:00:00. > :00:07.We know the North Korean regime is a danger to its own people,
:00:08. > :00:09.but is it now out of control, and a danger
:00:10. > :00:16.The apparent murder of this man - Kim Jong Un's half brother -
:00:17. > :00:20.at an airport in Malaysia, has got everybody wondering exactly
:00:21. > :00:25.what is going on at the heart of the brutal North Korean regime.
:00:26. > :00:27.Our former ambassador there will help us to make sense
:00:28. > :00:31.of what's happening in the enigmatic nation.
:00:32. > :00:34.The National Security Advisor - Michael Flynn - is fired for lying
:00:35. > :00:46.This was an act of trust, and that was ultimately what led to the
:00:47. > :00:50.president asking for and accepting the resignation of General Flynn.
:00:51. > :00:54.about Donald Trump and the way he runs his White House?
:00:55. > :00:57.Also tonight - The NHS crisis is not abating:
:00:58. > :01:03.The situation at the moment is the worst I've seen it since I started
:01:04. > :01:07.working as a doctor 17 years ago. The real difference now is that I'm
:01:08. > :01:10.unable to see light at the end of the tunnel.
:01:11. > :01:12.We take an in depth look inside this Birmingham hospital
:01:13. > :01:16.where the patients stack up in the corridors...
:01:17. > :01:20.It is heartbreaking, absolutely heartbreaking. The reality is, you
:01:21. > :01:23.cannot get them into an assessment area quick enough because at the
:01:24. > :01:26.moment we do not have beds to put people who are waiting for them in.
:01:27. > :01:39.Hello, you may not have heard of Kim Jong Nam,
:01:40. > :01:42.but you might have heard about him - the North Korean playboy heir,
:01:43. > :01:45.whose career took a dive after a botched trip
:01:46. > :01:50.A half brother and sometime rival to the man who was
:01:51. > :01:54.eventually picked to rule - Kim Jong Un.
:01:55. > :01:56.Well, Kim Jong Nam is dead - in strange circumstances
:01:57. > :02:01.He was in his 40s, living in exile and his sudden departure opens
:02:02. > :02:09.the way to numerous theories as to what might be happening.
:02:10. > :02:11.North Korea is a brutal dynastic oligarchy -
:02:12. > :02:13.a country of 25 million people held in the most repressive
:02:14. > :02:16.The strange goings on inside are always intriguing.
:02:17. > :02:19.But at a time like this, with a new US President
:02:20. > :02:23.being tested, events may also be consequential.
:02:24. > :02:26.Newsnight's John Sweeney has reported from North Korea and has
:02:27. > :02:34.Here he is on what we know and don't know about the death.
:02:35. > :02:41.Only a paranoid tyrant would want Kim Jong-Nam dead. But it was his
:02:42. > :02:47.bad luck that his younger half brother, the ruler of North Korea,
:02:48. > :02:53.tested high for tyranny and paranoia. The apparent assassination
:02:54. > :02:57.of Kim Jong-Nam at Kuala Lumpur airport raises questions, how and
:02:58. > :03:05.why? First, how did Kim Jong-Nam die? Based in Macau in China, he was
:03:06. > :03:09.returning from a trip to Malaysia on Monday, he was attacked and fell
:03:10. > :03:13.fatally ill at Kuala Lumpur airport. As for a murder weapon, there are
:03:14. > :03:17.conflicting reports. An unconfirmed source said that two women were
:03:18. > :03:21.behind the attack, stabbing him with poise and needles. But a Malaysian
:03:22. > :03:26.police officer told Reuters news agency that he felt someone grab or
:03:27. > :03:30.hold his face from behind. He felt dizzy and asked for help. Police in
:03:31. > :03:36.Kuala Lumpur are said that the murder weapon was a cloth laced with
:03:37. > :03:40.poison. According to sources in Washington, the prime suspects are
:03:41. > :03:47.North Korean agents. So, why was he killed? The best text and elastic
:03:48. > :03:58.murders on the Korean regime was called Macbeth. Kim
:03:59. > :04:01.Jong-un's hunger to rule will lead him to kill anyone who stands
:04:02. > :04:09.between him and his rule on power. So far, he is believed to have
:04:10. > :04:13.executed 340 officials. But Kim Jong-Nam, as a boy here with his
:04:14. > :04:19.dad, hardly cut a threatening figure. He fell out of favour in
:04:20. > :04:24.2001 when he was busted by Japanese authorities for entering the country
:04:25. > :04:28.on a fake passport, using the Chinese alias for Fat There. He told
:04:29. > :04:35.interrogators that he wanted to visit Disneyland. He went on to
:04:36. > :04:40.visit Macau as a plump playboy but a shrewd critic of his younger brother
:04:41. > :04:44.'s regime. Without reforms, he said that the country's economy would go
:04:45. > :04:48.bankrupt. But reforms are fraught with danger of systemic collapse.
:04:49. > :04:52.What would be the effectively killing inside of North Korea? This
:04:53. > :04:56.is the most high-profile assassination ever conducted by the
:04:57. > :05:03.Kim regime and will signal the elites of North Korea that there are
:05:04. > :05:07.really no limits. Nobody is safe, everyone is vulnerable and if this
:05:08. > :05:13.was an assassination, it is very likely that it will be followed by
:05:14. > :05:18.massive purges. Welcome to the real North Korea. I
:05:19. > :05:22.went to North Korea undercover in 2013. A few months later I
:05:23. > :05:28.interviewed Donald Trump, who, chatting before the interview
:05:29. > :05:33.pauper, seemed fascinated by the kingdom -- interview proper. How
:05:34. > :05:38.will this relationship between Kim Jong-un and Donald Trump layout? If,
:05:39. > :05:42.faced by a set of circumstances that is likely to result in the fall of
:05:43. > :05:47.the Kim regime, nuclear weapons will be used. The regime will have no
:05:48. > :05:54.qualms about using nuclear weapons against their South Korean brethren
:05:55. > :05:58.and others. Dealing with North Korea's murderous to Rooney will
:05:59. > :06:04.require patience, diplomacy and sure political skill -- tyranny.
:06:05. > :06:06.Something that President Trump so far has shown little sign of.
:06:07. > :06:09.With me here in London is the former British
:06:10. > :06:12.Ambassador to North Korea - John Everard.
:06:13. > :06:21.A good evening to you. We are assuming that Kim Jong-un did this,
:06:22. > :06:26.is that the writers option? We don't know, all we know he is one or two
:06:27. > :06:30.women killed this man at the airport, was at Kim Jong-un or
:06:31. > :06:38.another part of the North current drought. Was it an old lover? Kim
:06:39. > :06:45.Jong-Nam had a confiscated sex life, maybe one day we will find out? --
:06:46. > :06:49.complicated. Was he a rival to his younger half brother? Some say that
:06:50. > :06:53.the Chinese may be thought the other one is going mad, let's put this one
:06:54. > :06:57.in? There were different thoughts about how North Korea could change.
:06:58. > :07:00.There were different thoughts, Kim Jong-Nam was a member of The Royal
:07:01. > :07:10.Foundation, older than Kim Jong Un, which, in Korean terms, would have
:07:11. > :07:16.put him in the line for succession. He had that strange trip to Tokyo,
:07:17. > :07:23.trying to go to Disneyland. If it was Kim Jong Un, perhaps he thought
:07:24. > :07:27.resistance to his rule might have less around a member of the Royal
:07:28. > :07:31.family and, like Macbeth, the best way to deal with a situation was to
:07:32. > :07:37.take him out. So killing him would be a sign of an ability rather than
:07:38. > :07:42.strength? He has what looks like absolute power but maybe he is
:07:43. > :07:48.feeling insecure rather than secure? Well, yes. Any regime, where the
:07:49. > :07:52.Royal family feels they need to kill members of its own is insecure and
:07:53. > :07:56.unstable. Is it a flailing regime which is now a danger to the rest of
:07:57. > :08:06.the world? A sick dog running around? Is it something that is a
:08:07. > :08:11.problem for everybody? It is, it is not a flailing regime, in many ways,
:08:12. > :08:14.Kim Jong Un has reaffirmed control. But, it is a regime that has talked
:08:15. > :08:19.itself into believing that the only way that it can stay in business is
:08:20. > :08:26.by developing ever more terrifying weapons of mass destruction and, as
:08:27. > :08:32.we were saying just now, chances are if they crunch came, they would
:08:33. > :08:36.press the trigger. You think, faced with a choice of the regime failing
:08:37. > :08:41.or pushing a button, they would push the button? It's not what I think
:08:42. > :08:45.but what they say. They have set out not quite a nuclear doctrine but
:08:46. > :08:49.circumstances where they would use nuclear weapons in detail. They made
:08:50. > :08:56.it clear that they are thinking about nuclear first strike, not just
:08:57. > :08:59.deterrence. Is it a coincidence that rather a lot has happened in
:09:00. > :09:04.President Trump's first month in office? We had a missile test while
:09:05. > :09:07.he was with the Japanese Prime Minister, you could hardly have had
:09:08. > :09:12.a more opportune moment for Kim Jong-un to say, look what I am doing
:09:13. > :09:17.with a ballistic missile test. Plus, this. It seems too much is going on
:09:18. > :09:23.for the first month -- in the first month for it to be a coincidence? I
:09:24. > :09:27.think the missile test was no coincidence, as the two sat down to
:09:28. > :09:31.dinner together, someone worked it out to the minute. Moreover, they
:09:32. > :09:34.demonstrated the kind of missile that would be very difficult to take
:09:35. > :09:39.out on a launch pad which they thought presumably is what President
:09:40. > :09:43.Trump was trying to do in his remark about the end
:09:44. > :09:50.-- about the threat that would never happen. I think that the
:09:51. > :09:54.assassination of Kim Jong-Nam was genuinely a coincidence and that the
:09:55. > :09:57.timing was determined by what they call operational needs. That
:09:58. > :10:02.normally he has good security around him. They had to get him at a time
:10:03. > :10:06.when he was in a third country, vulnerable at an airport and that
:10:07. > :10:10.was their window of opportunity. Briefly, how does the North Korean
:10:11. > :10:19.regime meant? It has too, doesn't it? It is ridiculous. -- end. How
:10:20. > :10:23.will it end? Nobody knows, maybe it will collapse internally, maybe it
:10:24. > :10:29.will eventually be taken over by the self or North Korea will simply
:10:30. > :10:32.drift into the Chinese orbit. -- the south. And North Korea will
:10:33. > :10:39.effectively become a battle state of China. John Everard, thank you.
:10:40. > :10:41.Is the NHS in England under unbearable pressure?
:10:42. > :10:43.It's been a prominent question this winter as A
:10:44. > :10:45.waiting time targets have been spectacularly missed.
:10:46. > :10:48.So what's it like trying to run one of the largest single site
:10:49. > :10:52.We'll talk to the woman running the huge Queen Elizabeth Hospital
:10:53. > :10:56.But first - we can give you a most extraordinary view
:10:57. > :10:58.inside that hospital - both as patients come into A
:10:59. > :11:01.and as they are discharged from the hospital, or not.
:11:02. > :11:03.Nick Blakemore was given access to Queen Elizabeth's and spent
:11:04. > :11:24.So, we are just talking two beds on five and four? Right, I think what
:11:25. > :11:29.you need to do... Are the others on ward rounds, still? I think that
:11:30. > :11:34.Karen and you need to target those ward rounds to say, look, it is
:11:35. > :11:39.Monday night, we will be faced with no capacity if we do not discharge.
:11:40. > :11:50.That would mean we are really struggling.
:11:51. > :11:58.In the words of Lionel Richie, this could be all night long! I would say
:11:59. > :12:02.it is acceptable levels at the moment. We do not have the capacity
:12:03. > :12:07.in the hospital. You don't have any capacity? Is that acceptable? How
:12:08. > :12:15.things are at the moment, it is considered acceptable. We have a
:12:16. > :12:20.long queue in the corridor, this is considered acceptable at the moment.
:12:21. > :12:25.Not for me. I do not think corridor medicine should be acceptable in any
:12:26. > :12:32.developed country. I woke up and had a chest pain and it got bad, I
:12:33. > :12:40.pressed my button... Your emergency button? And I ended up in here. We
:12:41. > :12:47.arrived here at about 7:20am this morning. We have had fantastic care
:12:48. > :12:52.all morning. Doctors and nurses, blood tests, and she is now waiting
:12:53. > :12:56.to be admitted to a clinical dependency unit. But we are just
:12:57. > :13:00.waiting for a bed now. So obviously we've ended up in the corridor...
:13:01. > :13:05.And we don't know how long we will be here now. How do you feel about
:13:06. > :13:09.that? Well, it is a bit alarming, that you are in the corridor where
:13:10. > :13:15.there is current through fair and everything going on which isn't good
:13:16. > :13:19.for someone who is 90 this year. How do you feel? I'm a bit sorry my
:13:20. > :13:24.chest, but I'm fine. Can you have a look at that patient over there? She
:13:25. > :13:30.feels wheezy. She's been assessed in the last five minutes. I will let
:13:31. > :13:34.you discuss that. I will let my nursing charge no, her saturations
:13:35. > :13:42.are technically within normal limits. How long have you been
:13:43. > :13:53.waiting in the corridors? Just five minutes. Five minutes. Five minutes?
:13:54. > :13:58.OK. What have you been told? She won't be long. The patient is
:13:59. > :13:59.complaining of shortness of breath, my colleague assessed terrorism
:14:00. > :14:12.-- my colleague assessed her, and technically her saturations are OK.
:14:13. > :14:16.She may feel wheezy but because her saturations are normal, I cannot do
:14:17. > :14:19.anything else or provide medication in the corridor, especially because
:14:20. > :14:22.she is in a wheelchair without an oxygen tank.
:14:23. > :14:25.For the time being, she will have to wait until she is assessed again by
:14:26. > :14:30.a doctor. Are you
:14:31. > :14:36.two clear about why you are here today? We talked about equipment you
:14:37. > :14:40.need at home, and by understand is clearing a space at home is the
:14:41. > :14:49.first thing that needs to happen? Is that right? Yes, I am trying to
:14:50. > :14:54.move, dismantle, a table and chairs for six people. The doctors have
:14:55. > :15:00.said that you medically fit to not be here. They reckon that you well
:15:01. > :15:04.enough to be at home. When we spoke last week, said that you were going
:15:05. > :15:10.to speak to your neighbour about clearing the space. They haven't
:15:11. > :15:16.been in. They haven't been there. When I've been there, they haven't
:15:17. > :15:23.been. The difficulty that we have here is that we are using an Acute
:15:24. > :15:29.Hospital bed, OK? And we need to be making sure that the discharge is
:15:30. > :15:34.moved on as quickly as possible. I'm sure that you are aware and have
:15:35. > :15:41.seen in the national news and media hospitals are at breaking point. The
:15:42. > :15:46.beds are a precious resource and we need to be... We have to be seen to
:15:47. > :15:51.be making sure that we are, you know, moving people along. It seems
:15:52. > :15:58.there has been a long delay of two weeks now, so the only alternative
:15:59. > :16:04.that I can see would be making contact with CCG, that we can use as
:16:05. > :16:10.an alternative place for you to wait, a nursing home.
:16:11. > :16:19.I have seen nursing homes. My mum died and one. There is no easy
:16:20. > :16:23.answer. There is no easy answer. Thank you for making the time to
:16:24. > :16:30.meet with us. No problem. You're welcome. The hospital had got to the
:16:31. > :16:33.point where we were struggling to find beds for people coming in
:16:34. > :16:41.through the doors and it is very much about looking at ways that were
:16:42. > :16:46.needed to make beds available so that we could ease the pressure that
:16:47. > :16:57.the hospital was going through. I have got a brain tumour. I kept on
:16:58. > :17:02.collapsing at home. He kept on collapsing and we kept on having to
:17:03. > :17:08.pick him up. From there, it has got worse. He was admitted by the
:17:09. > :17:15.hospital, because he collapsed while he was here. I want to go home. I am
:17:16. > :17:27.fed up of being here. You are bored here, aren't you? It is upsetting
:17:28. > :17:35.me. It's all right. This told me I've only got two months to live.
:17:36. > :17:41.That is the problem. It cannot be corrected and he only has two months
:17:42. > :17:49.to live. We have been told two months. It could go longer. Couldn't
:17:50. > :17:56.it? It could. We don't know. That is why you want to go home. So that he
:17:57. > :18:07.can go home and just chill out in front of the telly. With my sun. In
:18:08. > :18:10.Andy's case, I think if honour was possibly struggling with his
:18:11. > :18:16.diagnosis, he has deteriorated quite quickly over a short period of time
:18:17. > :18:22.and my understanding is that they do have a ten-year-old sun also living
:18:23. > :18:27.at home and clearly Yvonne was struggling with the vast change in
:18:28. > :18:34.handy. You are having a laugh, aren't you? You have to. Thank you.
:18:35. > :18:41.Who is waiting for a medical bed so I can pull them from CD you? My role
:18:42. > :18:47.is to take overall management of the hospital. Maintain safety of all the
:18:48. > :18:53.patients. Give me a list. Making sure that a and E flows correctly
:18:54. > :18:58.and they are not bottlenecked waiting for beds. We are amazed that
:18:59. > :19:02.back in with the patients out. Let me phone and find out what is going
:19:03. > :19:07.on with this stroke bed. When this hospital was built it was based on
:19:08. > :19:11.150 people attending A and we are around about that in a 24-hour
:19:12. > :19:20.period and most people we are seeing sometimes up to 400 people. The
:19:21. > :19:25.mathematics does not work out. We have -73 beds. There are 17 people
:19:26. > :19:35.waiting in A for a medical bed. There is one for renal. It has been
:19:36. > :19:38.way off at the moment. That is not a good position for us to be at this
:19:39. > :19:45.time. Right now, we are struggling in the middle of winter with delayed
:19:46. > :19:50.transfers. They are taking 105 beds today. These are patients that
:19:51. > :19:54.should be looked after in a care home? In some cases, in their own
:19:55. > :19:58.home with a package of care and we are waiting for social workers who
:19:59. > :20:04.are very stretched to come and put arrangements in place for those
:20:05. > :20:08.patients. This ward was set up seven years ago and is for people who are
:20:09. > :20:11.what we call delayed transfers of care. These are people who are
:20:12. > :20:18.trapped in the hospital because there is not sufficient care in the
:20:19. > :20:22.community. Hello! Hallow, Beryl. The situation at the moment is the worst
:20:23. > :20:27.I have seen it since I qualified and start working as a doctor 17 years
:20:28. > :20:31.ago. The real difference now is that I am unable to see light at the end
:20:32. > :20:36.of the tunnel. You have been in hospital, it has been a long time,
:20:37. > :20:43.you were in and then you are home for about 24 hours and then you came
:20:44. > :20:52.back in. They brought her here. When she took ill. She is quite well. You
:20:53. > :20:59.were not ill when you came in, it was the day after, the trauma of
:21:00. > :21:05.being at home... There is a pain in my knee now. Rheumatism. I will see
:21:06. > :21:10.if there is something more we can do about it. Beryl and Les have been
:21:11. > :21:14.married for over 65 years and they are currently separated because
:21:15. > :21:18.there is no capacity within the social care system to provide a bed
:21:19. > :21:21.where Beryl can be looked after nearer to her home or even to
:21:22. > :21:25.provide a level of support at home that would enable Beryl to keep
:21:26. > :21:32.living in her own house with her husband. It will be nice to know,
:21:33. > :21:38.actually, what is intended. What has been happening? Well, at the moment,
:21:39. > :21:44.you're not sure whether there will be a nice place for Beryl to go to.
:21:45. > :21:47.You tried home, didn't you, and it didn't work and that is how you
:21:48. > :21:51.ended up back here and that is why you have been looking at care homes.
:21:52. > :22:02.I wish I could care for her at home. I really do. It would be wonderful.
:22:03. > :22:08.Hallow. Is it violate? My name is Claire and I am one of the site
:22:09. > :22:12.managers here. We have got you a bed on 304, the doctors here want you to
:22:13. > :22:18.go up to the specialist ward. Tonight, we will be moving you up
:22:19. > :22:24.there. That's all right. Is that all right? I know someone else has just
:22:25. > :22:29.said that. She was admitted to A with chest pains and symptoms that
:22:30. > :22:33.looked like a stroke and although the stroke symptoms have resolved,
:22:34. > :22:38.she has been left with some cardiology symptoms and that is why
:22:39. > :22:42.the medics down here want to have a specialist bed which is in
:22:43. > :22:46.cardiology and we have managed to achieve that for her tonight. I have
:22:47. > :22:50.been looked after fine. I am waiting to go to a nice word now. When I
:22:51. > :22:56.found you earlier, you were in the corridor. This is better. Yes. They
:22:57. > :23:09.are a movie me again now. So, it will be nice. Howley people have we
:23:10. > :23:23.got in the corridor? Six. Six in the corridor and two en route.
:23:24. > :23:29.I have been doing A for about three years and when I first
:23:30. > :23:33.started, there was no one on the corridor at all and everyone was
:23:34. > :23:37.moved into a cubicle straightaway. It is different now. What do you
:23:38. > :23:43.think about that? It is a shame. It is absolutely heartbreaking. Because
:23:44. > :23:48.you want to get them into an assessment area and get them
:23:49. > :23:51.assessed quickly. No one here wants to see people waiting on trolleys
:23:52. > :23:55.but the reality is you cannot get them into an assessment area quickly
:23:56. > :24:00.enough because at the moment they do not have the beds to put the people
:24:01. > :24:08.who are waiting on beds in. It has changed, we did not have this, it is
:24:09. > :24:18.a reflection on the volume of people arriving. Is this our medical alert?
:24:19. > :24:22.Nick Blakemore there at the Queen Elizabeth Hospital in Birmingham.
:24:23. > :24:25.I'm joined now by Dame Julie Moore who started out as a graduate nurse,
:24:26. > :24:28.and who has been Chief Executive of the Trust which runs
:24:29. > :24:44.Thank you for coming in. Thank you for the access. No one envies you
:24:45. > :24:47.the job. Do you think this winter was exceptionally bad? There was not
:24:48. > :24:52.a flu crisis or do we just expect that this is what it is like now?
:24:53. > :24:55.The pressures have been rising for the past three years but in
:24:56. > :24:59.Birmingham, this past winter has been particularly bad because we saw
:25:00. > :25:03.significant pressures and social care and the closure of our
:25:04. > :25:09.community discharge beds. There were about 300 beds in Birmingham and 100
:25:10. > :25:12.were closed in the autumn and that has been the single biggest impact
:25:13. > :25:18.on our ability to discharge patients and free up the beds. Others coming
:25:19. > :25:21.back at some point? On Friday I had a discussion with NHS England about
:25:22. > :25:26.trying to recommission those beds. That might take time to get the
:25:27. > :25:36.staff to do that. Do you ever get frustrated working, is it too
:25:37. > :25:43.monolithic, is it too fragmented? Do I get frustrated, every single day.
:25:44. > :25:47.It is way too fragmented. This is not a A problem, this is a health
:25:48. > :25:52.system problem and the staff do a great job and often, we have had a
:25:53. > :25:55.lot of bad press, but every single professional group, every
:25:56. > :25:58.occupational group in the hospital has risen to try and cope with the
:25:59. > :26:03.additional patients coming through the doors. I am so proud of them for
:26:04. > :26:07.what they have done. But we are not responsible for social care, that is
:26:08. > :26:09.the local authority. I talked to a lady in A this morning who said I
:26:10. > :26:24.rang my GP and could not get an
:26:25. > :26:27.appointment for three weeks, I have come here and I know I should not.
:26:28. > :26:30.You're stuck between inadequate GP service, inadequate social care, you
:26:31. > :26:33.are the bit where people can turn up and you have to see them on demand,
:26:34. > :26:35.with a weight. Ye have people coming through the door. We are the one
:26:36. > :26:40.part that never closes. There is a simple question, am I being stupid?
:26:41. > :26:43.Could you build a wing, could you build your own care home, it would
:26:44. > :26:48.be much cheaper than the acute beds in which you're keeping people and
:26:49. > :26:52.keep them there? I would love to do that. There is no capital to build
:26:53. > :26:58.anything at the moment. What we have done at the moment at the Queen
:26:59. > :27:02.Elizabeth Hospital is we have opened every possible bed. There were 200
:27:03. > :27:06.beds more than it should have in the new building and we opened up the
:27:07. > :27:09.older building we were supposed to vacate and for a time we ran several
:27:10. > :27:16.wards in there for people who really required the kind of rehab care. The
:27:17. > :27:20.problem now is, we cannot get staff, there is not enough staff for it and
:27:21. > :27:23.we do not get funded to provide that care and there was more money in the
:27:24. > :27:28.past, there is far less money available now, we do not get the
:27:29. > :27:31.funding to do it, we have not got the capital although we are
:27:32. > :27:36.converting wards. It is much more expensive to keep people in your
:27:37. > :27:39.hospital. This is a fragmentation problem. It is expensive for you to
:27:40. > :27:43.keep people in acute beds and it would be cheaper if the people
:27:44. > :27:47.responsible for social care took the responsibility but instead of giving
:27:48. > :27:59.them the money to do that, we are wasting money on acute beds for
:28:00. > :28:01.people who do not need or want an acute bed. Actually it is sometimes
:28:02. > :28:04.harmful to do that. It is too fragmented. I would love to be able
:28:05. > :28:09.to take the health pathway. It breaks my heart to see an elderly
:28:10. > :28:12.couple being separated because this society cannot provide a facility to
:28:13. > :28:16.allow America bill to be together. That is not correct or write at all
:28:17. > :28:23.and we should not put up with it. Could you do it if they give you the
:28:24. > :28:32.money? Yes. That is interesting. Your budget this year, are you going
:28:33. > :28:36.to hit it? The answer is no, isn't it? You do not want to tell the
:28:37. > :28:40.Department of Health now, but that's basically it. Because of the
:28:41. > :28:44.pressures we have seen coming through, when we admit more patience
:28:45. > :28:50.through the emergency department, if we had them over and above a certain
:28:51. > :28:55.level, 12 or 13, more patients are admitted, we only get paid 70% of
:28:56. > :28:59.Tara. The government gets a discount. It also means we have
:29:00. > :29:02.cancelled elective activity which we are not getting paid for any more
:29:03. > :29:06.and to hit those targets we have to find another way of doing that work.
:29:07. > :29:13.We have not worked through the budgetary pressures. My
:29:14. > :29:16.understanding is that you have a sustainability and transformation
:29:17. > :29:20.plan to improve everything by 2020 and that plan is that Birmingham
:29:21. > :29:27.hospitals find another ?300 million worth of cuts. Let's face it, demand
:29:28. > :29:32.carries on going up, there is not much reason to think that things
:29:33. > :29:36.will change apart from these care beds coming back, you are already
:29:37. > :29:41.busting the budget and you have to find 300 million more between you
:29:42. > :29:47.and other Birmingham hospitals by 2020. It is ridiculous. When you say
:29:48. > :29:51.it like that... Since I have been in management, a very long time,
:29:52. > :29:55.because I am really old, we have been saying we are provide more care
:29:56. > :30:01.outside hospitals and we have not. We need to get real and do that and
:30:02. > :30:05.really build the kind of facilities. We talked about patients coming in
:30:06. > :30:09.and a lot of the patients could have had care elsewhere but it is not
:30:10. > :30:13.available and none of those patients did not need care, they all need
:30:14. > :30:17.care, but there is no alternative available at the moment and we need
:30:18. > :30:20.to provide the alternatives. There are other organisations who are
:30:21. > :30:23.supposed to provide the alternatives and we need to make that real and
:30:24. > :30:34.enough capacity so that patients have not got A as a last resort.
:30:35. > :30:38.Our patients dying for bad care because you do not have the right
:30:39. > :30:43.resources? No, one of the things that staff have done very well is
:30:44. > :30:47.manage quality of care and safety through that, sometimes we've let
:30:48. > :30:52.waiting times goes so if they know a patient is save to wait six hours,
:30:53. > :30:58.we prioritise safety and quality every time over any target. You know
:30:59. > :31:06.Jeremy Hunt, you are part of a big health system in the Midlands, you
:31:07. > :31:13.met him today? Yes, he saw an Spectre read three staff at one of
:31:14. > :31:17.the hospitals, he appreciated the problems -- he saw emergency staff.
:31:18. > :31:21.Several patients do not have the social workers assigned to do their
:31:22. > :31:25.assessments, never mind finding careful some people. We were able to
:31:26. > :31:28.explain a lot of the frustrations that we feel in Birmingham.
:31:29. > :31:34.Sometimes it is often portrayed as hospitals just need to a grip.
:31:35. > :31:39.Throughout all this, with all of the patients that we have with delayed
:31:40. > :31:43.transfers of care, and in December we lost 4000 bed days, we have
:31:44. > :31:47.managed to reduce the length of stay by making the rest of the hospital
:31:48. > :31:51.far more efficient and what we do, a great testament to the staff in
:31:52. > :31:54.everything that they do. We are reducing length of stay and being
:31:55. > :32:02.very efficient and what we do. But we need to crack this problem. Not
:32:03. > :32:04.because of the money and the beds as the main driver, because it is not
:32:05. > :32:07.good care for patients. Dame Julie Moore, thank you.
:32:08. > :32:09.And Dame Julie Moore will be taking your questions
:32:10. > :32:12.about the state of hospitals right after we come off air.
:32:13. > :32:23.That's on the BBC Newsnight Facebook page.
:32:24. > :32:25.Three and a half weeks into the Trump reign,
:32:26. > :32:28.and we have a resignation - his National Security Advisor,
:32:29. > :32:34.General Michael Flynn has gone over a scandal involving possibly illicit
:32:35. > :32:38.and inappropriate talks with the Russians back in December.
:32:39. > :32:42.The affair gives us another clue as to the strengths
:32:43. > :32:43.and vulnerabilities of the administration.
:32:44. > :32:46.First the strengths: the new president is keen to get
:32:47. > :32:50.things done and is willing to cut through the stuffy conventions
:32:51. > :32:54.Well, actually those strengths are also the weaknesses.
:32:55. > :32:55.Those stuffy conventions that perhaps obstruct
:32:56. > :33:03.you getting things done, also prevent cock-ups.
:33:04. > :33:05.This man is the latest of those cock-ups.
:33:06. > :33:11.Michael Flynn, the National Security Adviser controversial even back
:33:12. > :33:19.I have called on Hillary Clinton to drop out of the race.
:33:20. > :33:23.Because she, she put our nation's security at extremely high risk.
:33:24. > :33:33.For some, he broke a law himself, jumping the gun and talking
:33:34. > :33:36.to Russia about sanctions before Trump was President.
:33:37. > :33:41.It is that he reportedly lied about it to White House officials.
:33:42. > :33:44.The issue is not whether or not what he discussed, there has been
:33:45. > :33:51.a complete review of that and there is no issue with that.
:33:52. > :33:54.The issue is whether or not he failed to properly inform
:33:55. > :33:57.the Vice President or not be honest with him or not remember it.
:33:58. > :33:59.That's the plain and simple issue and when he lost
:34:00. > :34:01.trust with the President, that's when the President asked
:34:02. > :34:10.But the handling of the case raises plenty of questions
:34:11. > :34:14.For one thing, Trump was told weeks ago about General Flynn and yet
:34:15. > :34:16.waited until there was a public outcry before sacking him.
:34:17. > :34:20.A tad indecisive for someone so capable of firing people.
:34:21. > :34:23.And also why did the President deny he knew anything about the affair
:34:24. > :34:32.What about the reports that General Flynn had a conversation
:34:33. > :34:54.The President wants to get things done, but action and orientation can
:34:55. > :34:57.end up looking perilously close to making it up as you go along.
:34:58. > :35:01.The picture of Team Trump at dinner at his resort,
:35:02. > :35:06.responding to a North Korean missile test with the Japanese
:35:07. > :35:08.Prime Minister in tow, all in front of other diners,
:35:09. > :35:14.gives a picture of extreme informality.
:35:15. > :35:21.Was Mr Flynn's off piste conversation with the Russian
:35:22. > :35:25.ambassador a sign of an unhealthily close relationship?
:35:26. > :35:30.It was back in December, President Obama imposed extra
:35:31. > :35:33.sanctions on Russia as a punishment for interference in the US election.
:35:34. > :35:37.Surprisingly, Mr Putin did not retaliate.
:35:38. > :35:40.Is it coincidence that it was around then that Michael Flynn
:35:41. > :35:46.There's lot more you could say - the leaks that are coming out
:35:47. > :35:48.of Washington that have brought this to public attention,
:35:49. > :35:51.the fact that Donald Trump appeared to deny any knowledge of the affair,
:35:52. > :36:06.What are we learning about the White House?
:36:07. > :36:17.Why did it take him so long to deal with this, he knew that the guy had
:36:18. > :36:21.lied to the vice president, why didn't he sack him there and then? I
:36:22. > :36:26.think he had to find out the extent of it. The last week, reporters have
:36:27. > :36:33.spoken to President Trump and said, have you seen this report? They
:36:34. > :36:36.sourced another journalist, not a national security adviser, as to
:36:37. > :36:41.whether he had seen anything official. He would not say I saw it
:36:42. > :36:46.in the newspapers or media, we do not know everything. We are just
:36:47. > :36:49.going along with speculations and rumours and points right now as to
:36:50. > :36:55.what the situation was and you knew what. You say that but we know that
:36:56. > :37:00.Donald Trump has known for weeks, and on Friday he said he did not
:37:01. > :37:03.know anything about it. It's an important question about his
:37:04. > :37:08.presidency, we are used to Trump, we know that he says things and then
:37:09. > :37:12.contradicts it. As President, do you think you can behave like he did as
:37:13. > :37:17.a candidate, say things that just are not true? I do not think that is
:37:18. > :37:22.what President Trump is doing. You had to look at what this is. If we
:37:23. > :37:26.are going over to the General Flynn situation itself, nothing illegal
:37:27. > :37:32.was done. He resigned because of the trust issue that may have happened
:37:33. > :37:36.with Vice President pence and him going out and telling a lie on his
:37:37. > :37:40.behalf, being told that was the problem. It had nothing to do with
:37:41. > :37:45.the national-security issues, as stated by the New York Times
:37:46. > :37:49.yesterday, it was a wiretap. There is a transcript of everything that
:37:50. > :37:52.was said between General Flynn and the Ambassador of Russia, and it has
:37:53. > :37:58.been gone over by officials and there was no security risk. It's
:37:59. > :38:02.about political grandstanding by Democrats who smell blood in the
:38:03. > :38:04.water, and unfortunately, this shark is actually going to bite them in
:38:05. > :38:13.the very end. But I cannot help but think that you have not
:38:14. > :38:17.answered my question, Trump lead that he had lied to the vice
:38:18. > :38:22.president. Why did he wait until it was a big public for Rory to sack
:38:23. > :38:26.General Flynn? He was tough, he could have sacked him two weeks ago.
:38:27. > :38:31.He does not have to listen to the public, why does he have to wait for
:38:32. > :38:36.the public to make a fuss and then sack General Flynn? It came down to
:38:37. > :38:40.vice president Pence. The conversation happened between
:38:41. > :38:47.General Flynn and vice president Pence. It was the trust issue that
:38:48. > :38:50.vice president Pence needed between him and the security team. We don't
:38:51. > :38:54.know whether it was him who said that it was time to dismiss General
:38:55. > :38:59.Flynn. These are conversations behind the scenes. I'm not guessing
:39:00. > :39:07.you would have been so forgiving if this was the Obama security Pfizer.
:39:08. > :39:18.Does it tell us, as many as The Papers are saying, that this is just
:39:19. > :39:21.some of the chaos that plagues the administration, as says The
:39:22. > :39:25.Washington Post? Yes, I agree that there is more chaos in this
:39:26. > :39:31.administration than in the past. One of the reasons is that President
:39:32. > :39:35.Trump kept them from the Obama administration with their jobs.
:39:36. > :39:40.Until President Trump goes in and takes out those who do not have an
:39:41. > :39:43.American interest at heart and puts in his own people and gets fully
:39:44. > :39:47.staffed, thanks to Congress and the Democrats finally confirming
:39:48. > :39:54.everyone he put through, we will continue to see the chaos
:39:55. > :39:58.distracting the president from his mission of putting America first and
:39:59. > :40:02.securing the Borders and allowing families to prosper and thrive for
:40:03. > :40:06.themselves. Thank you. Time now for Viewsnight -
:40:07. > :40:09.where we let those with strong Tonight it's the turn of Canadian
:40:10. > :40:13.journalist Graeme Wood. He's the author of a new book
:40:14. > :40:16."The Way of Strangers - It's a provocative piece -
:40:17. > :40:20.and tomorrow we'll bring you the counter argument made
:40:21. > :40:30.by the academic Tariq Ramadan. Like it or not, the rise of the
:40:31. > :40:39.Islamic State is the modern Reformation. It is tempting to view
:40:40. > :42:10.the rise of the Islamic State narrowly...
:42:11. > :42:13.Graeme Wood there, and a balancing view will come tomorrow.
:42:14. > :42:31.Some rain in the next few days but plenty of dry weather as well. We
:42:32. > :42:32.start the