:00:07. > :00:08.The NHS is said to be under the greatest pressure
:00:09. > :00:13.with a huge gap between funding and costs.
:00:14. > :00:15.to stop the health service deteriorating,
:00:16. > :00:21.which represents hospitals in England.
:00:22. > :00:25.What they are saying very clearly is they can not provide the right
:00:26. > :00:28.quality of care and meet the performance standards
:00:29. > :00:33.on the money that's available and something has to give.
:00:34. > :00:36.The government says its promise of extra funding
:00:37. > :00:43.US presidential candidate Hillary Clinton
:00:44. > :00:44.leaves the 9/11 memorial ceremony early
:00:45. > :00:50.Great Britain's rowers lead the gold rush
:00:51. > :01:09.And, the radio storyline that has raised awareness of real-life
:01:10. > :01:27.domestic abuse. The archers storyline concludes within the hour.
:01:28. > :01:31.A senior NHS leader has warned that the health service is under
:01:32. > :01:33.the "greatest pressure for a generation",
:01:34. > :01:35.so overstretched that "something has to give."
:01:36. > :01:43.Chris Hopson, chief executive of NHS Providers,
:01:44. > :01:45.which represents hospitals and other service providers in England,
:01:46. > :01:47.says a serious debate about which services
:01:48. > :01:51.and at present delivering a 7-day service is impossible.
:01:52. > :02:01.VOICEOVER: Hospitals running at full capacity, standards of care under
:02:02. > :02:04.pressure, patients at risk, the diagnosis run NHS providers is that
:02:05. > :02:09.the health service does not just need attention but life support. On
:02:10. > :02:12.the front line, people responsible every day for overseeing the safe
:02:13. > :02:16.delivery of care, what they are saying very clearly is they cannot
:02:17. > :02:19.provide the right quality of care and meet the performance standards
:02:20. > :02:24.on the money that is available and something has to give. The problem
:02:25. > :02:30.is funding has not kept up with the demand for NHS services, so, while
:02:31. > :02:34.three years ago, 5% of acute care hospitals were running a financial
:02:35. > :02:39.deficit, now that figure is 80%. In the same time period, the percentage
:02:40. > :02:44.of hospitals missing Accident and Emergency waiting time targets has
:02:45. > :02:49.jumped from 10% up to 90%. Rationing health care is one possible approach
:02:50. > :02:52.to cutting costs. The Vale of York proposed that obese patients should
:02:53. > :02:57.have surgery delayed until they reach healthy weight, it wants
:02:58. > :03:01.similar roles for smokers. Experts say that the government must be
:03:02. > :03:05.clear about priorities. It is not going to be possible to balance the
:03:06. > :03:10.books, hit the current standard for waiting times of patients, improve
:03:11. > :03:14.staffing levels, and deliver new commitments, like seven-day
:03:15. > :03:16.services. That is a decision for the government, it cannot pretend
:03:17. > :03:19.everything can be done, that would be impossible. The Department of
:03:20. > :03:25.Health says it has already committed an extra ?10 billion to fund the
:03:26. > :03:29.NHS's own plans for its future, it says while it recognises the
:03:30. > :03:33.pressure on the health service from an ageing population, the government
:03:34. > :03:37.expects the NHS to ensure that patients are treated quickly.
:03:38. > :03:41.Ministers say that Chris Hopson and NHS providers are overstating the
:03:42. > :03:44.problem. I'm not sure that anything has gone wrong the scale of which he
:03:45. > :03:49.has try to put forward but we have to engage with the NHS leadership,
:03:50. > :03:54.I'm very proud of the NHS, they deliver 4000 more operations a day
:03:55. > :03:58.since 2010, most people, anecdotally, tell me their
:03:59. > :04:03.experience is good. Junior doctors are still resisting a new seven-day
:04:04. > :04:07.contract, NHS providers say that with the health service struggling
:04:08. > :04:14.to meet existing demands, it cannot be stretched any further.
:04:15. > :04:16.STUDIO: Our Health Editor Hugh Pym is here.
:04:17. > :04:22.This has been a very stark assessment, could it affect
:04:23. > :04:28.government thinking? Looking to work Whitehall sources, they feel there
:04:29. > :04:32.is no further plans to award more money, it has already been allocated
:04:33. > :04:36.more than ?8 billion a year by 2020 on top of 2 billion last year, which
:04:37. > :04:41.is what the NHS asked for, the NHS in England said it was happy at the
:04:42. > :04:44.time. Heart of this strong message from hospital treats and trust
:04:45. > :04:48.bosses is aimed at Simon Stephens, head of NHS England, saying, you
:04:49. > :04:52.need to go and ask for more money, given the scale of demand, the huge
:04:53. > :04:57.numbers, the increasing numbers of patients coming through the front
:04:58. > :05:01.doors of hospitals. Simon Stephens's view is that there was quite a big
:05:02. > :05:05.uplift in funding this year, he can hardly ask for more, and he's giving
:05:06. > :05:11.hospitals more help in reducing deficits and dealing with a agency
:05:12. > :05:15.bills. He will ultimately come back to the government, Philip Hammond
:05:16. > :05:19.preparing the first statement as Chancellor, they may feel this is
:05:20. > :05:25.special pleading by the NHS but it will always be high on patient
:05:26. > :05:31.concerns and that means it will be high on the government agenda.
:05:32. > :05:36.The Democratic presidential candidate Hillary Clinton has left
:05:37. > :05:38.a 9/11 memorial event in New York early
:05:39. > :05:41.Both she and her Republican rival Donald Trump were at the anniversary
:05:42. > :05:44.ceremony at the site of the World Trade Centre.
:05:45. > :05:46.She is reported to have left after becoming "overheated".
:05:47. > :05:47.Our New York correspondent Nick Bryant reports.
:05:48. > :05:50.VOICEOVER: This has become America's most solemn national day, the
:05:51. > :05:53.commemorations marking the anniversary of the attacks of 911,
:05:54. > :05:58.this years event had already become more politicised than usual, it is
:05:59. > :06:01.the presence at ground zero of both presidential candidates, Donald
:06:02. > :06:07.Trump and Hillary Clinton. As these and expected images on the surface
:06:08. > :06:13.could turn them into one of the most memorable and talked about moments
:06:14. > :06:17.of the campaign. Hillary Clinton, frail, stumbling, and seemingly
:06:18. > :06:27.almost fainting, as she was carried into a waiting vehicle. Not long
:06:28. > :06:32.afterwards, she emerged from a door at her daughter's Chelsea's
:06:33. > :06:36.apartment, in New York, making light of what had happened. She felt
:06:37. > :06:39.overheated, according to a statement, and departed. It is the
:06:40. > :06:42.manner of the exit, on such an important national day, that gives
:06:43. > :06:48.it a greater meaning. Some people would look at the
:06:49. > :06:53.pictures and think, what is the big deal, very hot day in New York
:06:54. > :06:57.although not the heatwave we have had in recent days. Donald Trump has
:06:58. > :07:00.repeatedly tried to make Hillary Clinton's stamina and issue in this
:07:01. > :07:06.campaign, that strikes many people as sexist, many right-wing websites
:07:07. > :07:10.and supermarket tabloids have focused on her health. She has tried
:07:11. > :07:14.to laugh them off, recently on a late night television show, she even
:07:15. > :07:20.offered the host to take her pulse, to prove that she is alive. These
:07:21. > :07:26.pictures, I think, are harder to make light of.
:07:27. > :07:29.The family of a skydiver who died when her parachute apparently failed
:07:30. > :07:37.was making her first skydive in Britain yesterday
:07:38. > :07:41.but fell on to a parked car in Shotton Colliery in County Durham.
:07:42. > :07:50.VOICEOVER: Pamela Gower described herself as a crazy trainee skydiver,
:07:51. > :07:54.saying that nothing made her more happy than the extreme sport. Today,
:07:55. > :07:59.tributes were being paid to the 49-year-old from South downside,
:08:00. > :08:02.after she was killed in a parachuting accident in County
:08:03. > :08:12.Durham. -- South Teesside -- South Tyneside. Her family said
:08:13. > :08:15.she died doing what you love. People living here in Shotton colliery have
:08:16. > :08:20.described how she was seen falling from the sky at around 3:45pm
:08:21. > :08:24.yesterday afternoon, they immediately rushed out to help her
:08:25. > :08:28.and give her first aid while they waited for an ambulance, she was
:08:29. > :08:32.rushed to hospital but died later. Durham Police have said that Pamela
:08:33. > :08:36.Gower had been trumping using their own weapon, and was making her first
:08:37. > :08:44.skydive in this country, having previously made parachute jumps
:08:45. > :08:48.abroad. -- had been jumping. A place in everyone's heart for her, she was
:08:49. > :08:54.a determined little person. We will miss her. Durham Police, said that
:08:55. > :08:56.they along with the Health and Safety Executive would be carrying
:08:57. > :08:58.out an investigation into exactly what went wrong, and led to the
:08:59. > :09:09.death of this budding parachutist. Trade unions are gathering
:09:10. > :09:11.in Brighton for the annual TUC Congress, the first to be held
:09:12. > :09:14.since the EU referendum. The unions say they want to ensure
:09:15. > :09:17.a future Brexit deal doesn't damage From Brighton, our Industry
:09:18. > :09:25.Correspondent John Moylan reports. VOICEOVER: From Brighton's newest
:09:26. > :09:28.attraction, you conceive for miles, the trade unions gathering here this
:09:29. > :09:36.week are still wondering what is on the horizon in the wake of the vote
:09:37. > :09:40.to leave the year. Frances O'Grady, head of TUC, campaigns to remain,
:09:41. > :09:45.she now fears that workers' rights enshrined in EU law could be eroded.
:09:46. > :09:48.-- you can see for miles. The vote was close and clear, it is now clear
:09:49. > :09:51.that we need to get on with representing working people,
:09:52. > :09:57.whichever way they cast their vote, and make sure they do not pay the
:09:58. > :10:00.price of Brexit. Like many people, trade unions asked grappling with
:10:01. > :10:05.this decision to leave the rest of the EU far behind. Today, they
:10:06. > :10:10.called for the government to green light some really big infrastructure
:10:11. > :10:14.projects, to boost the economy. The TUC insists the UK still lags behind
:10:15. > :10:21.many richer nations when it comes to this kind of investment. For one
:10:22. > :10:25.local firm, investment has been the secret of its success, it exports
:10:26. > :10:30.nutritional supplements across the, it is worried about how Brexit will
:10:31. > :10:33.affect that in future. The biggest challenge we will have is if we have
:10:34. > :10:40.to go to individual countries, it will increase logistics, potential
:10:41. > :10:43.legislative costs, different legislation in different markets,
:10:44. > :10:49.adding layers of complexity we would rather not see and we would rather
:10:50. > :10:53.hand growth to the EU. As the conference kicked off, there was a
:10:54. > :11:02.stark warning to firms not to use Brexit as an excuse to cut jobs. We
:11:03. > :11:06.are not repaired to see Brexit used as a smoke screen for further
:11:07. > :11:10.disinvestment for Britain, out of the EU must not mean out of work.
:11:11. > :11:15.Many trade union members were among those who voted to leave the use,
:11:16. > :11:26.the task for is to ensure that workers do not lose out as a result.
:11:27. > :11:31.There has been more successful Paralympics GB on day four of the
:11:32. > :11:35.games in Rio, they have taken five gold medals, three of them coming in
:11:36. > :11:41.rowing, two more in cycling, to take the team's total medal tally to 46.
:11:42. > :11:47.VOICEOVER: British rowing has seen some golden days, perhaps nothing
:11:48. > :11:53.like this. Rachel Morris, who had both legs amputated as a teenager,
:11:54. > :11:56.only took up rowing three years ago, before then, she had been a
:11:57. > :12:00.Paralympic hand cycling champion, now she is a gold medallist in two
:12:01. > :12:05.sports, after an emphatic and emotional victory. The start of an
:12:06. > :12:09.historic hat-trick, next up, the mixed doubles, Lawrence Whiteley and
:12:10. > :12:14.18-year-old Lauren rolls, who has been juggling rowing with A-levels.
:12:15. > :12:18.When she passed -- she passed this test with flying colours, second
:12:19. > :12:22.gold for the British fan club to celebrate. And soon, they had
:12:23. > :12:26.another, the mixed fours successfully defended their title,
:12:27. > :12:30.three golds in less than one hour, not a bad morning 's work. That was
:12:31. > :12:36.just the start. In the velodrome, Laura Turnham, visually impaired,
:12:37. > :12:41.and her pilot, Greenhalgh, going for gold in the pursuit. They were
:12:42. > :12:50.chasing New Zealand in the final, and relentlessly, they reel them in.
:12:51. > :13:00.-- Corinne Hall. Victory, and the tears soon flowed, first in the
:13:01. > :13:07.stand and then on the podium. -- Lora Turnham. To round things off,
:13:08. > :13:13.the men's team sprint, they trailed China, going into the closing laps,
:13:14. > :13:18.but it was clawed back by Cundy in exhilarating fashion, another
:13:19. > :13:27.restoring display for his second title of the games. In Paralympics
:13:28. > :13:30.cycling, Team GB will end the games with five more goals than any deals.
:13:31. > :13:36.British pedal power once again plain to see. What a games it has been for
:13:37. > :13:41.the cyclists, hopes of more success later on in the athletics, one of
:13:42. > :13:44.the stars of London 2012, the Blade Runner, Richard Whitehead, you may
:13:45. > :13:48.remember him charging through from the back to win the 200 metres, he
:13:49. > :13:52.is looking to defend that title, he is the world record-holder, he will
:13:53. > :14:02.start as the favourite. Four-time Olympic gold medallist Mo
:14:03. > :14:06.Farah has become the first man to win the Great North Run three times
:14:07. > :14:08.in a row. He pulled away in the last mile in his first competition since
:14:09. > :14:11.retaining his 5,000 and 10,000m Olympic titles in Rio. The women's
:14:12. > :14:12.race was won by Kenya's Vivian Cheruiyot and Scotland's Mark
:14:13. > :14:18.Telford took the men's wheelchair crown.
:14:19. > :14:21.In the Premier League, Chelsea dropped their first points of the
:14:22. > :14:24.season as they drew two all with Swansea. It means Manchester City
:14:25. > :14:30.are the only side to have won all of their matches in the league so far.
:14:31. > :14:35.AS David Ornstein reports. -- 2-2. VOICEOVER: Life in English football
:14:36. > :14:39.has started well for Antonio Conte, three wins on the spin, precisely
:14:40. > :14:46.why Chelsea brought him in. Swansea plotted to ruin that run, but they
:14:47. > :14:51.were soon undone, the best teams punish mistakes, the best strikers
:14:52. > :14:55.make no mistake, Diego Costa, 1-0. It is easy to identify a threat and
:14:56. > :15:00.less so to stop it, the only Swansea player equal to Eden Hazard, Lukasz
:15:01. > :15:05.Fabianski, how crucial that save proved when his opposite number,
:15:06. > :15:08.Thibaut Courtois, miss timed a challenge, and Gylfi Sigurdsson got
:15:09. > :15:12.up to draw his team level and become their record Premier League
:15:13. > :15:16.goal-scorer. If the equaliser lifted Swansea, the second raised the roof,
:15:17. > :15:22.whether Gary Cahill was fouled or simply dispossessed, Leroy Fer did
:15:23. > :15:26.the rest. The Chelsea response was that of a team desperate to atone,
:15:27. > :15:31.Diego Costa may be controversial, but he is also clinical, so the
:15:32. > :15:40.blues remain unbeaten, Diego Costa saving their blushes. STUDIO:
:15:41. > :15:42.Manchester City's women moved a step closer to securing a first Women's
:15:43. > :15:49.Superleague title following a one nil victory over Arsenal ladies
:15:50. > :15:52.today. -- 1-0. The goal came courtesy of a Steph Houghton free
:15:53. > :15:56.kick which was deflected in off team mate Jane Ross. If City avoid defeat
:15:57. > :15:59.to Chelsea, who also won today, in two weeks' time, then the title will
:16:00. > :16:09.be theirs. That is all the sport, back to you.
:16:10. > :16:12.Within the next hour, millions of listeners to The Archers
:16:13. > :16:15.on Radio 4 will hear the climax of a storyline that has dominated it
:16:16. > :16:18.for the last two years, with a jury due to deliver its verdict
:16:19. > :16:22.She's accused of attempting to murder her abusive husband Rob,
:16:23. > :16:24.with the plot raising awareness of real-life domestic violence.
:16:25. > :16:28.Our entertainment correspondent Lizo Mzimba reports.
:16:29. > :16:36.For more than half a century, the everyday story of country folk has
:16:37. > :16:40.entertained audiences with its soft and gentle storylines about the
:16:41. > :16:46.fictional community. But it has also explored darker themes, -- darker
:16:47. > :16:50.theme. You try to control me, you won't let me out, I'm not allowed to
:16:51. > :16:56.wear the clothes that I want. LAUGHTER
:16:57. > :17:09.Don't laugh! Sucked into an abusive relationship, Helen Titchener. Why
:17:10. > :17:17.her husband, Rob. -- by her husband. And touch him! Back upstairs! Put
:17:18. > :17:21.down the knife! -- don't touch him. The trial has gripped millions of
:17:22. > :17:25.listeners, all eager to find out how the story will resolve. Lots of
:17:26. > :17:29.people have been working on this programme with this story for three
:17:30. > :17:34.years, we made an agreement we would not tell anybody, it was very
:17:35. > :17:36.old-fashioned, all hush-hush, there was not actually embargoed scripts,
:17:37. > :17:41.everybody knew what was going on but we decided to keep it a secret.
:17:42. > :17:45.Because it is a family, everybody agreed and we did keep it secret.
:17:46. > :17:50.The storyline has had an effect in the real world, increasing awareness
:17:51. > :17:53.of domestic abuse and close to ?150,000 has been raised for a
:17:54. > :17:58.charity that works with women and children affected by domestic
:17:59. > :18:02.violence. And tonight's at the soap will finally reveal the verdict, and
:18:03. > :18:03.perhaps bring closure to a story that has been closely followed by so
:18:04. > :18:14.many. -- and tonight's resolution. There's more throughout the evening
:18:15. > :18:16.on the BBC News Channel,