22/01/2018

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0:00:06 > 0:00:07Tonight at Ten:

0:00:07 > 0:00:09New evidence of the intense pressure on the NHS,

0:00:09 > 0:00:12as winter takes its toll.

0:00:12 > 0:00:20Ambulances wait in line outside hospitals, unable

0:00:21 > 0:00:23to deliver patients, because there's no

0:00:23 > 0:00:27spare capacity inside.

0:00:27 > 0:00:32At the moment, we have no rooms in the A&E so these patients are just

0:00:32 > 0:00:33waiting for beds.

0:00:33 > 0:00:35We spent four days filming in A&E at a hospital

0:00:35 > 0:00:38in the North-East of England - one that has some of

0:00:38 > 0:00:39the best waiting times.

0:00:39 > 0:00:40They're marvellous, these two men.

0:00:40 > 0:00:41They've never left me.

0:00:41 > 0:00:42I know.

0:00:42 > 0:00:43I'm in agony.

0:00:43 > 0:00:46Staff at North Tees say they're doing the best they can,

0:00:46 > 0:00:48but they can't cope with the numbers coming for help.

0:00:48 > 0:00:50There's not the capacity.

0:00:50 > 0:00:53We don't have the capacity to safely look after the amount of patients

0:00:53 > 0:00:55that are coming through the door.

0:00:55 > 0:00:57We'll have an extended report from North Tees,

0:00:57 > 0:01:00where the problems are similar to those in many other areas.

0:01:00 > 0:01:02Also tonight:

0:01:02 > 0:01:06A court is told that a man who drove into a crowd of Muslims in London

0:01:06 > 0:01:11last year was trying to kill as many people as possible.

0:01:11 > 0:01:13A report from Syria, where the people of Eastern Ghouta

0:01:13 > 0:01:16have suffered more bombardment, as the UN meets again

0:01:16 > 0:01:19to discuss what to do.

0:01:19 > 0:01:21Henry Bolton refuses to step down as Ukip leader,

0:01:21 > 0:01:27despite the resignations of 12 senior members of the party.

0:01:27 > 0:01:28And Alexis Sanchez has completed his move to

0:01:28 > 0:01:30Manchester United from Arsenal.

0:01:30 > 0:01:36He's likely to be the highest paid player in the Premier League.

0:01:36 > 0:01:38And coming up in Sportsday, on BBC News:

0:01:38 > 0:01:40Could Liverpool come from behind at Swansea to keep

0:01:40 > 0:01:47up their tilt on a place in the Premier League's top four?

0:02:06 > 0:02:08Good evening.

0:02:08 > 0:02:11And we start with stark new evidence of the intense strain

0:02:11 > 0:02:13on hospitals across the UK, as the NHS struggles

0:02:13 > 0:02:17to deal with the pressure of the winter months.

0:02:17 > 0:02:19Medical staff at the University Hospital of North Tees,

0:02:19 > 0:02:22in the North-East of England, say they don't have the capacity

0:02:22 > 0:02:25to give proper care to all incoming patients, and the Trust says

0:02:25 > 0:02:27pressures are 'immense'.

0:02:27 > 0:02:29A BBC News team spent several days at the hospital,

0:02:29 > 0:02:32witnessing the problems at first hand - as our special

0:02:32 > 0:02:40correspondent, Ed Thomas, explains in this extended report.

0:02:42 > 0:02:45Inside the NHS.

0:02:45 > 0:02:48For the first time this winter, we have been given full

0:02:48 > 0:02:51access to a hospital.

0:02:51 > 0:02:54I have worked for the trust for 19 years, I have never known it to be

0:02:54 > 0:02:57as bad as it is now.

0:02:57 > 0:03:02Over a weekend, we spoke to patients.

0:03:02 > 0:03:05It's supposed to be the best country in the world.

0:03:05 > 0:03:07We are nowhere near the best country in the world.

0:03:07 > 0:03:08Progressively getting worse.

0:03:08 > 0:03:09Definitely.

0:03:09 > 0:03:11I met staff, facing unprecedented pressure.

0:03:11 > 0:03:13We have no rooms in the A&E department, so these

0:03:13 > 0:03:19patients are waiting here for the next available bed.

0:03:19 > 0:03:24How do you describe the NHS?

0:03:24 > 0:03:29It just feels like a disaster zone.

0:03:29 > 0:03:32It's just completely under strain, bursting at the seams.

0:03:32 > 0:03:34What is it like being on the corridor?

0:03:34 > 0:03:40I think it's a disgrace.

0:03:40 > 0:03:48The University Hospital of North Tees.

0:03:48 > 0:03:56It has some of the best A&E waiting times in England,

0:03:56 > 0:04:03but was so full at one point this month, it had to close its doors.

0:04:03 > 0:04:05It's Friday and we are in the Rapid Assessment Unit.

0:04:05 > 0:04:06I'll do this one.

0:04:06 > 0:04:08It used to be the hospital's gym.

0:04:08 > 0:04:11It is always hot, it is because the windows are at the top.

0:04:11 > 0:04:13It is like stepping off a plane abroad.

0:04:13 > 0:04:15That's what it's like, the heat just hits you.

0:04:15 > 0:04:16Are you comfortable there?

0:04:16 > 0:04:20Patients with less severe symptoms can be sent here instead of A&E.

0:04:20 > 0:04:22Dawn has worked here for nearly 20 years -

0:04:22 > 0:04:26this has been her busiest winter yet.

0:04:26 > 0:04:28It's exhausting mentally and physically, trying to keep up

0:04:28 > 0:04:31with everything we need to do in the short space of time

0:04:31 > 0:04:33we have to do it in.

0:04:33 > 0:04:38It can be hard and tiring, but I do love my job.

0:04:38 > 0:04:40We'll get you there.

0:04:40 > 0:04:43Some patients spent up to six hours here.

0:04:43 > 0:04:45Average waiting times are not included in

0:04:45 > 0:04:47the hospital's A&E figures.

0:04:47 > 0:04:49How many trolleys have you got in here?

0:04:49 > 0:04:5012.

0:04:50 > 0:04:51How many patients?

0:04:51 > 0:04:5318.

0:04:53 > 0:04:56How many more to come in?

0:04:56 > 0:04:57Nine.

0:04:57 > 0:04:59Another nine to come in.

0:04:59 > 0:05:03About two hours before you get your results.

0:05:03 > 0:05:06They don't have the time to look after patients and do their own

0:05:06 > 0:05:08jobs and everything.

0:05:08 > 0:05:13It's terrible.

0:05:13 > 0:05:14The nurses get really upset, don't they?

0:05:14 > 0:05:16They really do get upset.

0:05:16 > 0:05:17I think the nurses deserve better.

0:05:17 > 0:05:21The nurses couldn't do any more.

0:05:21 > 0:05:23We need a proper area for rapid assessment.

0:05:23 > 0:05:25If the patients weren't here, where would they be?

0:05:25 > 0:05:29Sat in A&E.

0:05:29 > 0:05:35On Saturday, A&E is filling up.

0:05:35 > 0:05:38The Rapid Assessment Unit in the gym is closed.

0:05:38 > 0:05:39Lady out of 12 is going into nine.

0:05:39 > 0:05:41And Leanne, the nurse in charge, must find space.

0:05:41 > 0:05:44Just more patients coming through the door, more elderly

0:05:44 > 0:05:48patients, more poorly patients.

0:05:48 > 0:05:51What are your concerns?

0:05:51 > 0:05:53There's not the capacity, we don't have the capacity to safely

0:05:53 > 0:05:59look after the amount of patients coming through the door.

0:05:59 > 0:06:05By 4:00, ambulances are backing up outside A&E.

0:06:05 > 0:06:13Inside, paramedics wait with their patients.

0:06:13 > 0:06:14She's looking after me lovely.

0:06:14 > 0:06:15I'm doing well.

0:06:15 > 0:06:22I'm in pain, but I'm coping.

0:06:22 > 0:06:23Blanche is 83.

0:06:23 > 0:06:31And she is struggling to breathe.

0:06:33 > 0:06:36They're marvellous, these two men.

0:06:36 > 0:06:39They've never left me.

0:06:39 > 0:06:40I know.

0:06:40 > 0:06:48I'm in agony.

0:06:49 > 0:06:55She's in a lot of discomfort and pain.

0:06:55 > 0:06:58Being in the corridor is not where she needs to be.

0:06:58 > 0:07:01We have given her what we can in terms of pain relief.

0:07:01 > 0:07:02What does she need?

0:07:02 > 0:07:04She needs to be seen by a doctor.

0:07:04 > 0:07:06That's it.

0:07:06 > 0:07:12Paramedics told us they waited with Blanche for an hour.

0:07:12 > 0:07:17When you see that lady down there for an hour...

0:07:17 > 0:07:18It's awful.

0:07:18 > 0:07:20We don't like it.

0:07:20 > 0:07:23Nobody likes the patients to be in the corridor,

0:07:23 > 0:07:26but I physically have no room to put this lady in.

0:07:26 > 0:07:29I have been down and apologised, but there is no physical bed

0:07:29 > 0:07:37to transfer this lady into.

0:07:38 > 0:07:43Across the NHS, emergency admissions are at record levels.

0:07:43 > 0:07:46You are doing fantastic.

0:07:46 > 0:07:49What do these mean to you?

0:07:49 > 0:07:51They are amazing.

0:07:51 > 0:07:53Tenfold, they are amazing.

0:07:53 > 0:07:57Many hospitals are also facing a major flu outbreak.

0:07:57 > 0:07:58What has this place meant to you?

0:07:58 > 0:08:01She wouldn't be here.

0:08:01 > 0:08:03She said herself she thinks she would be dead if it hadn't

0:08:03 > 0:08:07been for these doctors.

0:08:07 > 0:08:14Here, it means by Sunday, every bed on every medical ward is full.

0:08:14 > 0:08:16We're trying to move patients from Orthopaedics

0:08:16 > 0:08:18to create some capacity.

0:08:18 > 0:08:21It's Denise's job to find beds.

0:08:21 > 0:08:22Hello, Denise speaking.

0:08:22 > 0:08:23Site coordinator.

0:08:23 > 0:08:26To keep patients moving through the hospital.

0:08:26 > 0:08:28We can always want more beds and more staff,

0:08:28 > 0:08:33but you can't go on forever just using more beds and staff,

0:08:33 > 0:08:36we have to look at the other reasons they come into hospital as well,

0:08:36 > 0:08:41and is there any other resources we can use?

0:08:41 > 0:08:44Patients that are in trolleys in corridors

0:08:44 > 0:08:48are very rare within the Trust.

0:08:48 > 0:08:51My concern is that the year-on-year increase in the acuity of patients

0:08:51 > 0:08:53and number coming to A&E is not sustainable.

0:08:53 > 0:08:55We need to transform our care.

0:08:55 > 0:08:58From Friday to Sunday, the hospital failed to meet its A&E

0:08:58 > 0:08:59four-hour waiting target.

0:08:59 > 0:09:05I'm going to check the floor.

0:09:05 > 0:09:08They averaged 85% - well below the 95% target.

0:09:08 > 0:09:11We are losing a lot of experienced staff, because they are

0:09:11 > 0:09:12becoming burned out.

0:09:12 > 0:09:15They are realising they can't keep going like this.

0:09:15 > 0:09:19Just discharge him, but when you discharge...

0:09:19 > 0:09:20It's been nonstop.

0:09:20 > 0:09:22We've had that many people through today.

0:09:22 > 0:09:24We haven't been able to give them a drink.

0:09:24 > 0:09:25How does that make you feel?

0:09:25 > 0:09:27Frustrated and sad, I would say.

0:09:27 > 0:09:28Can you go on doing this?

0:09:28 > 0:09:29No.

0:09:29 > 0:09:30Not just me personally.

0:09:30 > 0:09:34I don't think any of us can.

0:09:34 > 0:09:37You have had a few more years than me and I think

0:09:37 > 0:09:39I've got less to give.

0:09:39 > 0:09:43How long do you think you can stick it out for?

0:09:43 > 0:09:45At this moment in time, I've probably got

0:09:45 > 0:09:49about five years left, tops.

0:09:49 > 0:09:51So far, my career has been four years long.

0:09:51 > 0:09:54I wouldn't say I would do a long career in the NHS.

0:09:54 > 0:09:57Step back before you sit down.

0:09:57 > 0:09:59With our ageing population, more patients with complex acute

0:09:59 > 0:10:01conditions, more nurses leaving than joining in England last year,

0:10:01 > 0:10:09many want to know how the NHS can continue to cope.

0:10:10 > 0:10:13Come this time next year, this will happen again and again

0:10:13 > 0:10:14and again and again.

0:10:14 > 0:10:16And we will see all these pictures in the news,

0:10:16 > 0:10:24and the horrendous trolley waits, and it doesn't seem to change.

0:10:35 > 0:10:38I don't understand what you need to make things better.Lots of

0:10:38 > 0:10:39questions raised.

0:10:39 > 0:10:42In a moment, We'll have a word with our health editor, Hugh Pym,

0:10:42 > 0:10:44at the Department of Health and Social Care.

0:10:44 > 0:10:47But first, let's talk to Ed Thomas, whose report we've just seen.

0:10:47 > 0:10:51Staff remarkably candid about the immense challenges they are facing.

0:10:51 > 0:10:55What the impressions you took away? Yes, that is right, it was

0:10:55 > 0:10:58incredibly difficult to get into that hospital to tell that story.

0:10:58 > 0:11:05But once we did, we were struck by how open and frank and honest

0:11:05 > 0:11:09nurses, consultants, health consultants were, they wanted to

0:11:09 > 0:11:13tell their story. The stories you just heard tonight, they were just a

0:11:13 > 0:11:18snapshot of a particular moment inside the hospital. They were

0:11:18 > 0:11:21representative of our time there. People who are tired and frustrated.

0:11:21 > 0:11:28And importantly, the pictures you have just been watching, the

0:11:28 > 0:11:32ambulances outside A&E, the patients queueing up in the corridors, they

0:11:32 > 0:11:37match what clinicians have told us up and down the country this winter.

0:11:37 > 0:11:41But the one thing to take away from all of this was how incredibly hard

0:11:41 > 0:11:45the nurses and doctors were working inside that hospital to keep

0:11:45 > 0:11:51patients safe, despite winter pressures.Many thanks once again.

0:11:51 > 0:11:54Straight to Whitehall and the Department of help. The Prime

0:11:54 > 0:11:59Minister has already acknowledged the immense challenges in the NHS.

0:11:59 > 0:12:04Tubing more evidence like this is likely to bring a change, a change

0:12:04 > 0:12:09of approach or policy?The official line tonight is that the Government

0:12:09 > 0:12:13did put more money into the NHS in England over two years in the budget

0:12:13 > 0:12:16is more for this winter's pressure but nobody here is denying the

0:12:16 > 0:12:23images we saw maybe typical of hospitals around the country. A&E

0:12:23 > 0:12:26units and a real strain, difficulties finding beds and start

0:12:26 > 0:12:31feeling the pressure. It will add momentum to a debate around

0:12:31 > 0:12:34Whitehall about the long-term funding needs of the NHS. Jeremy

0:12:34 > 0:12:38Hunt, the Secretary of State, has already called for a 10-year funding

0:12:38 > 0:12:42plan. His department is under pressure on another front tonight,

0:12:42 > 0:12:46but the calculation of A&E statistics for the key four our

0:12:46 > 0:12:50waiting time benchmark. The BBC has become aware is smaller but of

0:12:50 > 0:12:55trusts, possibly more, have been adding data from minor injuries set

0:12:55 > 0:12:58at centres run by other providers into their data to perhaps make

0:12:58 > 0:13:02their performance look better and the Watchdog react into that has

0:13:02 > 0:13:06called for explanations from NHS leaders. Labour is putting pressure

0:13:06 > 0:13:11on the Government to provide answers as well. And embarrassingly for

0:13:11 > 0:13:16everyone in government and the NHS, it could well be that the biggest in

0:13:16 > 0:13:21NHS in England at hospitals going back over a year or more may have to

0:13:21 > 0:13:24be recalculated.Many thanks once again.

0:13:24 > 0:13:27The trial has started of a man accused of driving a van

0:13:27 > 0:13:32into a group of Muslim worshippers outside a mosque in North London.

0:13:32 > 0:13:34Darren Osborne, who's 48, denies the murder of Makram Ali,

0:13:34 > 0:13:38and attempting to kill nine others.

0:13:38 > 0:13:41The prosecution says he was trying to kill as many people as possible,

0:13:41 > 0:13:44in an act of terrorism - as our home affairs correspondent,

0:13:44 > 0:13:49Daniel Sandford, reports.

0:13:49 > 0:13:53The pandemonium on a summer night in North London after a large box

0:13:53 > 0:13:55van smashed into a crowd of worshippers at speed, leaving

0:13:55 > 0:14:01them strewn across the pavement, some with life-changing injuries.

0:14:01 > 0:14:04And leaving 51-year-old Makram Ali dead.

0:14:04 > 0:14:10Today, his family were at Woolwich Crown Court to watch

0:14:10 > 0:14:15as 48-year-old Darren Osborne, from Cardiff, went on trial.

0:14:15 > 0:14:17Jonathan Rees QC for the prosecution said Osborne had deliberately driven

0:14:17 > 0:14:23into a group of Muslims, trying to kill as many as possible.

0:14:23 > 0:14:28The prosecution say Darren Osborne became enraged after a BBC drama

0:14:28 > 0:14:31about sexual abuse by Pakistani men in Rochdale, and by the attacks

0:14:31 > 0:14:33on London and Manchester.

0:14:33 > 0:14:40His partner said he was a ticking time bomb who followed

0:14:40 > 0:14:42on Twitter Tommy Robinson, the founder of the

0:14:42 > 0:14:43far-right group the EDL.

0:14:43 > 0:14:46The day before the attack, he hired a large van.

0:14:46 > 0:14:48That Saturday evening, Darren Osborne came

0:14:48 > 0:14:49here to his local pub,

0:14:49 > 0:14:52the Hollybush, and the prosecution say that witnesses remember him

0:14:52 > 0:14:54writing on a piece of paper, and then becoming increasingly loud

0:14:54 > 0:14:58and abusive about Muslims.

0:14:58 > 0:15:00The prosecution say that after the attack, a misspelled note

0:15:00 > 0:15:04was found in the cab of the van Osborne hired.

0:15:04 > 0:15:07Part of it reads...

0:15:25 > 0:15:29The prosecution say that this pro-Palestinian march may have been

0:15:29 > 0:15:32Darren Osborne's original target, but when that didn't prove

0:15:32 > 0:15:37viable, he instead started looking for mosques.

0:15:37 > 0:15:40Their case is that it was an act of terrorism designed to intimidate

0:15:40 > 0:15:41the Muslim community.

0:15:41 > 0:15:46Daniel Sandford, BBC News.

0:15:46 > 0:15:49The head of the Army - General Sir Nick Carter -

0:15:49 > 0:15:51has warned that the armed forces might struggle to respond to future

0:15:51 > 0:15:54threats, without further investment.

0:15:54 > 0:15:57Speaking this evening, he highlighted Russia,

0:15:57 > 0:16:00which he said posed the most complex threat to the UK from another state

0:16:00 > 0:16:05since the end of the Cold War.

0:16:05 > 0:16:07Sir Nick also underlined the threat to the UK from cyber attacks,

0:16:07 > 0:16:10as our defence correspondent, Jonathan Beale, reports.

0:16:10 > 0:16:15Russia is building an increasingly modern and aggressive military.

0:16:15 > 0:16:18Already tested in battle in Syria, using weapons Britain

0:16:18 > 0:16:21would struggle to match, like long-range missiles.

0:16:21 > 0:16:24In Ukraine they have been using unconventional

0:16:24 > 0:16:29warfare, electronics, cyber and misinformation.

0:16:29 > 0:16:33And they are even on manoeuvres on Europe's doorstep,

0:16:33 > 0:16:36with large-scale exercises near Nato's borders.

0:16:36 > 0:16:38Enough to worry the head of the British Army,

0:16:38 > 0:16:42who tonight gave this rare public warning.

0:16:42 > 0:16:45I believe our ability to pre-empt or respond to these threats will be

0:16:45 > 0:16:49eroded if we don't match up to them now.

0:16:49 > 0:16:53They represent a clear and present danger.

0:16:53 > 0:16:55They are not thousands of miles away.

0:16:55 > 0:17:00They are now on Europe's doorstep.

0:17:00 > 0:17:04The UK is already seriously outnumbered - Russia has

0:17:04 > 0:17:06more than 2500 tanks, among them the most

0:17:06 > 0:17:10advanced in the world.

0:17:10 > 0:17:13In contrast, Britain has fewer than 300 and the UK's Challenger

0:17:13 > 0:17:19tank, here on an exercise, is now over 20 years old.

0:17:19 > 0:17:22This intervention by the head of the Army is as much an appeal

0:17:22 > 0:17:25for more money for defence as it is a warning about

0:17:25 > 0:17:29the threat posed by Russia.

0:17:29 > 0:17:32Over the next ten years, the Ministry of Defence needs

0:17:32 > 0:17:35an extra £20 billion to modernise the Armed Forces and without that

0:17:35 > 0:17:39money, they could face another round of brutal cuts.

0:17:39 > 0:17:42So how does Britain's defence spending compare?

0:17:42 > 0:17:44Last year its budget was £35 billion.

0:17:44 > 0:17:49While Russia's was £44 billion.

0:17:49 > 0:17:53But the UK is still part of a Nato alliance who together spent

0:17:53 > 0:18:00£657 billion, including a US defence budget of £443 billion.

0:18:00 > 0:18:03This is not only about Russia, it is also about our European allies

0:18:03 > 0:18:05and the United States.

0:18:05 > 0:18:09We need to show to our Nato allies that we are taking Russia seriously

0:18:09 > 0:18:11and that we intend to maintain ourselves as a serious

0:18:11 > 0:18:13military power.

0:18:13 > 0:18:16The Defence Secretary has sent his top brass into battle

0:18:16 > 0:18:19to persuade the Chancellor to give him more money,

0:18:19 > 0:18:22but they are competing with other demands and other departments

0:18:22 > 0:18:24and defence may not be the top of the list.

0:18:24 > 0:18:32Jonathan Beale, BBC News.

0:18:33 > 0:18:36For five years, the Syrian suburb of Eastern Ghouta has been

0:18:36 > 0:18:39the target of endless attacks by President Assad's forces,

0:18:39 > 0:18:43and some 400,000 people in the area are now suffering what the UN says

0:18:43 > 0:18:45is a humanitarian crisis.

0:18:45 > 0:18:51Eastern Ghouta is one of several 'de-escalation' zones in Syria,

0:18:51 > 0:18:54formed as part of an attempted truce between government forces -

0:18:54 > 0:18:56backed by Russia - and Syrian rebels.

0:18:56 > 0:19:00Despite that, the bombardment continues, and the UN

0:19:00 > 0:19:03Security Council is meeting tonight to address the situation,

0:19:03 > 0:19:06as our correspondent, Nawal Al-Maghafi, reports.

0:19:06 > 0:19:10Eastern Ghouta is a suburb under siege.

0:19:10 > 0:19:15Airstrikes have become a daily occurrence here.

0:19:15 > 0:19:18Racing from emergency to emergency, there seems to be no

0:19:18 > 0:19:21end to the violence.

0:19:21 > 0:19:24And when half of the population that lives here are children,

0:19:24 > 0:19:32it's them who suffer the most.

0:19:32 > 0:19:36Mahamoud, just three years old, survived the attack unhurt.

0:19:36 > 0:19:44His brother was lost in the rubble.

0:19:48 > 0:19:52Altogether, eight civilians were pulled out of the

0:19:52 > 0:19:56remains of their homes.

0:19:56 > 0:20:03They survived this attack, but they can't escape the siege.

0:20:03 > 0:20:06Surrounded for the past five years, the UN has recently described

0:20:06 > 0:20:12Eastern Ghouta as the epicentre of suffering in Syria.

0:20:12 > 0:20:15For almost 400,000 people, that means daily misery,

0:20:15 > 0:20:19with little food, winter temperatures, and heavy bombardment.

0:20:19 > 0:20:21Once the dust settles, the children are sent out

0:20:21 > 0:20:27to search for firewood.

0:20:27 > 0:20:30This woman has lost one child to this war, and she's

0:20:30 > 0:20:35struggling to feed the others.

0:20:35 > 0:20:38Eastern Ghouta might be 20 minutes' drive from Damascus,

0:20:38 > 0:20:44but food is 15 times more expensive than the capital.

0:20:44 > 0:20:45TRANSLATION:I have six children.

0:20:45 > 0:20:47How am I meant to feed them?

0:20:47 > 0:20:50I can't even afford to buy them bread.

0:20:50 > 0:20:52All they have is a mouthful each.

0:20:52 > 0:20:53They never get full.

0:20:53 > 0:20:58Have mercy on us!

0:20:58 > 0:21:01In an attempt to escape the shelling, Abu Brahim has made

0:21:01 > 0:21:03this abandoned building his home.

0:21:03 > 0:21:07With no windows, he's chosen to face the cold than the bombs.

0:21:07 > 0:21:12His two boys exposed to the chill of winter.

0:21:12 > 0:21:15TRANSLATION:When it comes to food, we can't afford to buy that much.

0:21:15 > 0:21:19We eat day by day.

0:21:19 > 0:21:23We can't afford to buy wood, so we burn whatever we can find.

0:21:23 > 0:21:26I burnt most of my belongings that I took with me

0:21:26 > 0:21:29when we were displaced.

0:21:29 > 0:21:33No aid has been allowed into the area since November.

0:21:33 > 0:21:35Without vital supplies, tens of thousands of children face

0:21:35 > 0:21:40the threat of malnutrition.

0:21:40 > 0:21:44As the attacks continue, the Syrian and Russian governments

0:21:44 > 0:21:48say their forces only attack Islamist rebels in the area.

0:21:48 > 0:21:52For many children here, they've been born into this brutal siege,

0:21:52 > 0:21:54and if something isn't done soon, it's all they will

0:21:54 > 0:21:58ever come to know.

0:21:58 > 0:22:02Nawal Al-Maghafi, BBC News.

0:22:02 > 0:22:04In a new front in the Syrian conflict, Turkey has

0:22:04 > 0:22:10intensified its military offensive against Kurdish forces

0:22:10 > 0:22:14in northern Syria, despite the negative diplomatic

0:22:14 > 0:22:16reaction around the world, including the US Government.

0:22:16 > 0:22:18The Turkish Government says that the operation will continue

0:22:18 > 0:22:20until every terrorist is "cleansed from the region".

0:22:20 > 0:22:22Our correspondent, Mark Lowen, is in Hatay,

0:22:22 > 0:22:30on Turkey's border with Syria.

0:22:30 > 0:22:33Despite the criticism I mentioned, is there any sign that Turkey will

0:22:33 > 0:22:39change the kind of operation it is mounting?Absolutely no sign at all,

0:22:39 > 0:22:43it is ploughing ahead despite this pretty dreadful weather. Turkey is

0:22:43 > 0:22:48that the first Turkish soldier has been killed in the clashes. Kurdish

0:22:48 > 0:22:50activists say around 20 civilians have been killed by Turkish as

0:22:50 > 0:22:54strikes although the Turkish government says that is nonsense

0:22:54 > 0:22:59propaganda. The risk is growing for those living in the border regions

0:22:59 > 0:23:04in southern Turkey. We went to a town close to here which saw an

0:23:04 > 0:23:08incoming rocket blamed on the Kurdish militia in Syria, we saw

0:23:08 > 0:23:11shattered glass on the ground and mangled corrugated iron and I spoke

0:23:11 > 0:23:17to be some are they Syrian refugee killed in that rocket strike, as he

0:23:17 > 0:23:21drove with the coffin of his father towards the Syrian border he said,

0:23:21 > 0:23:25"We have escaped the terror of the Assad regime in Zim yet only to be

0:23:25 > 0:23:32met by the terror of the Kurdish militants." -- in Syria. President

0:23:32 > 0:23:37Erdogan, when questioned by the US about the length of the operation,

0:23:37 > 0:23:41said it was not a maths equation, how long have you been in Iraq and

0:23:41 > 0:23:48Afghanistan? The only approval he is interested in is the 50.1% of the

0:23:48 > 0:23:53voters he will need here to be re-elected next year.Thank you for

0:23:53 > 0:23:55the latest from Hatay.

0:23:55 > 0:23:56The leader of Ukip, Henry Bolton, is resisting the growing

0:23:56 > 0:23:58calls for his resignation following a controversy

0:23:58 > 0:24:06about racist comments made by his former girlfriend.

0:24:06 > 0:24:08No fewer than 14 party spokesmen and women have now resigned,

0:24:08 > 0:24:11calling on Mr Bolton to step down, but he's insisted he'll put

0:24:11 > 0:24:13an end to what he calls "factional infighting".

0:24:13 > 0:24:15Live to Westminster for the latest with our political

0:24:15 > 0:24:20correspondent, Leila Nathoo.

0:24:20 > 0:24:25To those in his party who want him to walk away, fighting talk from a

0:24:25 > 0:24:30leader determined to stay where he is.I will not be resigning as party

0:24:30 > 0:24:35leader.Instead, a provocative message setting his sights on Ukip's

0:24:35 > 0:24:39warring body that backed a vote of no confidence in him last night.It

0:24:39 > 0:24:42is now time to put an end to the factional infighting that has been

0:24:42 > 0:24:46going on within the party for some time and to remove those who have

0:24:46 > 0:24:51been part of that. In a single phrase, it is time to drain the

0:24:51 > 0:24:55swamp.It was Henry Bolton's relationship with Jo Marney that

0:24:55 > 0:25:00triggered this latest turmoil. He says it is now over after she had to

0:25:00 > 0:25:05apologise for sending racist text messages. For many in Ukip that is

0:25:05 > 0:25:08not enough. 14 senior members have resigned from their posts in protest

0:25:08 > 0:25:14at his reluctance to step aside.We should be a party that is talking

0:25:14 > 0:25:17about Brexit, putting the case for this country to come out with no

0:25:17 > 0:25:22deal, if we don't get a good deal, but all that has been lost because

0:25:22 > 0:25:25of the spectacle of his private life.He does not have the

0:25:25 > 0:25:31confidence of the party, he cannot operate even vaguely successfully as

0:25:31 > 0:25:38a party leader. He never had much of a mandate and he now should go.

0:25:38 > 0:25:42Henry Bolton is Ukip's third new leader in less than 18 months. He is

0:25:42 > 0:25:47now pushing for a no ball, something welcomed by one of the biggest names

0:25:47 > 0:25:53in the party.Ukip does not change, it will not exist in 18 months.

0:25:53 > 0:25:56Emerging from this seafront hotel with such a defiant message, Henry

0:25:56 > 0:26:01Bogdan laid down a challenge to his colleagues, it is time for reform to

0:26:01 > 0:26:06overcome divisions -- Henry Bolton. But his bullish approach, at odds

0:26:06 > 0:26:11with what so many want to do here, risked making things far worse. You

0:26:11 > 0:26:17are a member?I was, not any more. When did you cancel your membership?

0:26:17 > 0:26:22Last week on that basis. To be honest with you, it is a failing

0:26:22 > 0:26:30party now.I was a Ukip man but now I'm afraid, no. They won't get my

0:26:30 > 0:26:34vote unless they get themselves into gear.It is now up to Ukip members

0:26:34 > 0:26:39to decide his fate but yet another fractious episode is damaging for a

0:26:39 > 0:26:44party struggling to define its message and its role.

0:26:44 > 0:26:46A brief look at some of the day's other other news stories.

0:26:46 > 0:26:48Two men have been jailed for at least 34 years

0:26:48 > 0:26:50after being found guilty of murdering the businessman

0:26:50 > 0:26:53Guy Hedger in an attempted burglary at his home in Dorset last April.

0:26:53 > 0:26:55Kevin Downton and Jason Baccus committed burglaries

0:26:55 > 0:26:57to fund their drug habits.

0:26:57 > 0:27:02A third man, Scott Keeping, was acquitted.

0:27:02 > 0:27:05Police have arrested a man who's thought to be the father

0:27:05 > 0:27:07of eight-year-old Mylee Billingham who died after being

0:27:07 > 0:27:10stabbed on Saturday night.

0:27:10 > 0:27:1254-year-old Bill Billingham is in a critical condition

0:27:12 > 0:27:18after he was found with a stab wound in his stomach.

0:27:18 > 0:27:21A leading manufacturer of ejector seats,

0:27:21 > 0:27:23Martin-Baker Aircraft Limited, has admitted breaking

0:27:23 > 0:27:25a health and safety law in connection with the death

0:27:25 > 0:27:27of a Red Arrows pilot.

0:27:27 > 0:27:30Flight Lieutenant Sean Cunningham died in 2011 when he was thrown

0:27:30 > 0:27:32from his jet while it was on the ground at RAF

0:27:32 > 0:27:34Scampton in Lincolnshire.

0:27:34 > 0:27:37Sentencing will take place next month.

0:27:37 > 0:27:41Our correspondent Danny Savage reports.

0:27:41 > 0:27:46This is the Red Arrows Hawk jet that Sean Cunningham was ejected from.

0:27:46 > 0:27:49Unknown to him, the ejector seat was in an unsafe position and went

0:27:49 > 0:27:53off unexpectedly with the plane on the ground.

0:27:53 > 0:27:57The 35-year-old, whose life's ambition was to be a Red Arrows

0:27:57 > 0:28:00pilot, could have survived but the parachute on the seat

0:28:00 > 0:28:01failed to deploy.

0:28:01 > 0:28:03He crashed back down, still strapped to the seat,

0:28:03 > 0:28:07and died from his injuries.

0:28:07 > 0:28:11The Red Arrows are based here at RAF Scampton in Lincolnshire.

0:28:11 > 0:28:14This is where Flight Lieutenant Sean Cunningham was fatally injured

0:28:14 > 0:28:18back in November 2011.

0:28:18 > 0:28:21His inquest heard that an over-tightened nut and bolt

0:28:21 > 0:28:25on his ejector seat stopped the parachute from working properly.

0:28:25 > 0:28:28The manufacturers of that seat, Martin-Baker, knew about the issue

0:28:28 > 0:28:33and told some air forces but not the Ministry of Defence.

0:28:33 > 0:28:37So the engineers here were unaware of the issue.

0:28:37 > 0:28:39Flight Lieutenant Cunningham's sister, mother and father

0:28:39 > 0:28:42were in court today to hear the guilty plea.

0:28:42 > 0:28:47This has been a long ordeal for them.

0:28:47 > 0:28:50We welcome the conclusion of the coroner which confirmed

0:28:50 > 0:28:56what we knew all along, which is that Sean was blameless.

0:28:56 > 0:28:57A director of Martin-Baker, John Martin, seen here

0:28:57 > 0:29:00second from the left, today admitted breaking

0:29:00 > 0:29:03health and safety law on behalf of the company.

0:29:03 > 0:29:05One former senior RAF officer believes this incident

0:29:05 > 0:29:08has changed attitudes.

0:29:08 > 0:29:11They are an outstandingly good company and what went wrong

0:29:11 > 0:29:13would have hurt them deeply as well.

0:29:13 > 0:29:19They have learned a terrible amount from this.

0:29:19 > 0:29:21Martin-Baker ejection seats are still fitted to Red Arrows Hawks

0:29:21 > 0:29:24and all RAF fast jets.

0:29:24 > 0:29:27The company says their equipment has saved the lives of thousands

0:29:27 > 0:29:28of aircrew over many decades.

0:29:28 > 0:29:31Danny Savage, BBC News, Lincoln.

0:29:36 > 0:29:38The Chilean player Alexis Sanchez has completed his much-anticipated

0:29:38 > 0:29:41move to Manchester United from Arsenal and is expected

0:29:41 > 0:29:46to become the highest-paid player in the Premier League.

0:29:46 > 0:29:48He is reported to earn £500,000 per week.

0:29:48 > 0:29:51Let's join our sports editor, Dan Roan, who's at Old Trafford

0:29:51 > 0:29:55with the latest tonight.

0:29:55 > 0:29:59Fuelled by booming broadcast deals, Premier League finances have seen to

0:29:59 > 0:30:02be in a different planet for years but the remarkable Alexis Sanchez

0:30:02 > 0:30:07deal takes it to a whole new level, revealing much about the desperation

0:30:07 > 0:30:11that Manchester United feel as they tried to claw back lost ground

0:30:11 > 0:30:15against arch rivals and runaway league leaders Manchester City, the

0:30:15 > 0:30:18power and influence of football agent and the amount of money that

0:30:18 > 0:30:23is swilling around the English game. United may not have had to pay a fee

0:30:23 > 0:30:28for this signing but it is certainly not a free transfer.

0:30:28 > 0:30:34Sanchez has scored an absolute beauty!It is talent like this that

0:30:34 > 0:30:38has persuaded Manchester United to make Alexis Sanchez the best paid

0:30:38 > 0:30:42player in Premier League history. The striker remarkably set to earn a

0:30:42 > 0:30:49report that half £1 million a week after his protracted transfer from

0:30:49 > 0:30:54Arsenal was finally completed. More akin to a movie trailer than a

0:30:54 > 0:30:57signing announcement, United howled at his arrival with a carefully

0:30:57 > 0:31:01orchestrated video on their social media tonight. The rest of the game

0:31:01 > 0:31:05left to marvel at a deal the like of which British football has never

0:31:05 > 0:31:12seen before.The money side of it is absolutely huge, it is absurd in

0:31:12 > 0:31:18some people's eyes. Our football is worth this? Arsene Wenger a couple

0:31:18 > 0:31:23of days ago said it would not be long before a player earns £1

0:31:23 > 0:31:25million a week.With midfielder Henrikh Mkhitaryan heading to

0:31:25 > 0:31:29Arsenal as part of eight swap deal, United may have avoided paying a

0:31:29 > 0:31:34transfer fee for centres but with his agent reportedly pocketing £50

0:31:34 > 0:31:39million, the full cost of the zoning could turn into a staggering £180

0:31:39 > 0:31:44million. -- of the signing. Jose Mourinho made clear his admiration

0:31:44 > 0:31:51earlier this month.The only word I can say is the same with everybody

0:31:51 > 0:31:54says, a phenomenal player. Apart from that, Arsenal player.Not any

0:31:54 > 0:31:57more, megarich Manchester City have been the favourites to sign him but

0:31:57 > 0:32:01even they were scared off by the money involved and it instead United

0:32:01 > 0:32:04to won the race for his signature and they must now hope he is worth

0:32:04 > 0:32:06it.

0:32:06 > 0:32:09Many tributes have been paid to the former England football

0:32:09 > 0:32:11captain Jimmy Armfield, a member of the 1966

0:32:11 > 0:32:15World Cup winning squad, who's died at the age of 82.

0:32:15 > 0:32:17Sir Bobby Charlton said he was "the most honest and genuine

0:32:17 > 0:32:20gentlemen I had the good fortune to meet".

0:32:20 > 0:32:22He spent his entire career at Blackpool, playing more

0:32:22 > 0:32:26than 600 games for the club.

0:32:26 > 0:32:28Armfield later became a manager and a highly-respected

0:32:28 > 0:32:31pundit for BBC Radio.

0:32:31 > 0:32:34He was recently asked how he'd like to be remembered.

0:32:35 > 0:32:38Somebody asked me once, they said, when you see yourself now,

0:32:38 > 0:32:41don't you wish you'd have had all the television programmes

0:32:41 > 0:32:43they have, you know, when you were playing?

0:32:43 > 0:32:45And I thought about it for a minute.

0:32:45 > 0:32:48And I said, I'm not so sure, really.

0:32:48 > 0:32:51I said, it's probably better to let them think

0:32:51 > 0:32:56I was a half decent player!

0:32:56 > 0:32:59Jimmy Armfield, who's died at the age of 82.

0:32:59 > 0:33:14Here on BBC One it's time for the news where you are.