11/09/2016 BBC Weekend News

The NHS is said to be under the greatest pressure

with a huge gap between funding and costs.

to stop the health service deteriorating,

which represents hospitals in England.

What they are saying very clearly is they can not provide the right

quality of care and meet the performance standards

on the money that's available and something has to give.

The government says its promise of extra funding

US presidential candidate Hillary Clinton

leaves the 9/11 memorial ceremony early

Great Britain's rowers lead the gold rush

And, the radio storyline that has raised awareness of real-life

domestic abuse. The archers storyline concludes within the hour.

A senior NHS leader has warned that the health service is under

the "greatest pressure for a generation",

so overstretched that "something has to give."

Chris Hopson, chief executive of NHS Providers,

which represents hospitals and other service providers in England,

says a serious debate about which services

and at present delivering a 7-day service is impossible.

VOICEOVER: Hospitals running at full capacity, standards of care under

pressure, patients at risk, the diagnosis run NHS providers is that

the health service does not just need attention but life support. On

the front line, people responsible every day for overseeing the safe

delivery of care, what they are saying very clearly is they cannot

provide the right quality of care and meet the performance standards

on the money that is available and something has to give. The problem

is funding has not kept up with the demand for NHS services, so, while

three years ago, 5% of acute care hospitals were running a financial

deficit, now that figure is 80%. In the same time period, the percentage

of hospitals missing Accident and Emergency waiting time targets has

jumped from 10% up to 90%. Rationing health care is one possible approach

to cutting costs. The Vale of York proposed that obese patients should

have surgery delayed until they reach healthy weight, it wants

similar roles for smokers. Experts say that the government must be

clear about priorities. It is not going to be possible to balance the

books, hit the current standard for waiting times of patients, improve

staffing levels, and deliver new commitments, like seven-day

services. That is a decision for the government, it cannot pretend

everything can be done, that would be impossible. The Department of

Health says it has already committed an extra ?10 billion to fund the

NHS's own plans for its future, it says while it recognises the

pressure on the health service from an ageing population, the government

expects the NHS to ensure that patients are treated quickly.

Ministers say that Chris Hopson and NHS providers are overstating the

problem. I'm not sure that anything has gone wrong the scale of which he

has try to put forward but we have to engage with the NHS leadership,

I'm very proud of the NHS, they deliver 4000 more operations a day

since 2010, most people, anecdotally, tell me their

experience is good. Junior doctors are still resisting a new seven-day

contract, NHS providers say that with the health service struggling

to meet existing demands, it cannot be stretched any further.

STUDIO: Our Health Editor Hugh Pym is here.

This has been a very stark assessment, could it affect

government thinking? Looking to work Whitehall sources, they feel there

is no further plans to award more money, it has already been allocated

more than ?8 billion a year by 2020 on top of 2 billion last year, which

is what the NHS asked for, the NHS in England said it was happy at the

time. Heart of this strong message from hospital treats and trust

bosses is aimed at Simon Stephens, head of NHS England, saying, you

need to go and ask for more money, given the scale of demand, the huge

numbers, the increasing numbers of patients coming through the front

doors of hospitals. Simon Stephens's view is that there was quite a big

uplift in funding this year, he can hardly ask for more, and he's giving

hospitals more help in reducing deficits and dealing with a agency

bills. He will ultimately come back to the government, Philip Hammond

preparing the first statement as Chancellor, they may feel this is

special pleading by the NHS but it will always be high on patient

concerns and that means it will be high on the government agenda.

The Democratic presidential candidate Hillary Clinton has left

a 9/11 memorial event in New York early

Both she and her Republican rival Donald Trump were at the anniversary

ceremony at the site of the World Trade Centre.

She is reported to have left after becoming "overheated".

Our New York correspondent Nick Bryant reports.

VOICEOVER: This has become America's most solemn national day, the

commemorations marking the anniversary of the attacks of 911,

this years event had already become more politicised than usual, it is

the presence at ground zero of both presidential candidates, Donald

Trump and Hillary Clinton. As these and expected images on the surface

could turn them into one of the most memorable and talked about moments

of the campaign. Hillary Clinton, frail, stumbling, and seemingly

almost fainting, as she was carried into a waiting vehicle. Not long

afterwards, she emerged from a door at her daughter's Chelsea's

apartment, in New York, making light of what had happened. She felt

overheated, according to a statement, and departed. It is the

manner of the exit, on such an important national day, that gives

it a greater meaning. Some people would look at the

pictures and think, what is the big deal, very hot day in New York

although not the heatwave we have had in recent days. Donald Trump has

repeatedly tried to make Hillary Clinton's stamina and issue in this

campaign, that strikes many people as sexist, many right-wing websites

and supermarket tabloids have focused on her health. She has tried

to laugh them off, recently on a late night television show, she even

offered the host to take her pulse, to prove that she is alive. These

pictures, I think, are harder to make light of.

The family of a skydiver who died when her parachute apparently failed

was making her first skydive in Britain yesterday

but fell on to a parked car in Shotton Colliery in County Durham.

VOICEOVER: Pamela Gower described herself as a crazy trainee skydiver,

saying that nothing made her more happy than the extreme sport. Today,

tributes were being paid to the 49-year-old from South downside,

after she was killed in a parachuting accident in County

Durham. -- South Teesside -- South Tyneside. Her family said

she died doing what you love. People living here in Shotton colliery have

described how she was seen falling from the sky at around 3:45pm

yesterday afternoon, they immediately rushed out to help her

and give her first aid while they waited for an ambulance, she was

rushed to hospital but died later. Durham Police have said that Pamela

Gower had been trumping using their own weapon, and was making her first

skydive in this country, having previously made parachute jumps

abroad. -- had been jumping. A place in everyone's heart for her, she was

a determined little person. We will miss her. Durham Police, said that

they along with the Health and Safety Executive would be carrying

out an investigation into exactly what went wrong, and led to the

death of this budding parachutist. Trade unions are gathering

in Brighton for the annual TUC Congress, the first to be held

since the EU referendum. The unions say they want to ensure

a future Brexit deal doesn't damage From Brighton, our Industry

Correspondent John Moylan reports. VOICEOVER: From Brighton's newest

attraction, you conceive for miles, the trade unions gathering here this

week are still wondering what is on the horizon in the wake of the vote

to leave the year. Frances O'Grady, head of TUC, campaigns to remain,

she now fears that workers' rights enshrined in EU law could be eroded.

-- you can see for miles. The vote was close and clear, it is now clear

that we need to get on with representing working people,

whichever way they cast their vote, and make sure they do not pay the

price of Brexit. Like many people, trade unions asked grappling with

this decision to leave the rest of the EU far behind. Today, they

called for the government to green light some really big infrastructure

projects, to boost the economy. The TUC insists the UK still lags behind

many richer nations when it comes to this kind of investment. For one

local firm, investment has been the secret of its success, it exports

nutritional supplements across the, it is worried about how Brexit will

affect that in future. The biggest challenge we will have is if we have

to go to individual countries, it will increase logistics, potential

legislative costs, different legislation in different markets,

adding layers of complexity we would rather not see and we would rather

hand growth to the EU. As the conference kicked off, there was a

stark warning to firms not to use Brexit as an excuse to cut jobs. We

are not repaired to see Brexit used as a smoke screen for further

disinvestment for Britain, out of the EU must not mean out of work.

Many trade union members were among those who voted to leave the use,

the task for is to ensure that workers do not lose out as a result.

There has been more successful Paralympics GB on day four of the

games in Rio, they have taken five gold medals, three of them coming in

rowing, two more in cycling, to take the team's total medal tally to 46.

VOICEOVER: British rowing has seen some golden days, perhaps nothing

like this. Rachel Morris, who had both legs amputated as a teenager,

only took up rowing three years ago, before then, she had been a

Paralympic hand cycling champion, now she is a gold medallist in two

sports, after an emphatic and emotional victory. The start of an

historic hat-trick, next up, the mixed doubles, Lawrence Whiteley and

18-year-old Lauren rolls, who has been juggling rowing with A-levels.

When she passed -- she passed this test with flying colours, second

gold for the British fan club to celebrate. And soon, they had

another, the mixed fours successfully defended their title,

three golds in less than one hour, not a bad morning 's work. That was

just the start. In the velodrome, Laura Turnham, visually impaired,

and her pilot, Greenhalgh, going for gold in the pursuit. They were

chasing New Zealand in the final, and relentlessly, they reel them in.

-- Corinne Hall. Victory, and the tears soon flowed, first in the

stand and then on the podium. -- Lora Turnham. To round things off,

the men's team sprint, they trailed China, going into the closing laps,

but it was clawed back by Cundy in exhilarating fashion, another

restoring display for his second title of the games. In Paralympics

cycling, Team GB will end the games with five more goals than any deals.

British pedal power once again plain to see. What a games it has been for

the cyclists, hopes of more success later on in the athletics, one of

the stars of London 2012, the Blade Runner, Richard Whitehead, you may

remember him charging through from the back to win the 200 metres, he

is looking to defend that title, he is the world record-holder, he will

start as the favourite. Four-time Olympic gold medallist Mo

Farah has become the first man to win the Great North Run three times

in a row. He pulled away in the last mile in his first competition since

retaining his 5,000 and 10,000m Olympic titles in Rio. The women's

race was won by Kenya's Vivian Cheruiyot and Scotland's Mark

Telford took the men's wheelchair crown.

In the Premier League, Chelsea dropped their first points of the

season as they drew two all with Swansea. It means Manchester City

are the only side to have won all of their matches in the league so far.

AS David Ornstein reports. -- 2-2. VOICEOVER: Life in English football

has started well for Antonio Conte, three wins on the spin, precisely

why Chelsea brought him in. Swansea plotted to ruin that run, but they

were soon undone, the best teams punish mistakes, the best strikers

make no mistake, Diego Costa, 1-0. It is easy to identify a threat and

less so to stop it, the only Swansea player equal to Eden Hazard, Lukasz

Fabianski, how crucial that save proved when his opposite number,

Thibaut Courtois, miss timed a challenge, and Gylfi Sigurdsson got

up to draw his team level and become their record Premier League

goal-scorer. If the equaliser lifted Swansea, the second raised the roof,

whether Gary Cahill was fouled or simply dispossessed, Leroy Fer did

the rest. The Chelsea response was that of a team desperate to atone,

Diego Costa may be controversial, but he is also clinical, so the

blues remain unbeaten, Diego Costa saving their blushes. STUDIO:

Manchester City's women moved a step closer to securing a first Women's

Superleague title following a one nil victory over Arsenal ladies

today. -- 1-0. The goal came courtesy of a Steph Houghton free

kick which was deflected in off team mate Jane Ross. If City avoid defeat

to Chelsea, who also won today, in two weeks' time, then the title will

be theirs. That is all the sport, back to you.

Within the next hour, millions of listeners to The Archers

on Radio 4 will hear the climax of a storyline that has dominated it

for the last two years, with a jury due to deliver its verdict

She's accused of attempting to murder her abusive husband Rob,

with the plot raising awareness of real-life domestic violence.

Our entertainment correspondent Lizo Mzimba reports.

For more than half a century, the everyday story of country folk has

entertained audiences with its soft and gentle storylines about the

fictional community. But it has also explored darker themes, -- darker

theme. You try to control me, you won't let me out, I'm not allowed to

wear the clothes that I want. LAUGHTER

Don't laugh! Sucked into an abusive relationship, Helen Titchener. Why

her husband, Rob. -- by her husband. And touch him! Back upstairs! Put

down the knife! -- don't touch him. The trial has gripped millions of

listeners, all eager to find out how the story will resolve. Lots of

people have been working on this programme with this story for three

years, we made an agreement we would not tell anybody, it was very

old-fashioned, all hush-hush, there was not actually embargoed scripts,

everybody knew what was going on but we decided to keep it a secret.

Because it is a family, everybody agreed and we did keep it secret.

The storyline has had an effect in the real world, increasing awareness

of domestic abuse and close to ?150,000 has been raised for a

charity that works with women and children affected by domestic

violence. And tonight's at the soap will finally reveal the verdict, and

perhaps bring closure to a story that has been closely followed by so

many. -- and tonight's resolution. There's more throughout the evening

on the BBC News Channel,