ago inside the courtroom here. It was a brief, procedural appearance
0:17:33 > 0:17:37at which they pleaded not guilty. Louise Turpin, sitting along the
0:17:37 > 0:17:42left-hand side of the bench as we looked at them, the cameras were not
0:17:42 > 0:17:45allowed into the court, David Turpin, with a mop of grey hair,
0:17:45 > 0:17:53sitting in the middle -- the cameras were allowed in. They are facing the
0:17:53 > 0:17:58most serious charges that any parent could face short of murder. They are
0:17:58 > 0:18:04facing charges that date back in California until 2010 of torturing,
0:18:04 > 0:18:09abusing, tying up and mistreating their children, who were severely
0:18:09 > 0:18:13malnourished. We got a lot more detail today, some of it very
0:18:13 > 0:18:15distressing, about how these children were punished by their
0:18:15 > 0:18:20parents. They were punished through beatings, to being hogtied even.
0:18:20 > 0:18:24They were so severely malnourished, and one of the girls had been
0:18:24 > 0:18:27plotting the escape along with some of her siblings for two years before
0:18:27 > 0:18:32she finally made it out.James, thanks for bringing us up to date on
0:18:32 > 0:18:34that case in California.
0:18:34 > 0:18:37The private financing of projects such as the building
0:18:37 > 0:18:40of schools and hospitals is costing taxpayers billions
0:18:40 > 0:18:43of pounds more than public sector alternatives.
0:18:43 > 0:18:46That's the verdict of the the parliament's spending watchdog.
0:18:46 > 0:18:49Its report suggests that a group of schools cost 40% more to build,
0:18:49 > 0:18:52and a hospital 70% more.
0:18:52 > 0:18:54The debate on private companies delivering public services has
0:18:54 > 0:18:57become more urgent this week with the collapse of Carillion -
0:18:57 > 0:18:59the UK's second largest construction firm.
0:18:59 > 0:19:02Here's our economics editor, Kamal Ahmed.
0:19:02 > 0:19:04Shiny new roads, shiny, award-winning new schools.
0:19:04 > 0:19:08Shiny new hospitals.
0:19:08 > 0:19:10But they have come at a cost:
0:19:10 > 0:19:12private financing - they're called PFIs -
0:19:12 > 0:19:13that is more expensive
0:19:13 > 0:19:16than traditional government borrowing.
0:19:16 > 0:19:20Is it time for them to be brought back under Government control?
0:19:20 > 0:19:23PFIs cost us more over a longer period, and it's much
0:19:23 > 0:19:27cheaper to borrow money in the traditional way.
0:19:27 > 0:19:32So bringing them back will actually save a lot of money.
0:19:32 > 0:19:34There have been successes -
0:19:34 > 0:19:37the Thames super sewer, on budget and on target -
0:19:37 > 0:19:38and problems...
0:19:38 > 0:19:41a lack of flexibility in the contract, which can leave
0:19:41 > 0:19:47schools with bizarre bills, like £8,000 for a window blind.
0:19:47 > 0:19:52And the overspends, leaving schemes struggling to make ends meet.
0:19:52 > 0:19:54This is University College London Hospital,
0:19:54 > 0:19:56one of the country's largest and most expensive
0:19:56 > 0:19:59PFI projects.
0:19:59 > 0:20:03There are 700 other private finance initiatives in the UK.
0:20:03 > 0:20:07Taxpayers are paying more than £10 billion a year for them,
0:20:07 > 0:20:11and the bills will keep rolling in until the 2040s.
0:20:11 > 0:20:13Using private companies to deliver big public sector projects
0:20:13 > 0:20:17does involve some trade-offs.
0:20:17 > 0:20:19Yes, they might be more expensive.
0:20:19 > 0:20:23Yes, we could be paying the bills for decades ahead.
0:20:23 > 0:20:25But what do we get in return?
0:20:25 > 0:20:29We get schemes that are delivered more quickly.
0:20:29 > 0:20:31And for politicians ever worried about the general election
0:20:31 > 0:20:36that could be just ahead, that speed really matters.
0:20:36 > 0:20:37It mattered to them.
0:20:37 > 0:20:39Tony Blair and Gordon Brown
0:20:39 > 0:20:42turbo-charged the number of PFI contracts.
0:20:42 > 0:20:45There are fewer now, and Scotland has changed the way
0:20:45 > 0:20:48it finances public sector projects.
0:20:48 > 0:20:52Rohan Silva advised David Cameron on government delivery.
0:20:52 > 0:20:55The original thinking was to bring private sector investment,
0:20:55 > 0:20:57but also rigour and discipline,
0:20:57 > 0:21:00to the building of public sector projects.
0:21:00 > 0:21:06Government wasn't so good at getting stuff built on time and on budget.
0:21:06 > 0:21:08The truth is, though, that this approach was really abused,
0:21:08 > 0:21:09particularly in the 2000s.
0:21:09 > 0:21:11It got extended to schools and hospitals,
0:21:11 > 0:21:14completely inappropriate for this type of financing.
0:21:14 > 0:21:17The collapse of Carillion, a big PFI provider, has put
0:21:17 > 0:21:20the debate about private finance and public projects
0:21:20 > 0:21:22back in the spotlight.
0:21:22 > 0:21:25The Government insists PFI has delivered,
0:21:25 > 0:21:27and the rules have been tightened.
0:21:27 > 0:21:31But today's report shows just how high the cost has been.
0:21:31 > 0:21:39Kamal Ahmed, BBC News.
0:21:39 > 0:21:42President Trump has denied that his views have changed
0:21:42 > 0:21:44about building a wall along the border with Mexico.
0:21:44 > 0:21:47Building the wall was a key campaign pledge,
0:21:47 > 0:21:51and embodied his vision of America First.
0:21:51 > 0:21:53In the second of our reports charting a year
0:21:53 > 0:21:55of the Trump presidency, our North America Editor Jon Sopel
0:21:55 > 0:21:58has travelled to the border with Mexico, and considers how
0:21:58 > 0:22:00Mr Trump has shaped American foreign policy.
0:22:00 > 0:22:03If you want a symbol of the Trump approach to foreign policy,
0:22:03 > 0:22:08it's this: The wall.
0:22:08 > 0:22:11We will build the wall, as sure as you are standing there tonight.
0:22:11 > 0:22:14We need the wall.
0:22:14 > 0:22:16What's here at the moment, he sees as woefully inadequate,
0:22:16 > 0:22:18as he tweeted about again today.
0:22:18 > 0:22:21"We need the wall for the safety and security of our country.
0:22:21 > 0:22:23We need the wall to help stop the massive inflow
0:22:23 > 0:22:25of drugs from Mexico."
0:22:25 > 0:22:31He wants a physical barrier sealing America from Mexico, literally.
0:22:31 > 0:22:34But it's a metaphor, too, for the rest of the world -
0:22:34 > 0:22:39America First, America protected.
0:22:39 > 0:22:41Up the coast from this barren border in California,
0:22:41 > 0:22:42it feels like another planet.
0:22:42 > 0:22:45On the outskirts of LA is the high-tech pharmaceutical
0:22:45 > 0:22:46company Zencore, one of many in the area.
0:22:46 > 0:22:48This is the entire staff.
0:22:48 > 0:22:52This is how many of them were born in the US.
0:22:52 > 0:23:00This is how many have parents who were born in the US.
0:23:00 > 0:23:01The owner, himself of Jordanian origin,
0:23:01 > 0:23:03says the president's immigration policies are self-defeating.
0:23:03 > 0:23:05We're competing against China and India and Europe.
0:23:05 > 0:23:07If we can't bring in the best from everywhere, we're not
0:23:07 > 0:23:09going to win anymore.
0:23:09 > 0:23:12When you think of these American industries, we don't function
0:23:12 > 0:23:14without the ability to get the best talent from the world.
0:23:14 > 0:23:17And, well, that means immigration.
0:23:17 > 0:23:23America can't just disentangle itself from the rest of the world
0:23:23 > 0:23:25and its long-standing commitments, whether it be trade with the people
0:23:25 > 0:23:29who live on the other side of this wall, whether it be Nato
0:23:29 > 0:23:31commitments, the Pacific, or fighting Isis, or Donald Trump's
0:23:31 > 0:23:33long-standing ambition of bringing peace between the Israelis
0:23:33 > 0:23:38and the Palestinians.
0:23:38 > 0:23:40Just along from here, they are working out
0:23:40 > 0:23:43what sort of wall to build.
0:23:43 > 0:23:47The inspiration for it are the concrete sections
0:23:47 > 0:23:50of the separation barrier that Israel has built.
0:23:50 > 0:23:53When Donald Trump visited the region last May,
0:23:53 > 0:23:56he made a point of being evenhanded, pleasing Israelis with his visit
0:23:56 > 0:23:58to the Western Wall, satisfying Palestinians
0:23:58 > 0:24:01by going to Bethlehem.
0:24:01 > 0:24:04But he enraged the Arab world when last month, he announced
0:24:04 > 0:24:06he wanted to recognise Jerusalem as Israel's capital and move
0:24:06 > 0:24:08the US embassy there.
0:24:08 > 0:24:13This is nothing more or less than a recognition of reality.
0:24:13 > 0:24:18It is also the right thing to do.
0:24:18 > 0:24:20Palestinians were horrified and showed their disgust
0:24:20 > 0:24:23by burning US flags.
0:24:23 > 0:24:26One year on, no one's any clearer about what the Trump peace
0:24:26 > 0:24:29plan will look like.
0:24:29 > 0:24:32A reinforced wall might stop illegal immigrants scurrying
0:24:32 > 0:24:36across the border from Mexico, but it's not going to do much
0:24:36 > 0:24:38to stop an intercontinental ballistic missile
0:24:38 > 0:24:40fired from North Korea.
0:24:40 > 0:24:46That country's nuclear tests have provided Donald Trump
0:24:46 > 0:24:49with his greatest foreign policy challenge, a challenge he's met
0:24:49 > 0:24:52in his own inimitable way.
0:24:52 > 0:24:55Rocket Man is on a suicide mission for himself, and for his regime.
0:24:55 > 0:25:02They will be met with fire and fury.
0:25:02 > 0:25:04But here, the tough talk may be working.
0:25:04 > 0:25:06Yes, the provocative nuclear tests have continued,
0:25:06 > 0:25:09but have slowed down.
0:25:09 > 0:25:12Tougher sanctions have been agreed, and North Korea has reopened a line
0:25:12 > 0:25:16of communications to the South, and its athletes will now
0:25:16 > 0:25:19participate in the forthcoming Winter Olympics.
0:25:19 > 0:25:24Is that the Trump effect?
0:25:24 > 0:25:26Donald Trump had almost seemed to hope that the world
0:25:26 > 0:25:30would leave America alone, but that's not how it works
0:25:30 > 0:25:31when you're US president.
0:25:31 > 0:25:37The world has a habit of intruding.
0:25:37 > 0:25:40And even the sturdiest wall and the most trenchant America-First
0:25:40 > 0:25:41slogan can only protect you from so much.
0:25:41 > 0:25:46Jon Sopel, BBC News, on the US-Mexico border.
0:25:46 > 0:25:49The Government has been ordered to make immediate improvements
0:25:49 > 0:25:51to Nottingham Prison after it was warned that the jail
0:25:51 > 0:25:55was "fundamentally unsafe".
0:25:55 > 0:25:58Eight men are believed to have taken their own lives there in two years.
0:25:58 > 0:26:01The Chief Inspector of Prisons used a new "urgent notification" letter
0:26:01 > 0:26:03to demand action within 28 days, warning that there could be
0:26:03 > 0:26:08"further tragedies".
0:26:08 > 0:26:10The Court of Appeal is to consider whether terminally ill patients
0:26:10 > 0:26:15should be allowed help to die.
0:26:15 > 0:26:17It has granted permission to Noel Conway -
0:26:17 > 0:26:18a 68-year-old retired lecturer -
0:26:18 > 0:26:21to challenge the law, which forbids assisted suicide.
0:26:21 > 0:26:23Mr Conway, who has motor neurone disease, is now too
0:26:23 > 0:26:30ill to attend court.
0:26:30 > 0:26:32Our medical correspondent Fergus Walsh has spoken to two
0:26:32 > 0:26:33campaigners with opposing views.
0:26:33 > 0:26:38Sarah Jessiman from Warwickshire knows her time left is limited.
0:26:38 > 0:26:42Breast cancer has spread to her spine, and the treatment has
0:26:42 > 0:26:46at times been extremely painful.
0:26:46 > 0:26:54Sarah, who has an unrelated hearing disorder, fears for the future.
0:26:59 > 0:27:01There's a possibility that I'm going to have a painful
0:27:01 > 0:27:03and prolonged death, and I'm scared.
0:27:03 > 0:27:06I am very scared of the thought of being bedbound in agony
0:27:06 > 0:27:09for weeks or months.
0:27:09 > 0:27:12Sarah wants a doctor to be allowed to prescribe her a lethal dose
0:27:12 > 0:27:17of drugs if her final months become unbearable, but MPs
0:27:17 > 0:27:23overwhelmingly rejected proposals for a right to die in 2015.
0:27:23 > 0:27:26I'd like the law changed so that I can have a peaceful death
0:27:26 > 0:27:29at the time I choose, rather than the time that
0:27:29 > 0:27:37cancer might have in mind for me.
0:27:37 > 0:27:39Sarah, who recently celebrated her 20th wedding anniversary,
0:27:39 > 0:27:45says people should have a choice over how they die.
0:27:45 > 0:27:50I don't want to have the kind of death where my friends
0:27:50 > 0:27:56and family say to my husband and to each other,
0:27:56 > 0:27:58"Thank goodness she's not suffering any more."
0:27:58 > 0:28:05Why do I have to suffer that indignity?
0:28:07 > 0:28:09Juliet Marlow from Hampshire has had rheumatoid arthritis
0:28:09 > 0:28:12since she was five years old.
0:28:12 > 0:28:14Her immune system attacks her joints.
0:28:14 > 0:28:16She's had both her knees and hips replaced.
0:28:16 > 0:28:21Juliet can no longer walk and relies on carers.
0:28:21 > 0:28:29Every joint in my body has got arthritis in it.
0:28:29 > 0:28:31I have a large amount of pain, but I take
0:28:31 > 0:28:34painkillers on a daily basis.
0:28:34 > 0:28:35I take anti-inflammatories and between them,
0:28:35 > 0:28:42they keep the pain at bay.
0:28:42 > 0:28:45Juliet is opposed to a change in the law.
0:28:45 > 0:28:47She says allowing assisted suicide would make many disabled people feel
0:28:47 > 0:28:53even more vulnerable and scared.
0:28:53 > 0:28:57We don't want society to turn its back on us.
0:28:57 > 0:29:00It would send a message to me that my life wasn't worth living,
0:29:00 > 0:29:03you know, because so many people judge me on what I can't do
0:29:03 > 0:29:11without focusing on what I can do.
0:29:11 > 0:29:14And she says allowing doctors to help people to die
0:29:14 > 0:29:19would break the bond of trust.
0:29:19 > 0:29:21The relationship between doctor and patient, I believe,
0:29:21 > 0:29:24will be fundamentally damaged if we ask them to be our
0:29:24 > 0:29:32executioners as well as our healers.
0:29:32 > 0:29:37Noel Conway, who is fighting for the right to an assisted death,
0:29:37 > 0:29:39is becoming progressively weaker and is thought to have little more
0:29:39 > 0:29:44than six months left to live.
0:29:44 > 0:29:47His legal team have asked the Court of Appeal to hear his case
0:29:47 > 0:29:49as soon as possible.
0:29:49 > 0:29:57Fergus Walsh, BBC News.
0:29:59 > 0:30:05Prince Harry and his fiance Meghan Markle were an hour late
0:30:05 > 0:30:07Prince Harry and his fiancee Meghan Markle were an hour late
0:30:07 > 0:30:09for their first official visit to Wales this afternoon
0:30:09 > 0:30:11because their train was delayed.
0:30:11 > 0:30:13That didn't stop hundreds of people braving the cold to greet them
0:30:13 > 0:30:15with cheers outside Cardiff Castle.
0:30:15 > 0:30:17The couple - who are due to marry in May -
0:30:17 > 0:30:21are on a tour of UK cities to introduce Meghan to her new home.
0:30:21 > 0:30:28The Pope has performed an impromptu wedding ceremony
0:30:28 > 0:30:29on a flight over Chile.
0:30:29 > 0:30:35The couple, both employees of the airline, approached the Pope
0:30:35 > 0:30:37with their request during the flight.
0:30:37 > 0:30:40Our Religion Editor Martin Bashir has the story.
0:30:40 > 0:30:46They'd walked up the aisles on many occasions, but never in church.
0:30:46 > 0:30:48Flight attendants Paula Ruiz and Carlos Elorriga married in a civil
0:30:48 > 0:30:51ceremony because their church in Santiago had been destroyed by an
0:30:51 > 0:30:52earthquake eight years ago.
0:30:52 > 0:30:54And so they asked the Pope if he would
0:30:54 > 0:30:57bless their union.
0:30:57 > 0:31:00But Pope Francis, who wrote about love in the family
0:31:00 > 0:31:03two years ago, made them an even better offer.
0:31:03 > 0:31:06Would they like him to marry them?
0:31:06 > 0:31:14An astounded groom describes what happens next.
0:31:15 > 0:31:18TRANSLATION:We had a short and small ceremony.
0:31:18 > 0:31:21He took our hands and he asked if there was love in
0:31:21 > 0:31:25our marriage, and if we want to keep on being together all life long.
0:31:25 > 0:31:27I'm getting emotional as I say it.
0:31:27 > 0:31:28It's not easy.
0:31:28 > 0:31:29We said yes.
0:31:29 > 0:31:30TRANSLATION:It was a huge emotion.
0:31:30 > 0:31:34We are very, very happy.
0:31:34 > 0:31:36The handwritten marriage document was signed by the bride
0:31:36 > 0:31:40and groom, with the Pope adding his own name in Spanish.
0:31:40 > 0:31:43Francisco.
0:31:43 > 0:31:47He concluded the ceremony in the sky
0:31:47 > 0:31:50by saying, "I hope this motivates couples to marry".
0:31:50 > 0:31:52But as far as Catholic weddings go...
0:31:52 > 0:31:56It's pretty hard to beat being married
0:31:56 > 0:31:58by the Pope on an aeroplane.
0:31:58 > 0:32:19Martin Bashir, BBC News.