0:00:11 > 0:00:15This is a special relationship, the relationship between America and
0:00:15 > 0:00:20Britain and we are going to keep it that way.The special relationship
0:00:20 > 0:00:26is important.I'm grateful for the opportunity to reaffirm the
0:00:26 > 0:00:28importance of the special relationship.The special
0:00:28 > 0:00:33relationship will be stronger.As part of our relationship... And and
0:00:33 > 0:00:42this is not another only a special relationship, to me it is essential.
0:00:42 > 0:00:43That was then - this is now.
0:00:43 > 0:00:45Where now for the special relationship?
0:00:45 > 0:00:48The fact that we work together does not mean that we're afraid to say
0:00:48 > 0:00:51when we think the United States have got it wrong and be very clear
0:00:51 > 0:00:52with them.
0:00:52 > 0:00:55And I'm very clear that re-tweeting from Britain First was
0:00:55 > 0:00:56the wrong thing to do.
0:00:56 > 0:01:00After an extraordinary 24 hours of tweets and tiffs,
0:01:00 > 0:01:02we'll examine the future for London's relationship
0:01:02 > 0:01:07with Washington and Trump.
0:01:07 > 0:01:09Also tonight, are the Brexit talks threatening Theresa May's
0:01:09 > 0:01:11alliance with the DUP?
0:01:11 > 0:01:13Last night I reported on the UK Government's ideas for solving
0:01:13 > 0:01:18the Irish border question.
0:01:18 > 0:01:20Today their Northern Ireland partners were in Downing Street.
0:01:20 > 0:01:22And...
0:01:22 > 0:01:24She is, at home, a typical teenager.
0:01:24 > 0:01:28But then when she leaves the house, everything changes.
0:01:28 > 0:01:32The anxiety disorder so severe it renders many children speechless.
0:01:32 > 0:01:35We have access to a therapy camp for sufferers of selective
0:01:35 > 0:01:38mutism in New York.
0:01:46 > 0:01:50It was phrase coined by Winston Churchill in 1946 -
0:01:50 > 0:01:55but 71 years later is there really a "special relationship"
0:01:55 > 0:01:58between America and Britain and, if there is, how does a President
0:01:58 > 0:02:01promoting far-right videos and questioning the British
0:02:01 > 0:02:04Prime Minister on Twitter affect it?
0:02:04 > 0:02:08This is now a very 21st century diplomatic conflict -
0:02:08 > 0:02:11with British government ministers taking to social media to attack
0:02:11 > 0:02:15Donald Trump and the President responding in kind.
0:02:15 > 0:02:19Today Theresa May resisted calls to cancel a state visit to Britain
0:02:19 > 0:02:22planned for Mr Trump and - choosing her words carefully -
0:02:22 > 0:02:25said that the President's retweets yesterday of Britain First
0:02:25 > 0:02:28material was wrong.
0:02:28 > 0:02:31But can the UK really do anything to stay close to the world's
0:02:31 > 0:02:35economic and political super-power?
0:02:35 > 0:02:37And should it want to stay so close whatever emanates
0:02:37 > 0:02:40from the White House?
0:02:40 > 0:02:48Here's our political editor Nick Watt.
0:02:48 > 0:02:52Three very different prime ministers, but they all had one
0:02:52 > 0:02:58memorable moment in common. Each had a run-in with a US president, and
0:02:58 > 0:03:04yes, that did include the iron Lady. Has Theresa May joined the ranks of
0:03:04 > 0:03:10those past Number Ten troublemakers, following her very public
0:03:10 > 0:03:12disagreement with Donald Trump? President Trump igniting a
0:03:12 > 0:03:18firestorm. A series of tweets today. What is happening and what you think
0:03:18 > 0:03:22the consequences are?Over here, there was powerful condemnation of
0:03:22 > 0:03:28the President in Parliament. Offensive to all decent British
0:03:28 > 0:03:33people.Donald Trump is actively sowing seeds of hate in our country.
0:03:33 > 0:03:36The president of the United States and talks about fake news, actually
0:03:36 > 0:03:43re-tweeted fake news.In Jordan, Theresa May made no secret of her
0:03:43 > 0:03:48irritation.Britain First is a hateful organisation. It seeks to
0:03:48 > 0:03:52spread division and mistrust among our communities. I'm very clear that
0:03:52 > 0:03:59re-tweeting from Britain First was the wrong thing to do.This row is
0:03:59 > 0:04:03all a far cry from the warm days of Theresa May's first visit to the
0:04:03 > 0:04:08White House, when she followed the rule book of recent predecessors who
0:04:08 > 0:04:12have helped US President's close. This Prime Minister moved that
0:04:12 > 0:04:16particular speed, because she had hoped the harness President Trump's
0:04:16 > 0:04:22and used as for Brexit to accelerate a new trade deal for the US. That
0:04:22 > 0:04:25new era in the Anglo-American special relationship was meant to
0:04:25 > 0:04:32begin here with the opening of the new US embassy by the River Thames.
0:04:32 > 0:04:35He was supposed to perform the ceremony? That would be Donald
0:04:35 > 0:04:40Trump. But his visit across the pond is being delayed and delayed and
0:04:40 > 0:04:44delayed. This might all seem surprisingly bumpy but we have been
0:04:44 > 0:04:48here before. The building this one is replacing over the Thames in
0:04:48 > 0:04:52Grosvenor Square, came to symbolise one of the most difficult periods of
0:04:52 > 0:04:59that relationship in the 1960s. Tempers flared at the height of the
0:04:59 > 0:05:05Vietnam War, even though Harold Wilson had refused a request by
0:05:05 > 0:05:10President Johnson to send troops.At the height of the Suez Canal
0:05:10 > 0:05:15crisis...A decade earlier, Anthony Eden had incurred the wrath of
0:05:15 > 0:05:20Washington during the Suez crisis. And then there was Margaret Thatcher
0:05:20 > 0:05:25who did occasionally stand up to one Drake and in private. So how has
0:05:25 > 0:05:30Theresa May handled her own row? Give anybody credit for speaking up
0:05:30 > 0:05:35when it's required. And I think of for her for doing that. I'm being
0:05:35 > 0:05:39careful about not criticising my president and favouring another over
0:05:39 > 0:05:43him, but, you know, I say good for her. I wish more Republicans in
0:05:43 > 0:05:47America would stand up against a tweet like that from the president.
0:05:47 > 0:05:51I would not expect the Prime Minister to respond in the kind of
0:05:51 > 0:05:54chaotic Twitter way that the president of the United States has
0:05:54 > 0:05:58attacked her, I think that would be completely inappropriate. But I
0:05:58 > 0:06:02would expect her to have an extremely firm behind the scenes
0:06:02 > 0:06:06response, because this is completely unacceptable from the president
0:06:06 > 0:06:11about what should be our greatest ally. And he also needs to be urged
0:06:11 > 0:06:17to take the tweets down, and also to understand why it is so damaging to
0:06:17 > 0:06:21be promoting a far right extremist group like that, and I am concerned
0:06:21 > 0:06:24that really there has not been a clear sense from the government
0:06:24 > 0:06:30about what action they have taken from the White House on this.
0:06:30 > 0:06:35Battered and bruised or living to fight another day? Where does this
0:06:35 > 0:06:38row leave the special relationship? I think it is bigger than any one
0:06:38 > 0:06:43day or anyone fight. It has endured through however many prime ministers
0:06:43 > 0:06:47and presidents on both sides, and I think it still will. It is really
0:06:47 > 0:06:52built in our connections with each other as people and the country and
0:06:52 > 0:06:58values that we share.Over so many years, our two countries together
0:06:58 > 0:07:03have stood firm against both far right extremism and jihadi extremism
0:07:03 > 0:07:08and will continue to do so, but we have to continue that special
0:07:08 > 0:07:11relationship through our institutions, throughout Corporation
0:07:11 > 0:07:16and not think it means actually pandering at the individual level to
0:07:16 > 0:07:21a president who is behaving in a way that is really damaging to our
0:07:21 > 0:07:25communities.With its commanding views over London, a new US embassy
0:07:25 > 0:07:31should be the perfect base to usher in a new era in the Anglo-American
0:07:31 > 0:07:38special relationship. First of all, there's Riverside diplomats may have
0:07:38 > 0:07:41to work on a basic repair job.
0:07:41 > 0:07:42Nick Watt there.
0:07:42 > 0:07:44And this story is unsurprisingly dominating most of
0:07:44 > 0:07:45the papers tomorrow.
0:07:45 > 0:07:46A couple here for you.
0:07:46 > 0:07:50The Telegraph has a story which Nick mentioned in his piece, there -
0:07:50 > 0:07:51they're reporting that Donald Trump's 'working visit'
0:07:51 > 0:07:52in January has been cancelled.
0:07:52 > 0:08:01It says the president had been due to make a scaled-down trip to meet
0:08:01 > 0:08:04Theresa May but that it's now been kicked into the longer grass.
0:08:04 > 0:08:07The Mirror has a striking front page - a full banner with an image
0:08:07 > 0:08:08of Mr Trump.
0:08:08 > 0:08:09'Unwanted' is their headline.
0:08:09 > 0:08:13Our diplomatic editor Mark Urban is with me now.
0:08:13 > 0:08:17Mark, it is quite remarkable, you have been covering diplomatic spats
0:08:17 > 0:08:23and rows and conflicts over many years. Now this row over 240
0:08:23 > 0:08:27characters on Twitter, have you ever seen anything like this, and what is
0:08:27 > 0:08:30the challenge for the British government when they are looking at
0:08:30 > 0:08:34how the president is behaving?You could argue if you're being
0:08:34 > 0:08:38Machiavellian that sometimes a bit of friction is quite useful. A lot
0:08:38 > 0:08:41of people in the Foreign Office, when you are covering at prime
0:08:41 > 0:08:53ministerial visit to the White House, they
0:08:55 > 0:08:57literally roll their eyes when the press start asking questions about
0:08:57 > 0:08:59the special relationship, they regard it as a media of session. A
0:08:59 > 0:09:01lot gets debated between a special relationship and the special
0:09:01 > 0:09:03relationship which is the phrase Churchill used. Abel would recognise
0:09:03 > 0:09:08that it is a special relation ship, the connections of the anglers fear,
0:09:08 > 0:09:11comment economics and other things, but it is not the special
0:09:11 > 0:09:18relationship as it was at the end of the war. I think the real bastions
0:09:18 > 0:09:24of it is still in the areas where there are things which may deals can
0:09:24 > 0:09:29do with the UK. GCHQ signals intelligence, the Trident nuclear
0:09:29 > 0:09:35submarine deterrent, those are areas where it has a real beating heart
0:09:35 > 0:09:40and it is Internet at cooperation, but so many others, this type of
0:09:40 > 0:09:45thing can be helpful in undermining the poodle perception which people
0:09:45 > 0:09:52were so worried about under Tony Blair.Is there more diplomatic
0:09:52 > 0:10:00risk. Is Donald Trump cooled to Britain and signalling his anger
0:10:00 > 0:10:04almost about Theresa May and the way Britain behaves on certain issues?
0:10:04 > 0:10:10Is this simply badinage and does not matter much or is there something
0:10:10 > 0:10:16more significant underlying?He is trying to say to the Prime Minister
0:10:16 > 0:10:21did school me, focus on your problem, as he would see it of
0:10:21 > 0:10:25Islamic militancy, rather than having a go at me. In that sense it
0:10:25 > 0:10:29is a bad-tempered early-morning typical trump tweet. But I can
0:10:29 > 0:10:34remember when President Obama came, the feeling was because of his
0:10:34 > 0:10:38memoir about his father, his experiences in Kenya, he had an
0:10:38 > 0:10:42ambivalent attitude towards Britain and British power and he would be a
0:10:42 > 0:10:47difficult customer. I think in some ways, President Trump's instincts
0:10:47 > 0:10:52are more instinctively pro-British. But in terms of it being a special
0:10:52 > 0:10:57relationship rather than the special relationship, the Americans regard
0:10:57 > 0:11:00Germans as being economic and political partners of choice in
0:11:00 > 0:11:07European matters. The French, in many of those military situations,
0:11:07 > 0:11:11for example I was talking about special forces cooperating in Mali,
0:11:11 > 0:11:15thus Hell, Iraq and Syria, our special forces are uneasy about the
0:11:15 > 0:11:20degree to which those are being cemented because ever since Britain
0:11:20 > 0:11:26bailed early in southern Iraq, the Americans have had an ambivalent
0:11:26 > 0:11:37attitude towards the UK.And there is the issue about the visit to the
0:11:37 > 0:11:42UK.And the Bastille day with resident Macron.
0:11:42 > 0:11:45Joining me now in the studio is Baroness Neville Jones,
0:11:45 > 0:11:46who was Minister of Security from 2010-2011,
0:11:46 > 0:11:48when Theresa May was Home Secretary.
0:11:48 > 0:11:50In Washington DC we are joined by Mica Mosbacher who was
0:11:50 > 0:12:00a national surrogate for the Trump presidential campaign.
0:12:02 > 0:12:09Baroness Neville Jones, can we start with you, do you feel Theresa May
0:12:09 > 0:12:14has handled the situation well? Should she have been more direct?
0:12:14 > 0:12:18Sajid Javid, the Communities Secretary, was very clear about what
0:12:18 > 0:12:27he described Britain First as being a vile hate field organisation, very
0:12:27 > 0:12:35aggressive on Donald Trump usher a vile hate filled organisation.She
0:12:35 > 0:12:46was right, she is the Prime Minister. Sajid Javid said he was
0:12:46 > 0:12:50attacking people like him. Theresa May made her point effectively and I
0:12:50 > 0:12:54would advise that it as it as far as she's concerned. I don't think she
0:12:54 > 0:13:01should engage in a slanging match or demean herself by having a further
0:13:01 > 0:13:04round of an pleasant exchange. There is too much at stake, apart from
0:13:04 > 0:13:14anything else, and I think that what we witnessed with Trump, is that
0:13:14 > 0:13:18part of his reaction has to do with the fact that this kind of tweet and
0:13:18 > 0:13:22this kind of comment has to do with sustaining his political base at
0:13:22 > 0:13:26home. I don't think it has much to do with foreign policy at all. I
0:13:26 > 0:13:29don't think he particularly cares about the effect on the outside
0:13:29 > 0:13:34world. That is not a luxury that is open to us here. I think that it is
0:13:34 > 0:13:40another reason for innocence discounting it. I think get on with
0:13:40 > 0:13:44foreign policy. What Mark said about the special relationship is
0:13:44 > 0:13:47absolutely right. It is an iceberg. There is something that is visible
0:13:47 > 0:13:51on top, and normally it is a good relationship between the president
0:13:51 > 0:13:56and the Prime Minister with two heads of government, and you have
0:13:56 > 0:14:00this great enormous activity which goes on which is largely unseen.
0:14:00 > 0:14:06That goes on now anyway. Could it, if we had a long prolonged period of
0:14:06 > 0:14:11really frosty relations at the top, would that affect the relationship
0:14:11 > 0:14:15down below? Yes, I think it would. I don't think that is the situation we
0:14:15 > 0:14:21are in but we need to be careful.
0:14:21 > 0:14:26Is it correct that despite the controversy that President Trump is
0:14:26 > 0:14:30creating by retweeting be Britain First video, true or not, as his
0:14:30 > 0:14:36spokeswoman said, should he be extended the courtesy still other
0:14:36 > 0:14:45State visit here? Is that really the right approach? The public might not
0:14:45 > 0:14:49understand the politicking about this, the man will ride on the coach
0:14:49 > 0:14:56down the Mall.The invitation has been extended. It might be a bit of
0:14:56 > 0:15:02an albatross but it has been extended. I think that it is a very
0:15:02 > 0:15:09serious act to remove it. That is an act of state and very personal. I
0:15:09 > 0:15:15think you don't. That is something you don't go. I think it might give
0:15:15 > 0:15:20us a really nice catharsis but it is not a sensible act of state. The
0:15:20 > 0:15:24question of, when and how he comes and in what circumstances... It does
0:15:24 > 0:15:30come up in the context of Prince Harry's wedding. This is an issue
0:15:30 > 0:15:35anyway, even if the Prime Minister had not invited him.Thank you. Can
0:15:35 > 0:15:45I bring you in, can you understand how the shock here, the President of
0:15:45 > 0:15:50the United States has retweeted a far right organisation, the White
0:15:50 > 0:15:53House official spokeswoman has said it is not the point whether these
0:15:53 > 0:15:58videos are true or not, can you understand that on the side of the
0:15:58 > 0:16:02Atlantic is total shock and a high degree of anger and, frankly,
0:16:02 > 0:16:08discussed about what the President has tweeted?The President's tweeds
0:16:08 > 0:16:13are strategic and what he is saying is that Theresa May, you have a
0:16:13 > 0:16:19problem. According to the 2011 census we have over 2,660,000
0:16:19 > 0:16:24Muslims in the UK, you have had unprecedented levels of terror
0:16:24 > 0:16:31attacks under Theresa May's watch. One of the leading terrorist experts
0:16:31 > 0:16:37are stated that over 47,000 Muslim extremists have been identified.
0:16:37 > 0:16:44What the President is trying to do is elevate this problem to an
0:16:44 > 0:16:46international discussion. Theresa May and the UK are like family, what
0:16:46 > 0:16:55is happening in a way is a sort of sibling rivalry. It has succeeded in
0:16:55 > 0:16:57elevating an international conversation and we are America
0:16:57 > 0:17:02first but not America alone.Those numbers will be disputed and some of
0:17:02 > 0:17:09the points about Muslim communities here but whatever the arguments
0:17:09 > 0:17:13about that, is Twitter really the right way to communicate Follies
0:17:13 > 0:17:18delegate and serious issues? Could the President not simply have spoken
0:17:18 > 0:17:24to the Prime Minister on the phone about his concerns, rather than this
0:17:24 > 0:17:29approach that critics have said is so incendiary?He is not politically
0:17:29 > 0:17:34correct and he is a businessman. And here's to come from a position of
0:17:34 > 0:17:40strength to protect American borders, especially in the fact that
0:17:40 > 0:17:46we cannot that certain individuals coming from five countries that are
0:17:46 > 0:17:50hotbeds for terrorism and that simply is a problem in the UK, from
0:17:50 > 0:17:54what I understand you are bringing in Syrian refugees seeking asylum
0:17:54 > 0:17:58and they cannot possibly have been vetted thoroughly. The problem that
0:17:58 > 0:18:04is originating in the UK with terrorism is something that does
0:18:04 > 0:18:08concern the United States, especially in terms of protecting
0:18:08 > 0:18:12Americans. That is why he is including Americans in this
0:18:12 > 0:18:19conversation and the general public worldwide, instead of appeasing
0:18:19 > 0:18:26enemies or not getting into any discussion, he welcomes... You
0:18:26 > 0:18:30referenced Churchill earlier. Remember President Obama stored the
0:18:30 > 0:18:36bust of Churchill in some dark closet and the first thing President
0:18:36 > 0:18:41Trump did was to bring this boss died.That is actually disputed.
0:18:41 > 0:18:47Thank you very much. -- bring this bust out. Thank you both for your
0:18:47 > 0:18:51time.
0:18:51 > 0:18:54This week's movements in Brexit can be summed up in two words -
0:18:54 > 0:18:55"money" and "Ireland".
0:18:55 > 0:18:57The cash, it seems, for now is sorted -
0:18:57 > 0:18:59with Britain's negotiators reportedly agreeing at least
0:18:59 > 0:19:03the outline of a divorce bill with Brussels.
0:19:03 > 0:19:07The future for the Irish question is less clear.
0:19:07 > 0:19:10Newsnight reported from Dublin yesterday about the tricky questions
0:19:10 > 0:19:13which persist over customs and border arrangements
0:19:13 > 0:19:15between Northern Ireland and the Republic once Britain
0:19:15 > 0:19:18leaves the EU.
0:19:18 > 0:19:20Today there were reports of a potential breakthrough,
0:19:20 > 0:19:26but not, it seems, on terms which might meet the approval of the DUP.
0:19:26 > 0:19:28They are partners of Mrs May's Conservatives
0:19:28 > 0:19:32in government, remember - and they responded by hinting that
0:19:32 > 0:19:35if they didn't like what they heard then they might pull the plug
0:19:35 > 0:19:36on the deal.
0:19:36 > 0:19:43Nick Watt is here.
0:19:43 > 0:19:48Tell us a bit about what the reaction has been to the initial
0:19:48 > 0:19:53idea that there was new progress on this idea of the Irish border and
0:19:53 > 0:19:54Northern Ireland could have a slightly different relationship with
0:19:54 > 0:20:03the Republic and the UK could still be in float of outside the customs
0:20:03 > 0:20:06and single union?Last night I was hoping the government would use the
0:20:06 > 0:20:10principles of the Good Friday Agreement who try to unlock the
0:20:10 > 0:20:15deadlock in this issue and they were talking about taking those elements
0:20:15 > 0:20:18of cross-border co-operation and embedding them into the agreement
0:20:18 > 0:20:23with the EU so animal health, into the area of agriculture and the
0:20:23 > 0:20:27single energy market on the island of Ireland. All fine. The Times
0:20:27 > 0:20:30reported some of that but they went further and said there was growing
0:20:30 > 0:20:37confidence in Dublin that there would be an avoidance of regulation
0:20:37 > 0:20:42array divergence between Northern Ireland and the Irish Republic. The
0:20:42 > 0:20:45DUP not amused, I spoke to Ian Paisley this evening and he said
0:20:45 > 0:20:50that idea in Dublin is largely blarney and a DUP delegation went
0:20:50 > 0:20:55into Downing Street to see the Chief of Staff and they got an assurance
0:20:55 > 0:20:58that the UK government will ensure that Northern Ireland does not
0:20:58 > 0:21:03remain in the Customs Union and in the single market, it will go out
0:21:03 > 0:21:08with the EU with the rest of the UK. The point is, the UK government was
0:21:08 > 0:21:13never going to do that so it is a strawman, there is a very close
0:21:13 > 0:21:16relationship between the Conservative whips and the DUP
0:21:16 > 0:21:20whips, they are keeping the DUP informed so in that element I think
0:21:20 > 0:21:26it was a bit of a confected anger. When the DUP be angry even at the
0:21:26 > 0:21:32notion of energy and agriculture links? Is that not the thin end of
0:21:32 > 0:21:36the wedge?The UK government view is this can be sold to the DUP because
0:21:36 > 0:21:40earlier this year they wouldn't government with Sinn Fein dealing
0:21:40 > 0:21:44with those cross-border issues. Animal health, you have to be
0:21:44 > 0:21:49careful, the DUP would say, on how far you go on agriculture because
0:21:49 > 0:21:56there canopy complete compliance. Thank you. -- there cannot be.
0:21:56 > 0:21:58The Chancellor insisted in the Budget last week
0:21:58 > 0:22:01that he was giving more money to the NHS in England -
0:22:01 > 0:22:02and plenty of it.
0:22:02 > 0:22:04But the £1.6 billion he offered fell short of the £4 billion
0:22:04 > 0:22:06the NHS' Chief Executive,
0:22:06 > 0:22:07Simon Stevens, had asked for.
0:22:07 > 0:22:09Today Mr Stevens said the shortfall meant the health service
0:22:09 > 0:22:12could neither fund nor meet its waiting times next year.
0:22:12 > 0:22:14For the first time, the NHS will also ignore new best
0:22:14 > 0:22:17practice guidelines issued by the National Institute for Health
0:22:17 > 0:22:21and Care Excellence unless funding has been agreed in advance.
0:22:21 > 0:22:23The Health Secretary, Jeremy Hunt, hit back,
0:22:23 > 0:22:29saying the NHS has enough funds to meet its obligations.
0:22:29 > 0:22:32A major fight is building.
0:22:32 > 0:22:33Here's Chris Cook.
0:22:33 > 0:22:36The NHS had some clear demands for last week's Budget.
0:22:36 > 0:22:39£4 billion next year, just to begin with.
0:22:39 > 0:22:42But they didn't get what they wanted.
0:22:42 > 0:22:47We also recognise that the NHS is under pressure right now.
0:22:47 > 0:22:50I am therefore, exceptionally and outside the spending review
0:22:50 > 0:22:54process, making an additional commitment of resource
0:22:54 > 0:23:00funding of £2.8 billion to the NHS in England.
0:23:00 > 0:23:04So why does the NHS seem to need so much money?
0:23:04 > 0:23:09NHS demand is a tide that comes in and never goes out.
0:23:09 > 0:23:12Since 2010, the number of people going to English A&E
0:23:12 > 0:23:16departments has risen steadily.
0:23:16 > 0:23:18We have an ageing and growing society which requires an ever
0:23:18 > 0:23:21rising quantity of care.
0:23:21 > 0:23:25Since just 2010, we have 250,000 more people going to A&Es
0:23:25 > 0:23:29every single month.
0:23:29 > 0:23:32Today, the NHS England board says it thinks it can't keep up with this
0:23:32 > 0:23:35demand on this Budget.
0:23:35 > 0:23:36The additional funding is obviously helpful,
0:23:36 > 0:23:39given the very significant financial and operational pressures
0:23:39 > 0:23:42that we face next year.
0:23:42 > 0:23:45But even with some pretty ambitious assumptions around efficiency,
0:23:45 > 0:23:49our assessment is that it won't enable the NHS to deliver
0:23:49 > 0:23:51all of the expectations which are placed upon it
0:23:51 > 0:23:55while living within its means.
0:23:55 > 0:23:58This will be a running battle as NHS England re-negotiates its so-called
0:23:58 > 0:24:01mandate for next year.
0:24:01 > 0:24:04It is given money on the basis that it hits its targets,
0:24:04 > 0:24:06but it's really hard to see how the NHS will do that
0:24:06 > 0:24:10again in the near term.
0:24:10 > 0:24:13Let's look at the Accident and Emergency target.
0:24:13 > 0:24:15This graph shows how many patients are dealt
0:24:15 > 0:24:16with within four hours of arriving.
0:24:16 > 0:24:18The target is 95% of them.
0:24:18 > 0:24:21So, here's 2011-12.
0:24:21 > 0:24:24The graph starts at left, in the summer, moves through a drop
0:24:24 > 0:24:27in performance in the winter and then, at the right-hand
0:24:27 > 0:24:30side, it bounces back in the spring of the next year.
0:24:30 > 0:24:31Here's a few years on.
0:24:31 > 0:24:332014-15.
0:24:33 > 0:24:36It's the same rough annual shape.
0:24:36 > 0:24:37But look...
0:24:37 > 0:24:40We start off lower down and the dip is much bigger.
0:24:40 > 0:24:43Here, though, is 2015-16.
0:24:43 > 0:24:46A dip in the winter and then no recovery.
0:24:46 > 0:24:50That is how we got to where we are today.
0:24:50 > 0:24:55Heading into the winter a long way behind where we want to be.
0:24:55 > 0:25:00Today, urgent care was listed as the top priority.
0:25:00 > 0:25:03First and foremost, people look to the NHS to provide safe
0:25:03 > 0:25:06and responsive urgent and emergency care services.
0:25:06 > 0:25:08So we've got to make sure those are funded properly
0:25:08 > 0:25:11going into next year.
0:25:11 > 0:25:13A&E, though, isn't the only target.
0:25:13 > 0:25:1692% of people should be dealt with by a consultant
0:25:16 > 0:25:19within 18 weeks of referral.
0:25:19 > 0:25:21Now, let's look at how quickly the top 92%
0:25:21 > 0:25:23of patients are actually seen.
0:25:23 > 0:25:26This is the so-called 92nd percentile.
0:25:26 > 0:25:29If the line is below that dotted 18 week mark,
0:25:29 > 0:25:32we are meeting the target.
0:25:32 > 0:25:36At the moment, though, we are above it, by about two weeks.
0:25:36 > 0:25:40Two weeks of 18 is a big miss.
0:25:40 > 0:25:43Jeremy Hunt this afternoon said that he expected
0:25:43 > 0:25:44the targets to stay in place.
0:25:44 > 0:25:46We will see.
0:25:46 > 0:25:49NHS England was founded in 2013 as an entity independent
0:25:49 > 0:25:57from central government, to take the politics out of hell.
0:25:57 > 0:26:00-- out of hell.
0:26:00 > 0:26:03Instead, it's turned NHS England into a political force that can
0:26:03 > 0:26:05inflict damage as well as heal it.
0:26:05 > 0:26:09Chris Cook.
0:26:09 > 0:26:11Selective mutism is an anxiety disorder which can deprive children
0:26:11 > 0:26:13of the ability to speak when they want.
0:26:13 > 0:26:15For the young people affected, and their parents,
0:26:15 > 0:26:17it can cause emotional heartbreak - leading to isolation
0:26:17 > 0:26:20and hindering development.
0:26:20 > 0:26:23Finding ways to help the children can be controversial.
0:26:23 > 0:26:27A clinic in New York organises some an intensive therapy camps
0:26:27 > 0:26:31for teenage and older children who are sufferers,
0:26:31 > 0:26:33run over five days.
0:26:33 > 0:26:37Critics say that puts too much pressure on those taking part
0:26:37 > 0:26:41and instead they should be helped and supported in a more gentle way.
0:26:41 > 0:26:45A BBC Our World team was allowed inside to hear from parents,
0:26:45 > 0:26:48and their children, about living with the condition and to see
0:26:48 > 0:26:52the progress they can make in a short time.
0:26:52 > 0:27:02Is it easier to talk to your mom or at school?
0:27:08 > 0:27:12Or it's the same?
0:27:12 > 0:27:15You see this fear overcome her.
0:27:15 > 0:27:17She is not talking to anybody in school.
0:27:17 > 0:27:20It's affected her whole life.
0:27:20 > 0:27:23It's very, very difficult.
0:27:29 > 0:27:31Welcome to We Speak!
0:27:31 > 0:27:33CHEERING.
0:27:33 > 0:27:36All of you guys are here because in one way or another,
0:27:36 > 0:27:41anxiety is impacting your life.
0:27:41 > 0:27:45Selective mutism is an anxiety disorder where kids have difficulty
0:27:45 > 0:27:51talking in certain situations, so they look like normal kids
0:27:51 > 0:27:56at home and when they are in a state of anxiety, then they just kind
0:27:56 > 0:27:59of shut down and freeze.
0:27:59 > 0:28:03For kids with SM, the longer that they go without talking, then
0:28:03 > 0:28:08the harder it is to start talking.
0:28:08 > 0:28:10We've got to work for our prizes...
0:28:10 > 0:28:12Annalisa is very funny.
0:28:12 > 0:28:16I wish people could see that, you know?
0:28:19 > 0:28:21She is, at home, a typical teenager.
0:28:21 > 0:28:24But then, when she leaves the house, everything changes.
0:28:24 > 0:28:29Is your name Annalisa, Lexi or Shelley?
0:28:32 > 0:28:34Diagnosed at the age of five.
0:28:34 > 0:28:36I went home and googled it.
0:28:36 > 0:28:37And then cried.
0:28:37 > 0:28:38Because...
0:28:38 > 0:28:40Sorry.
0:28:40 > 0:28:48Because I realised she was different and it wasn't just shyness.
0:28:48 > 0:28:53And it's affected her whole life.
0:28:53 > 0:28:56I'm hoping that she'll be able to lead a normal life.
0:28:56 > 0:29:01Get married, have children, have a job, go to college.
0:29:01 > 0:29:04But a lot of that hangs in the balance over will
0:29:04 > 0:29:06she be able to talk?
0:29:06 > 0:29:10Do we conquer anxiety by doing the thing that makes us anxious?
0:29:10 > 0:29:12The cause of selective mutism is kind of a combination
0:29:12 > 0:29:16of environment and genetics.
0:29:16 > 0:29:20And parents, they will kind of jump in and either answer
0:29:20 > 0:29:23for the child or they might say, it's OK, honey, you
0:29:23 > 0:29:26don't need to answer.
0:29:26 > 0:29:30So through that process, the child is actually learning
0:29:30 > 0:29:36to avoid the situations that make them anxious.
0:29:51 > 0:29:53So, on video games, you can tell your parents, excuse me,
0:29:53 > 0:29:58I'm just trying to learn problem-solving skills here.
0:29:58 > 0:30:01James talks to me and his dad and his brother and my parents.
0:30:01 > 0:30:03And that's really it.
0:30:03 > 0:30:09Nobody at school.
0:30:09 > 0:30:11Let's jump out!
0:30:11 > 0:30:14It's very hard.
0:30:14 > 0:30:16At points you feel angry because you don't know how
0:30:16 > 0:30:26to help him and when there is no help out there and no one knows
0:30:28 > 0:30:32what to do and the teachers think he is just defiant and just doesn't
0:30:32 > 0:30:34want to speak and you know it's not true.
0:30:34 > 0:30:37I feel like this week is make or break it.
0:30:37 > 0:30:41I don't want to say our last chance because I would hate to say that.
0:30:41 > 0:30:44But I really do think we need this right now and we need
0:30:44 > 0:30:45it to be successful.
0:30:45 > 0:30:48Chelsea is going to ask you the question as yes or no.
0:30:48 > 0:30:51Does that make sense to you?
0:30:51 > 0:30:52Hand down.
0:30:52 > 0:30:55Yes, beautiful.
0:31:00 > 0:31:04So, for Annalisa, I can feed her a line of,
0:31:04 > 0:31:08you could ask me this, and then she will ask me back.
0:31:08 > 0:31:12But no spontaneous utterances thus far.
0:31:12 > 0:31:15You can ask the question here.
0:31:15 > 0:31:18Where is the jalapenos? In the produce aisle, awesome.
0:31:18 > 0:31:22Great job asking, that was so awesome and clear.
0:31:22 > 0:31:29Did it feel a little scary or really scary?
0:31:29 > 0:31:31You don't know.
0:31:31 > 0:31:33What I said was either sit down...
0:31:33 > 0:31:36Sometimes I advise parents to write letters to their kids.
0:31:36 > 0:31:38Because they don't have to do the interpersonal stuff,
0:31:38 > 0:31:42they can read it and reread it.
0:31:42 > 0:31:46People say, what's the researcher evidence for this?
0:31:46 > 0:31:50We're not quite there to be able to say, you can take it to the bank,
0:31:50 > 0:31:51this is going to work.
0:31:51 > 0:31:58But we are confident about tweaking the programme to make it work.
0:31:58 > 0:32:01This afternoon, our group is going to Battery Park,
0:32:01 > 0:32:04so all of the kids will be communicating with each other
0:32:04 > 0:32:07and with someone else out in the community.
0:32:07 > 0:32:09So this should be exciting!
0:32:09 > 0:32:11So just say, let's ask.
0:32:11 > 0:32:13Just start it off.
0:32:13 > 0:32:17You're watching this child who I know can talk and I know
0:32:17 > 0:32:21he wants to talk and he just can't get it out.
0:32:21 > 0:32:24I've asked him before, where are your words?
0:32:24 > 0:32:26Why can't you get your words out?
0:32:26 > 0:32:28And he will say, they're stuck in my head.
0:32:28 > 0:32:30I can't get it out.
0:32:30 > 0:32:33When his words get stuck in his head, my anxiety level really
0:32:33 > 0:32:36does increase and I feel like I want to grab him and hug him
0:32:36 > 0:32:38and make it all better.
0:32:38 > 0:32:40Three.
0:32:40 > 0:32:43Great job!
0:32:43 > 0:32:46We need them to actually experience the anxiety in these situations
0:32:46 > 0:32:50and get through it for them to see that they can.
0:32:50 > 0:32:52What is it?
0:32:52 > 0:32:55Statue of Liberty, yeah!
0:32:55 > 0:32:59We would love for James to have just a friend to talk to.
0:32:59 > 0:33:06I can't imagine going through life and not having a friend.
0:33:09 > 0:33:10Annalisa blows me away.
0:33:10 > 0:33:15She was up there in front of an entire class.
0:33:15 > 0:33:18Did you guys go to the museum with your parents or
0:33:18 > 0:33:20without your parents?
0:33:20 > 0:33:21Without.
0:33:21 > 0:33:24Without your parents.
0:33:24 > 0:33:28Did you guys talk in the museum or were you silent?
0:33:28 > 0:33:32We talked about the flavours on the High Line.
0:33:32 > 0:33:37We then talked about what flavours we love.
0:33:37 > 0:33:42Everyone could hear her and she answered everyone's questions.
0:33:43 > 0:33:48APPLAUSE.
0:33:48 > 0:33:50Annalisa.
0:33:50 > 0:33:51APPLAUSE.
0:33:51 > 0:33:53I'm so lucky to get to hang out with her.
0:33:53 > 0:33:55We made a million bracelets together!
0:33:55 > 0:33:58If she is able to start the new school year able
0:33:58 > 0:34:01to raise her hand and say here, then the kids in the class
0:34:01 > 0:34:03know that she can talk.
0:34:03 > 0:34:05That would be the first time the kids in the class
0:34:05 > 0:34:06ever hear her voice.
0:34:06 > 0:34:11That is massive progress.
0:34:11 > 0:34:14I have to say, when I saw her little presentation, it almost
0:34:14 > 0:34:15brought tears to my eyes.
0:34:15 > 0:34:18I was very happy.
0:34:18 > 0:34:22Amazing!
0:34:22 > 0:34:25We were being fully engaged and playing Monopoly.
0:34:25 > 0:34:29I never thought that James would be able to stand up at the end.
0:34:29 > 0:34:31Just even standing in front of 20 parents and getting
0:34:31 > 0:34:32a certificate, not speaking.
0:34:32 > 0:34:35I mean, that was impressive.
0:34:35 > 0:34:38I was concerned that he might not speak to his one mentor.
0:34:38 > 0:34:41It does look like they are tiny steps, but in reality
0:34:41 > 0:34:43for James, they are huge, enormous, great leaps.
0:34:43 > 0:34:44This is not a cure for these kids.
0:34:44 > 0:34:55This is the start of their journey to overcome and challenge their SM.
0:35:16 > 0:35:19That film by producer Harriet Shawcross.
0:35:19 > 0:35:22And you can see a longer version of that film about selective mutism
0:35:22 > 0:35:25on Our World on the BBC News Channel next Saturday and Sunday
0:35:25 > 0:35:27evenings at 9.30pm and, of course, on BBC iPlayer.
0:35:27 > 0:35:29Increasing social mobility is a policy challenge that
0:35:29 > 0:35:32all governments tell us they want to tackle -
0:35:32 > 0:35:34yet we know that there are huge variations across the country
0:35:34 > 0:35:36in outcomes for the most disadvantaged.
0:35:36 > 0:35:38The television presenter June Sarpong went back to her school
0:35:38 > 0:35:48in East London to see what they did there to help her get ahead.
0:35:52 > 0:35:56When Theresa May spoke at the Conservative Party conference of
0:35:56 > 0:36:01reigniting the British dream, my hope was that her talk would lead to
0:36:01 > 0:36:06urgent action. Research by the London School of Economics reveals
0:36:06 > 0:36:12diversity and social mobility has ground to a halt. Only 4% of
0:36:12 > 0:36:17doctors, 6% of barristers, 11% of journalists and 12% of solicitors
0:36:17 > 0:36:21and from working-class backgrounds. These are all my contemporaries.
0:36:21 > 0:36:28Here I am! My journey and my experiences have given me the
0:36:28 > 0:36:33opportunity to take a 360 degrees view on this issue. Sadly, my story
0:36:33 > 0:36:39is far from the norm, but I believe we can all be beneficiaries, if we
0:36:39 > 0:36:43do diversify. Recently, the government released its race
0:36:43 > 0:36:47disparity audit, and as welcome as that was, and we know the problems,
0:36:47 > 0:36:51the things I found depressing was that there were not any solutions
0:36:51 > 0:37:04offered. I have come back to East London where I grew up, to
0:37:05 > 0:37:08show how I feel my story represent social mobility when it is done
0:37:08 > 0:37:10right. I'm here at my school which is Connaught School for Girls, which
0:37:10 > 0:37:13is an ordinary state school, but what it did have was aspiration. Our
0:37:13 > 0:37:15schools should be a microcosm of society. At Connacht will came from
0:37:15 > 0:37:18diverse backgrounds but we knew the best was expected from us and we
0:37:18 > 0:37:26strove to achieve it. Good to see you!He did not do GCSE textiles.
0:37:26 > 0:37:37You were good in the lower school. Connaught's progress levels are
0:37:37 > 0:37:44above the national average. The Allan Nyom include Asha Philip 's in
0:37:44 > 0:37:51athletics. This is all from the school where they descent of pupils
0:37:51 > 0:37:54receive free school meals. Sally Walker taught at the school and
0:37:54 > 0:37:59returned three years ago a head teacher. How do you feel in terms of
0:37:59 > 0:38:03social mobility? Schools like this are the first stop. It is here that
0:38:03 > 0:38:09someone's mind is possibilities then their background wouldn't ordinarily
0:38:09 > 0:38:16allow.Really throughout curriculum, our pastoral work and our assembly
0:38:16 > 0:38:19programme, by talking to girls in the school and the playground, we
0:38:19 > 0:38:23make them believe they can succeed through hard work. You do have to
0:38:23 > 0:38:27work with them but your world is your oyster and you can go out there
0:38:27 > 0:38:34and do something for yourself.I believe creating a diverse upwardly
0:38:34 > 0:38:37mobile workforce begins in the classroom. When you look at the
0:38:37 > 0:38:41outcomes that have been able to happen in this very small community,
0:38:41 > 0:38:44these are the sort of example is the government should be looking to
0:38:44 > 0:38:56replicate and scale throughout the country.You walk along the
0:38:56 > 0:39:02corridors and half of them have got no lights.Paula is not alone in the
0:39:02 > 0:39:08squalor of this estate, a relic of the 1960s.It is not just education.
0:39:08 > 0:39:15How we live is a key factor in social mobility. I was raised in the
0:39:15 > 0:39:1880s on this housing estate, at a time when people like us felt
0:39:18 > 0:39:22neglected and forgotten by the state.Paradoxically the scheme to
0:39:22 > 0:39:26patch up the estate is only £30 million less than knocking it down
0:39:26 > 0:39:31and starting again. Despite the decision blocking that, residents
0:39:31 > 0:39:34and councillors say they will continue their uniquely close
0:39:34 > 0:39:45relationship and fight on.This is the former site of the Cathall
0:39:45 > 0:39:50state. When I grew up here it was one of the roughest housing estates
0:39:50 > 0:39:54in East London. It was torn down in the early 2000 and replaced with
0:39:54 > 0:39:58what you see now. An example of social mobility done right when you
0:39:58 > 0:40:05raise living standards. The close-knit and diverse community I
0:40:05 > 0:40:09experienced as a child in Walthamstow helped shape my sense of
0:40:09 > 0:40:14belonging and also provided a support network. When I was growing
0:40:14 > 0:40:20up, this was the hub of the community. The market stall holders
0:40:20 > 0:40:24were mainly white working-class survivors of the Second World War.
0:40:24 > 0:40:29They were community minded and they welcomed diversity and families like
0:40:29 > 0:40:34mine. Walthamstow has changed considerably over the last 30 years.
0:40:34 > 0:40:37Globalisation and gentrification have meant the incomes that these
0:40:37 > 0:40:44markets stallholders once learned are no longer what they were. And
0:40:44 > 0:40:46unfortunately, the Community Cohesion Minister I experienced
0:40:46 > 0:40:52growing up no longer exists either. Do you think people still mix like
0:40:52 > 0:40:57David before?... Know, before it was English, yes, and you have no space
0:40:57 > 0:41:01even to walk the street. But now, I think no English people in the
0:41:01 > 0:41:09market. Or Asian, Turkish, Indian. No English. Why do you think there
0:41:09 > 0:41:12is no English?It is the main thing because the house prices are going
0:41:12 > 0:41:18up. They sell their property and they go to a different town.My
0:41:18 > 0:41:27friends were nearby, there must have been 20 of them here but they have
0:41:27 > 0:41:29all gone because they can't make ends meet. It is tough, very tough.
0:41:29 > 0:41:32They have all gone. People come up and they ask how much it is and
0:41:32 > 0:41:34unfortunately you have to do sign language, because they can't speak
0:41:34 > 0:41:41English.Social inequality needs to be tackled by our institutions with
0:41:41 > 0:41:46the same vigour that segregation and races were in the latter decades of
0:41:46 > 0:41:50the 20th century. We need to charge the arms of our government machinery
0:41:50 > 0:41:53to work together and more effectively for the common good. And
0:41:53 > 0:41:59I firmly believe we need an education system that provides a
0:41:59 > 0:42:03clear pathway unemployment, social mobility and financial stability for
0:42:03 > 0:42:06everyone.
0:42:06 > 0:42:08June Sarpong there.
0:42:08 > 0:42:10And that's all we have time for tonight.
0:42:10 > 0:42:13Emily is here tomorrow - goodnight.