12/01/2016

:00:00. > :00:08.Hello it's Tuesday, it's 9.15, I'm Joanna Gosling in for Victoria,

:00:09. > :00:15.The first strike by junior doctors in 40 years;

:00:16. > :00:19.thousands of NHS patients in England have their routine operations

:00:20. > :00:23.and appointments cancelled as the dispute over changes to pay

:00:24. > :00:34.We think that though we do need change to the contract, this isn't

:00:35. > :00:37.the prescription the NHS needs so junior doctors really have the short

:00:38. > :00:39.end of the strick. That's not what we want to see.

:00:40. > :00:42.We want to hear from you if you're a patient who's affected or you work

:00:43. > :00:48.in a hospital and we'll hear from our audience of viewers -

:00:49. > :00:51.some of whom work in the health service -

:00:52. > :00:57.about whether the doctors are right to strike.

:00:58. > :01:02.I'm Sabrina and this new proposal is not safe for doctors. I'm for

:01:03. > :01:05.doctors but against the strike. Also today, hundreds of Syrians

:01:06. > :01:08.in the besieged town of Madaya must be moved so they can get life-saving

:01:09. > :01:11.medical care according We'll have the latest

:01:12. > :01:23.from those on the ground. Hello and welcome to the programme,

:01:24. > :01:26.we're on BBC 2 and the BBC We'll have reports from around

:01:27. > :01:32.England on how today's doctors strike is affected services

:01:33. > :01:36.and we want to hear from you if you're affected,

:01:37. > :01:39.especially if you or one of your relatives has had

:01:40. > :01:50.an operation cancelled. We are getting reports of an

:01:51. > :01:52.explosion in central Istanbul. More on that as we get it. Plus the rest

:01:53. > :02:04.of the day's news and sport. You can subscribe to all our

:02:05. > :02:08.features on the news app, by going to add topics and searching

:02:09. > :02:11.Victoria Derbyshire. Thousands of NHS patients in England

:02:12. > :02:15.will have their operations or hospital appointments cancelled

:02:16. > :02:17.today because of a strike The industrial action -

:02:18. > :02:23.which is over pay and working hours - began at 8 o'clock this morning

:02:24. > :02:26.and will last 24 hours. NHS England says all hospitals have

:02:27. > :02:30.plans in place to deal with the disruption and emergency

:02:31. > :02:33.care will still be provided. But more than 4,000 routine

:02:34. > :02:37.operations and procedures have been cancelled and many non-urgent

:02:38. > :02:41.appointments will also be postponed. Scotland, Wales and Northern

:02:42. > :02:45.Ireland are not affected. Our reporter Jim Reed has been

:02:46. > :02:59.looking at why the doctors Ior Save our NHS, save our NHS, save

:03:00. > :03:03.our NHS, save our NHS... The priority at the moment is the

:03:04. > :03:08.thousands of people that we think die unnecessarily because we don't

:03:09. > :03:13.have proper cover for urgent and emergency care at weekends. Save our

:03:14. > :03:19.NHS, save our NHS... They are trying to cut our pay when

:03:20. > :03:28.we are already overworked and underpaid.

:03:29. > :03:31.There are 55,000 junior doctors in England.

:03:32. > :03:36.These are not just students leaving medical school but anyone below

:03:37. > :03:40.That can mean someone with nine years experience in charge

:03:41. > :03:46.They're the person you will see clerking you in when you go

:03:47. > :03:49.into A, they are the person you might see in your GP practice.

:03:50. > :03:52.Often they will be the person that comes round on the ward

:03:53. > :03:57.They are often also the people that will be doing surgery in theatre,

:03:58. > :04:00.they will be assisting the consultant when they do

:04:01. > :04:06.The starting salary is just under 23,000.

:04:07. > :04:09.Add in overtime and unsocial hours, average pay in the first two

:04:10. > :04:14.Those in higher training can earn 53,000, rising up to 70,000

:04:15. > :04:19.How does that compare with other jobs?

:04:20. > :04:22.It is hard to measure and depends on where you live but take

:04:23. > :04:25.the average pay for a junior doctor in those first two years.

:04:26. > :04:30.That is more than a teacher or a police officer

:04:31. > :04:33.but about the same as the starting salary for a banker and less

:04:34. > :04:38.One big part of this is hours worked.

:04:39. > :04:42.The Government wants to raise basic wages but change the way it pays

:04:43. > :04:49.At the moment, regular hours are set at 7-7 Monday to Friday,

:04:50. > :04:56.The Government wants to extend those core hours till 10pm in the week

:04:57. > :05:00.and into Saturday for the first time.

:05:01. > :05:04.This contract does not seem to value the hard work of junior doctors.

:05:05. > :05:08.The trouble with that is, the doctors that are working some

:05:09. > :05:10.of the most difficult hours, the ones that are working some

:05:11. > :05:14.of the hardest rotas, working through the night

:05:15. > :05:16.and weekends, etc, these are the people who really lose out

:05:17. > :05:21.They are the people this affects the most.

:05:22. > :05:24.In the last general election, the Conservatives promised to bring

:05:25. > :05:30.Illness does not respect working hours.

:05:31. > :05:32.Heart attacks, accidents, babies, these things do not just

:05:33. > :05:38.It has been known for years it is more dangerous to get sick

:05:39. > :05:43.A recent study found the odds of dying in hospital 10% higher

:05:44. > :05:49.Doctors say these changes will strip back the safeguards meant to stop

:05:50. > :05:52.them working excessive hours and make life less

:05:53. > :05:59.Junior doctors in England only are now on strike for 24 hours

:06:00. > :06:08.Two more strikes are planned for the end of January and February,

:06:09. > :06:16.unless there is a breakthrough in the talks.

:06:17. > :06:19.Let's go now to Royal Devon and Exeter Hospital,

:06:20. > :06:30.They are out on picket, tell us what is happening? Junior doctors left

:06:31. > :06:34.the ward to come out and stand on the picket line a short time ago.

:06:35. > :06:39.This is a south-west hospital. You can hear lots of car horns beeping.

:06:40. > :06:43.There appears to be a lot of support for the junior doctors, today

:06:44. > :06:47.cataract operations, knee and hip replacement operations should have

:06:48. > :06:53.been carried out, instead 177 letters were sent out cancelling

:06:54. > :06:57.out-patient appointments and also 28 operations were cancelled, so how is

:06:58. > :07:01.the hospital coping and what is going on inside the hospital says

:07:02. > :07:05.patient safety of course is a priority. Senior staff have been

:07:06. > :07:09.brought in to provide cover where possible, but today, as you can see,

:07:10. > :07:14.they are standing out here with their banners protesting about it.

:07:15. > :07:17.There are 390 junior doctors here at this hospital, more than half of the

:07:18. > :07:23.staff here, so the impact really will be felt here.

:07:24. > :07:25.Junior Doctors aren't only picketing hospitals today.

:07:26. > :07:29.Some of them are out at stations and other commuter hotspots around

:07:30. > :07:32.England this morning running "Meet the Doctors" events

:07:33. > :07:36.because they want to personally explain why they are on strike

:07:37. > :07:38.and what impact it's having at hospitals around the country.

:07:39. > :07:42.We've sent our reporter Jim Reed down to meet the doctors himself

:07:43. > :07:52.Euston station really busy. This might look like a picket line but

:07:53. > :07:54.these are junior doctors here to explain to the general public why

:07:55. > :08:02.they have taken the action they have. We are joined by two. This is

:08:03. > :08:06.Marie and Francesca. Explain why you are doing it and what the reaction

:08:07. > :08:09.has been so far? Were going on strike because we feel the contracts

:08:10. > :08:13.are not safe for our patients. Because this is all about the

:08:14. > :08:16.public, the NHS works for the public, we wanted to explain to them

:08:17. > :08:23.why we are taking this unprecedented action today. Marie, explain what

:08:24. > :08:27.you would say to someone, one of the thousands of people that's had

:08:28. > :08:33.treatment cancelled today? Firstly we'd like to apologise to any

:08:34. > :08:36.individuals who've had operations cancelled today or rearranged. We

:08:37. > :08:40.have been fighting for months to try to explain to the public what is

:08:41. > :08:46.going on and to try to prevent the strike action today which is a last

:08:47. > :08:50.resort. We have been pushed into a corner by Jeremy Hunt and the

:08:51. > :08:56.Government. It's the responsibility of them what is happening today. The

:08:57. > :09:00.average wage in the UK, ?26,000 to ?27,000. A lot of people here will

:09:01. > :09:06.be earning that, the starting salary for a junior doctor is ?36,000.

:09:07. > :09:12.People might say it's not bad going wage-wise? At no point have doctors

:09:13. > :09:16.asked for an increase in pay and the Government and the Union agreed the

:09:17. > :09:20.pay packet overall would be the same. What we are concerned about is

:09:21. > :09:23.how that pay is divided up amongst the doctors and some of the

:09:24. > :09:32.Government proposals will mean some doctors on call will be earning less

:09:33. > :09:33.than the minimum wage. So that is deeply concerning. Why would doctors

:09:34. > :09:43.go into those specialities? We are concerned. Thanks very much both of

:09:44. > :09:47.you. The doctors will be here all day. Two more strike days planned,

:09:48. > :09:49.one or two more days at the end of January and one at the start of

:09:50. > :09:51.February. Back to you. Let's talk about this now

:09:52. > :09:54.with Dr Dagan Lonsdale, who is in full support

:09:55. > :09:57.of the strikes and Dr Jon Stanley, another junior doctor

:09:58. > :10:07.but he doesn't support the strike. Jon, tell us why you don't support

:10:08. > :10:11.the strike? Good morning and thank you for having me on the programme.

:10:12. > :10:17.There are three main reasons. First, I have issues with the validity of

:10:18. > :10:19.the ballot. The ballot was called several months ago in conditions

:10:20. > :10:24.that are very different than they are today. The second is, I have

:10:25. > :10:30.concerns over the general welfare and safety of patients. The

:10:31. > :10:34.emergency cover that is going to be provided during the week is provided

:10:35. > :10:39.at the same level as the weekend, yet some of the demands in hospital

:10:40. > :10:44.are much higher during the week, so that emergency cover won't be as

:10:45. > :10:47.good as is promised. Secondly, many parts of the country you will know

:10:48. > :10:53.have been very severely affected by flooding. Operations in clinics have

:10:54. > :10:59.been cancelled in some areas already and I'm very disappointed that the

:11:00. > :11:03.BMA's chosen to extend its strike action to these areas. At a very

:11:04. > :11:08.minimum, areas affected by flooding should have been excused from this

:11:09. > :11:13.strike. Dagan, why are you striking? Again, thank you for having me on

:11:14. > :11:16.the programme. No doctor in the country wants to take industrial

:11:17. > :11:20.action. We have been forced into this position by a Government who've

:11:21. > :11:25.refused to negotiate fully and openly with us. I'm striking because

:11:26. > :11:30.I believe that this contract, were it to be implemented as it stands,

:11:31. > :11:34.would be unsafe for my patients, as well as being unfair to junior

:11:35. > :11:38.doctors. Explain a bit more, when you say it would be unsafe, what

:11:39. > :11:43.would be unsafe because the hours are more restricted than currently

:11:44. > :11:47.under the new contracts? Well, when I look at pieces of evidence, I

:11:48. > :11:51.really get down and unpick what is there. Whilst Jeremy Hunt and NHS

:11:52. > :11:56.England are saying that the number of hours will be reduced, when you

:11:57. > :12:01.look at the safeguards, the policing of that part of the contract, there

:12:02. > :12:06.are no safeguards in place to make sure that actually happens. And you

:12:07. > :12:10.don't trust the employers? I certainly don't trust Jeremy Hunt.

:12:11. > :12:14.He's consistently attacked junior doctors, made us out to be

:12:15. > :12:18.militants, suggested that we lack vocation. But if it's in the

:12:19. > :12:25.contract to say the hours cannot be broken, do you not trust that 1234

:12:26. > :12:30.Not without robust safeguards. We are a hospital to routinely overwork

:12:31. > :12:34.its doctors, there are financial penalties in place that would mean

:12:35. > :12:39.our Trust would be fined. Those penalties are being removed in the

:12:40. > :12:43.way they currently act such that if a Trust routinely overworks doctors,

:12:44. > :12:46.it fines itself, ie the fine goes back to the Trust, the hospital, and

:12:47. > :12:50.I don't see that as a disincentive. I think we are going to see a

:12:51. > :12:55.stretching of the service in an environment where the NHS is in its

:12:56. > :13:00.tightest financial position it's ever been in its existence. The only

:13:01. > :13:06.outcome therefore in a contract that has loose policing will be meaning

:13:07. > :13:09.that doctors are overworked. That is a perspective and fear about things

:13:10. > :13:14.further down the line. As things stand if it were properly policed,

:13:15. > :13:16.would you be OK? If the contract were written with appropriate

:13:17. > :13:20.policing, with appropriate safeguards in place, then we would

:13:21. > :13:24.not be taking industrial action. It's one of the fundamental points

:13:25. > :13:29.the BMA disagrees with Government on, so you are absolutely right, if

:13:30. > :13:31.the contract is written and we have robust safeguards for working

:13:32. > :13:34.practices, then it would be fine, there would be no problem.

:13:35. > :13:40.Jon, are you concerned about the issue of safeguards and the fact

:13:41. > :13:44.that what is in the contracts could therefore be ignored? Of course

:13:45. > :13:47.safety is paramount. I'm not going to talk about

:13:48. > :13:50.safety is paramount. I'm not going because up until a few days ago, the

:13:51. > :13:54.BMA was in arbitration with the Government and the forum for

:13:55. > :13:58.discussing the fine details of how safeguards are put in place and who

:13:59. > :14:07.is policing them should be discussed there. I would take one issue, the

:14:08. > :14:11.contracts being proposed, the contract being striked on is one

:14:12. > :14:14.that was offered months ago and since we have had four weeks of

:14:15. > :14:19.arbitration, that's changed. This is problem, this is what the public

:14:20. > :14:22.don't realise. The BMA are now effectively striking on an offer

:14:23. > :14:27.that's already out-of-date. In terms of whether doctors should ever go on

:14:28. > :14:31.strike, do you agree with the doctors having the right to strike?

:14:32. > :14:35.I believe any worker in a free society has the right to withhold

:14:36. > :14:39.their labour. When you are a member of a profession that's given a huge

:14:40. > :14:43.amount of trust and regard by the public, the threshold of that has to

:14:44. > :14:47.be extremely high. Particularly for trainees, they are in a privileged

:14:48. > :14:51.position, there are very few training places in the UK, many

:14:52. > :14:57.doctors don't enjoy the chance to train herer at all. I think striking

:14:58. > :15:02.during the training period will be seen as, it won't be held in a very

:15:03. > :15:10.high regard by some of our non--trained colleagues. What do you

:15:11. > :15:14.say to that, Dagan? There have been negotiations before Christmas. The

:15:15. > :15:18.fundamental issues over patient safety and fair working practices

:15:19. > :15:22.remain the same, remain problematic for junior doctors, and we are not

:15:23. > :15:29.talking about a small minority of junior doctors who before Christmas

:15:30. > :15:33.voted for industrial action. 98% of those patient doctors who returned

:15:34. > :15:36.the ballot voted in favour of industrial action. This isn't a

:15:37. > :15:39.small minority, this is doctors looking at the evidence for

:15:40. > :15:42.themselves and saying, this contract's dangerous and it's

:15:43. > :15:44.completely unfair and, without significant movement for Government,

:15:45. > :15:49.we have no option but to take action. We have tried every other

:15:50. > :15:52.avenue, we have tried communicating with Government directly, 20,000

:15:53. > :15:57.doctors were on the streets of London marching in protest against

:15:58. > :16:01.this dangerous contract, 98%, tens of thousands voted for industrial

:16:02. > :16:05.action and still, despite that, the Government haven't listened and

:16:06. > :16:09.haven't entered into meaningful negotiations with the BMA so we have

:16:10. > :16:16.been left with no choice. The BMA left the negotiations

:16:17. > :16:23.They have been in negotiations for three years. At one stage they said

:16:24. > :16:27.this contract is so bad, so dangerous and you are not engaging

:16:28. > :16:32.with us that there is no point in us being there and they said that if

:16:33. > :16:40.you do not start to listen to us, there is no point and we will step

:16:41. > :16:47.back from the table. From what you say, it sounds like your beef is the

:16:48. > :16:52.lack of safeguards to make sure the hours are properly monitored and

:16:53. > :16:57.hospitals are held to account. Is that really what this boils down to?

:16:58. > :17:03.For me, if we were just talking about a contract change that cut the

:17:04. > :17:07.pay for doctors, in a time of austerity, everyone is taking this

:17:08. > :17:13.5% cut, we would not see this level of dismay. But the fact is, the

:17:14. > :17:17.contract could bring in dangerous conditions and there are issues over

:17:18. > :17:22.pay and conditions... Holding the line for the future? Doctors have a

:17:23. > :17:28.moral duty to look after the NHS for the future because if we have no NHS

:17:29. > :17:32.that respects doctors and Monson working in safe practice, we will

:17:33. > :17:38.lose the NHS and I think the public want to keep it and that is why I am

:17:39. > :17:43.taking part today. What about that point that it is protecting the NHS

:17:44. > :17:49.for the future? In the next few days we will hear every side of this

:17:50. > :17:53.argument over ownership of the NHS. My issue is that first and foremost

:17:54. > :17:58.I am a member of a profession and by nature we put patients first. The

:17:59. > :18:04.one concern I have is that in recent days we have heard more languid from

:18:05. > :18:07.certain members of the BMA trying to make this a wider issue and trying

:18:08. > :18:13.to bring in other political groups and areas of the public sector and

:18:14. > :18:17.trying to make this as part of a larger movement against the

:18:18. > :18:22.government and I am concerned about that. You all want good health care

:18:23. > :18:29.in this country and we have the NHS in this country and we want it to

:18:30. > :18:34.work but I will not lay claim to being the champion of the NHS more

:18:35. > :18:39.than anyone else. Speaking about comments from viewers, one says that

:18:40. > :18:43.junior doctors are wrong to strike, people need care and the weekends as

:18:44. > :18:47.well as a week, what if I'm in and police have the same attitude? VB

:18:48. > :18:52.will move abroad when she graduates, junior doctors we teach me work

:18:53. > :18:57.ridiculous rotors and they are exhausted and the NHS is a mess. I

:18:58. > :19:01.will be sorry to go but this government is hell-bent on

:19:02. > :19:05.destroying the NHS. And one says, I am a senior doctor, fully in support

:19:06. > :19:11.of the junior doctors, we want to save the profession. Thank you all

:19:12. > :19:15.very much. And thank you for your comments at home, keep them coming

:19:16. > :19:23.in. We will talk more about this. Still to come... The view from

:19:24. > :19:30.inside the city of Madaya as vital aid begins to arrive.

:19:31. > :19:33.And how a breakthrough DNA project has finally allowed children

:19:34. > :19:42.with mystery diseases to be diagnosed.

:19:43. > :19:47.Keep your points of view coming in. The menus...

:19:48. > :19:51.Junior doctors in England are beginning a 24 hour strike

:19:52. > :19:53.in their dispute with ministers about new contracts.

:19:54. > :19:55.Emergency cover is still being provided but around 4000 scheduled

:19:56. > :19:59.The Health Secretary Jeremy Hunts says doctors have been offered

:20:00. > :20:02.a rise in basic pay but wants to see changes so that more staff

:20:03. > :20:14.It is a last resort, doctors have not been on strike for more than 40

:20:15. > :20:17.years and we have been pushed into a corner to the government 's

:20:18. > :20:24.decisions. The responsibility lies with them for what is happening.

:20:25. > :20:27.Senior health officials in Turkey have told Reuters that ten people

:20:28. > :20:29.have been killed in an explosion in Istanbul.

:20:30. > :20:31.It's thought to have happened in the city's historic

:20:32. > :20:32.Sultanahmet district, an area popular with tourists.

:20:33. > :20:35.The cause of the explosion is not yet known.

:20:36. > :20:38.The UN is warning that around 400 people urgently need to be evacuated

:20:39. > :20:40.from the besieged Syrian town of Madaya or face dying

:20:41. > :20:45.from starvation or other medical problems.

:20:46. > :20:47.Residents received their first supply of food and medicine

:20:48. > :20:49.in months yesterday, when an international aid convoy

:20:50. > :20:55.Doctors think they've identified genetic mutations which left

:20:56. > :20:58.a four-year-old girl unable to talk and with damaged kidneys and eyes.

:20:59. > :21:01.Georgia Walburn-Green is the first person to have her condition

:21:02. > :21:08.explained by the 100,000 Genomes Project.

:21:09. > :21:11.The scientists who studied her DNA hope that new treatments will be

:21:12. > :21:14.Archaeologists working on what's said to be Britain's best preserved

:21:15. > :21:16.Bronze Age settlement have given a glimpse behind the scenes

:21:17. > :21:21.Must Farm was home to several Bronze Age families when a fire tore

:21:22. > :21:23.through it 3000 years ago, causing it to sink

:21:24. > :21:35.This is almost like getting the opportunity to look through the

:21:36. > :21:39.curtains and see people actually in their daily moment and as

:21:40. > :21:43.archaeologists, you just really nosy and that is what we want, to be able

:21:44. > :21:45.to see what people are doing and this gives us an opportunity unlike

:21:46. > :21:47.others. The media mogul Rupert Murdoch

:21:48. > :21:50.and the actress and model Jerry Hall The couple have been together

:21:51. > :21:53.for four months. The engagement was announced in this

:21:54. > :21:55.morning's Times newspaper, which is owned by Mr Murdoch's News

:21:56. > :21:59.Corporation company. Let's catch up with

:22:00. > :22:12.all the sport now. Good morning. Huge congratulations

:22:13. > :22:16.this morning to Lionel Messi, who was crowned the winner of the Ballon

:22:17. > :22:21.d'Or, awarded to the best player in the world for a record fifth year in

:22:22. > :22:28.a row. He won this consecutively for a long four years between 2009 and

:22:29. > :22:31.2012 for Cristiano Ronaldo. This year, he picked the Portuguese

:22:32. > :22:35.player into second place and there was some frosty this when it was

:22:36. > :22:41.awarded. Let us say that he took his time to congratulate Nalgo. So, the

:22:42. > :22:45.winner of the men's award, Carly Lloyd, the USA midfielder, winning

:22:46. > :22:50.for the woman, she scored a hat-trick in the final of the World

:22:51. > :22:56.Cup. There was British interest on the night, Mark Sampson, the England

:22:57. > :22:59.women's coach just lost out to Jill Ellis, congratulations to him,

:23:00. > :23:06.though, he has been given a contract extension. Speaking of managers,

:23:07. > :23:10.Louis Van Gaal takes his side to Newcastle United tonight and

:23:11. > :23:15.surprisingly, he says that he also has been bought by his team. But I

:23:16. > :23:26.grew bored by his team so far this season. Join us at around ten

:23:27. > :23:31.o'clock for more. -- board. More on the breaking news from Turkey. There

:23:32. > :23:33.has been a large explosion in central Istanbul with reports of at

:23:34. > :23:45.least ten people have been killed. It went off in Sultanahmet Square,

:23:46. > :23:53.next to the Blue Mosque. Our correspondent could hear the

:23:54. > :24:01.explosion. It was at 9:40am, local time. I heard the explosion despite

:24:02. > :24:12.the wind being closed and we started looking. -- the windows. There are

:24:13. > :24:19.reports that more than ten casualties and more people are dead

:24:20. > :24:24.but as far as we can get from the government, ten people got killed as

:24:25. > :24:32.a result of this explosion, this blast. There are rumours which have

:24:33. > :24:38.not been confirmed that it could be a suicide attack in this part of

:24:39. > :24:45.Istanbul. Deliberately targeting tourists, it would seem? Yes,

:24:46. > :24:53.Sultanahmet Square is a major point for every kind of tourist group and

:24:54. > :24:59.it is the major Ottoman area which carries all of the characteristics

:25:00. > :25:02.of the past so it could target tourists but no one else. Have been

:25:03. > :25:11.previous attacks like this in Istanbul? Last year, at the

:25:12. > :25:16.beginning of January, last year, there was another attack in

:25:17. > :25:21.Istanbul, targeting the police station in Sultanahmet and there

:25:22. > :25:25.were only a few casualties, including officers and that was a

:25:26. > :25:31.suicide attack and it is one year on since this. Thank you very much and

:25:32. > :25:32.we will stay across the latest reports and keep you updated on

:25:33. > :25:34.that. The UN says around 400 Syrians out

:25:35. > :25:38.of the besieged town of Madaya are at risk of dying and need

:25:39. > :25:40.to be urgently moved. Yesterday an international aid

:25:41. > :25:42.convoy entered the town, where 40,000 people have been

:25:43. > :25:44.trapped by a government Aid agencies say there are credible

:25:45. > :25:52.reports of people starving to death, while activists have posted images

:25:53. > :25:54.claiming to show people eating Here's a quick reminder

:25:55. > :27:09.of how we got here. We can speak now to Pavel Sheshek,

:27:10. > :27:13.who was in Madaya yesterday as part of the convoy with the

:27:14. > :27:15.International Red Cross. He's now back in the Syrian

:27:16. > :27:20.capital Damascus. On the line is Abdullah Burhan,

:27:21. > :27:23.a former fighter for the Free Syrian Army who lives

:27:24. > :27:25.on the outskirts of Madaya. And joining us here in

:27:26. > :27:34.the studio is Greg Barrow What was it like going into Madaya?

:27:35. > :27:38.I would say it was like going with very mixed feelings and those

:27:39. > :27:42.feelings accompanied us to the very end of the operation so on the one

:27:43. > :27:51.hand we had this huge sigh of relief from the people, you could see

:27:52. > :27:56.smiling and cheering, the people thanking us for coming, did you

:27:57. > :28:04.bring food and medicine? We did not have either. Nothing to eat for a

:28:05. > :28:11.very long time. On the other hand, what they were telling us, what we

:28:12. > :28:15.have seen in the medical structures, it was just heartbreaking. The

:28:16. > :28:26.people are in a very desperate condition. We have seen several

:28:27. > :28:32.cases, several people very severely malnourished, the people telling us

:28:33. > :28:41.that for the past few days, when the food ran extremely low, they had to

:28:42. > :28:48.eat water with spices. They showed us pictures of leaves and grass. The

:28:49. > :28:54.most shocking thing, leaving -- living and working here, is pretty

:28:55. > :29:00.much every single person who came to me asked as the first question, did

:29:01. > :29:10.you bring any bread? Or biscuits. I am hungry. What did you bring them?

:29:11. > :29:16.We brought, together with the UN and the Red Crescent, 44 drugs of

:29:17. > :29:22.humanitarian aid, the UN was responsible for the food supplies

:29:23. > :29:30.which are very desperately needed. The Red Crescent brought similar,

:29:31. > :29:36.life-saving and essential medical supplies to keep the health

:29:37. > :29:43.structures running. Those guys were doing a great job, not only in

:29:44. > :29:50.Madaya but North, with a similar convoy, they brought also the baby

:29:51. > :29:55.unit. It is not only a matter of food that is not available, the

:29:56. > :30:02.health structures and the conditions in a very basic dispensary I've just

:30:03. > :30:07.tragic. Many people need further, specialist assistance and we are

:30:08. > :30:13.quite sure that this is not only the case in Madaya but other besieged

:30:14. > :30:18.places in Syria but we must access as soon as possible. Tell us more

:30:19. > :30:24.about those people in desperate need, the aid agencies have

:30:25. > :30:27.identified around 400 who really should get out of Madaya to access

:30:28. > :30:37.that sort of care. What is your prospective? -- perspective. We

:30:38. > :30:42.identified eight agencies, with the UN, together we are working hard

:30:43. > :30:47.with those cases so certain people need to be taken out but right now

:30:48. > :30:56.we each need to follow basic procedures to negotiate that and all

:30:57. > :31:03.of his preparations are under way so I cannot tell you more than that. So

:31:04. > :31:09.we can reach some substantial result there. Greg Barrow from the World

:31:10. > :31:15.Food Programme, the aid will only last a finite amount of time. What

:31:16. > :31:19.would you like to see happening? We want free and unhindered access on a

:31:20. > :31:24.regular basis. One of the most tragic messages we had from people

:31:25. > :31:28.yesterday was the one that's it, we may not see you again. People

:31:29. > :31:32.genuinely thought that after the first convoy went in, this could be

:31:33. > :31:37.the last they see a few monetary and agencies. We cannot have a situation

:31:38. > :31:43.like that, we cannot have children suffering the kind of problems that

:31:44. > :31:47.were just described. And the situation there is absolutely

:31:48. > :31:51.appalling. We have stories of people paying ?130 for the kilogram of

:31:52. > :31:55.rice. One family told us they had to sell the family car to get three

:31:56. > :31:59.kilos of rice. And giving away gold jewellery, the children gathering

:32:00. > :32:04.pirouette in saying give us anything to eat. We want biscuits and bread.

:32:05. > :32:06.This is not what should be happening in this day. It goes against all

:32:07. > :32:15.humanitarian principles. Should there be aid drops into

:32:16. > :32:19.places like Madaya? We hear this argument all the time. You can't

:32:20. > :32:23.drop food into a city. It's just too problematic. The simplest solutions

:32:24. > :32:27.are the best solutions, we just need to be able to drive food into the

:32:28. > :32:32.city. That way, we can meet the needs of 40,000 people on a regular

:32:33. > :32:37.basis. What are your concerns now that the aid has gone in but these

:32:38. > :32:48.people are left, albeit with a bit of extra help, but left until if and

:32:49. > :32:53.when there is more aid on the way? Well, I think the only logical

:32:54. > :32:58.solution for us, for all humanitarian activists is to get

:32:59. > :33:05.this regular access, not only to Madaya, but to other besieged places

:33:06. > :33:10.in Syria. We can confirm that all the places are going through

:33:11. > :33:14.extremely difficult and tragic didn't. Their lives are in danger

:33:15. > :33:21.and we really need to be able to help them. In order to do that, we

:33:22. > :33:23.have to keep coming back with the humanitarian aid. There is no

:33:24. > :33:29.long-term solution for the time being. Greg, Madaya is the name in

:33:30. > :33:33.the head lierns, there's been a lot of focus on Madaya, but there are

:33:34. > :33:39.other places just like Madaya, what is the situation in those places,

:33:40. > :33:45.are they getting assistance -- headlines Simultaneously yesterday

:33:46. > :33:49.we distributed food aid in two different locations to the north,

:33:50. > :33:54.surrounded by opposition forces. Across the country, we estimate that

:33:55. > :33:57.up to 400,000 people are stuck in those either besieged or

:33:58. > :34:01.hard-to-reach places. So this is a feature of our work and has been so

:34:02. > :34:05.for many years now. It's an unfortunate feature and we have to

:34:06. > :34:09.send a very, very clear message to the people with guns, you have to

:34:10. > :34:12.let the humanitarian agencies through. How difficult is it for the

:34:13. > :34:18.agencies working in these conditions? It's probably one of the

:34:19. > :34:23.most challenging and complex operations in the world right now.

:34:24. > :34:27.Despite that, I should say the World Food Programme is reaching around

:34:28. > :34:31.four million programme every month inside area alongside the 1.5

:34:32. > :34:35.million refugees we are feeding. But it's a very, very complex operation

:34:36. > :34:39.and it would be a lot easier if those groups on the ground

:34:40. > :34:44.cooperated more. Thank you both very much for joining us. Let's bring you

:34:45. > :34:51.some breaking news on the junior doctor's strike. Sandwell Hospital

:34:52. > :34:56.has declared a level four incident and has told their junior doctors

:34:57. > :35:00.they must attend work. The Trust has said, we have got no more details

:35:01. > :35:08.about that level four incident and why it is happening that doctors are

:35:09. > :35:13.being told they must attend work at Sandwell in West Bromwich, but we'll

:35:14. > :35:23.check that out and get more as we get it. More political reaction now

:35:24. > :35:34.from Norman Smith in Westminster. Westminster you are actually at a

:35:35. > :35:38.hospital, away from your normal stomping ground? I'm at St Thomas',

:35:39. > :35:42.Westminster's Hospital, I suppose, where MPs have to come if they have

:35:43. > :35:45.scrapes or cuts, though probably not if you are a Tory minister, I doubt

:35:46. > :35:49.you will be coming here today. A fair number of pickets have already

:35:50. > :35:53.gathered. The strange thing about today's industrial action though is,

:35:54. > :35:58.no word really from the Government. Now, this is curious in the sense

:35:59. > :36:03.that, here we have the first doctors' strike since the '70s. It's

:36:04. > :36:07.a long time since we have had such a strike, something like 4,000

:36:08. > :36:10.operations expected to be cancelled, you have about 40,000 junior doctors

:36:11. > :36:14.out on the strike, but the Government's chosen not to say

:36:15. > :36:18.anything today, turning down all requests for interviews. In fact,

:36:19. > :36:22.they've put up a clinician chap by the name of Norman Williams, an

:36:23. > :36:29.eminent consultant, to speak on behalf of Jeremy Hunt last night.

:36:30. > :36:33.This is what happened. REPORTER: Where is Jeremy Hunt

:36:34. > :36:36.tonight? He's in the department at his desk working hard. And do you

:36:37. > :36:41.feel it's good that doctors on the eve of a national strike and indeed

:36:42. > :36:45.the people who use the NHS aren't able to hear from... Hang on a

:36:46. > :36:52.second, we are not doing all this nonsense... We are recording all

:36:53. > :36:55.this, so there you go. We agree add series of questions... I didn't

:36:56. > :37:00.agree any questions with anyone, so there you go. We are here in an

:37:01. > :37:04.interview, you are the person the Department of Health put up for

:37:05. > :37:08.interview. I'm a clinical adviser. But you are the person the

:37:09. > :37:12.Department of Health put up. We are in a democracy, I think I'm allowed

:37:13. > :37:15.to ask you the questions... Well, not to be deterred, we sent

:37:16. > :37:18.one of our reporters off to Mr Hunt's house this morning just to

:37:19. > :37:24.see whether he'd have time to say a few words, give us the Government's

:37:25. > :37:28.view on the junior doctors' strike. This is what happened.

:37:29. > :37:33.REPORTER: Do the proposals threaten the future of the NHS? That's why we

:37:34. > :37:40.want to speak to you. Is there enough money to create a 24-7 NHS.

:37:41. > :37:43.There is. What is your message to junior doctors?

:37:44. > :37:47.The Government is adopting a low profile I suspect because of the

:37:48. > :37:49.battle for public opinion. There is awareness in Government circles of

:37:50. > :37:55.having a Government minister pitching up on the telly, then in

:37:56. > :37:58.the next shot having junior doctors because perhaps inevitably, people's

:37:59. > :38:01.sympathy is going to gravitate more to the doctors than the politician.

:38:02. > :38:06.That said, ministers are determined not to back down. They say they have

:38:07. > :38:10.a mandate in their manifesto to introduce a 24-hour NHS, that is

:38:11. > :38:15.what this is all about, they say, and Mr Hunt argues that he's

:38:16. > :38:20.offering an 11% pay rise. We heard Mr Cameron just yesterday saying

:38:21. > :38:27.that most doctors will be better off. But will they? I'm joined by

:38:28. > :38:32.the BMA representative of the junior doctors and, is that what this is

:38:33. > :38:35.really all about, money? The fact is that junior doctors want a safe,

:38:36. > :38:39.fair contract. The last thing they want to ever do is to take

:38:40. > :38:44.industrial action. What we want is to be protected in our working

:38:45. > :38:47.lives, to make sure we don't put patients at risk in making

:38:48. > :38:52.fundamental decisions. What is your problem though with

:38:53. > :38:58.having a 24-hour NHS as Mr Hunt wants to introduce? We have

:38:59. > :39:03.currently a 24-hour NHS, your viewers will know that. I work as an

:39:04. > :39:07.obstetrician, we deliver babies 24 hours a day, seven days a week. The

:39:08. > :39:12.fact is the Government's completely mishandled this situation and has

:39:13. > :39:16.betrayed junior -- portrayed junior doctors as the problem when the

:39:17. > :39:20.Government is frankly. Mr Hunt says many hospitals are deterred from

:39:21. > :39:23.employing junior doctors at the weekend because it costs them more

:39:24. > :39:26.money so he wants to reduce the amount of cash you get for that

:39:27. > :39:29.evening and weekend work? Interesting that that is the issue

:39:30. > :39:34.when actually the Prime Minister said yesterday everyone would be

:39:35. > :39:37.better off. The fact is that junior doctors already work weekends,

:39:38. > :39:43.nights and evenings, this is nothing to do with junior doctors and your

:39:44. > :39:46.viewers will know that. Junior doctors are there 24 hours a day,

:39:47. > :39:50.seven days a week, it's a pity the Government doesn't recognise that.

:39:51. > :39:54.Are you really going to go through with a threat, not just to hold

:39:55. > :40:00.another day of strikes but also to hold one that would close down A

:40:01. > :40:04.too? The fact is that before December, we offered the

:40:05. > :40:10.Government's talks, the Government took us up but then didn't engage

:40:11. > :40:13.with us in a meaningful way. We hope the Government does address the

:40:14. > :40:17.concerns of all these doctors that have come out today and have

:40:18. > :40:19.demonstrated that they are absolutely unhappy with the

:40:20. > :40:24.Government proposals. If you are right and it's already a

:40:25. > :40:28.24-hour NHS and it's not just about money, are we basically in

:40:29. > :40:31.face-saving country, that if some sort of compromise can be put

:40:32. > :40:34.together which saves Jeremy Hunt's face and enables you to claim

:40:35. > :40:39.victory, that's it, that's what we are about now? Well, the fact is, we

:40:40. > :40:42.tried to put together a deal that actually helped junior doctors to be

:40:43. > :40:54.re-Rail Maritime and Transport Union negotiated appropriately, protected

:40:55. > :41:02.them, -- renumerated them. We have to take the concerns of 55,000

:41:03. > :41:07.doctors seriously. 99.6% of doctors do not vote for this kind of action

:41:08. > :41:11.unless they are deeply unhappy with the Government proposals.

:41:12. > :41:14.Thank you so much for your time. Joanna, it's worth just pointing out

:41:15. > :41:19.the stakes here for the Government really, because you only have to go

:41:20. > :41:23.back a few years and remember the plight of Andrew Lansley who also

:41:24. > :41:27.found himself locked in confrontation with many people in

:41:28. > :41:32.the NHS over his NHS reforms and that didn't turn out so well for

:41:33. > :41:35.him. So the stakes are high for Jeremy Hunt, albeit he insists he

:41:36. > :41:47.has a manifesto mandate to make the sort of changes he wants to make.

:41:48. > :41:53.Pixie has been in touch to say she has been affected but supports the

:41:54. > :41:58.doctors. Steven says junior doctors think too much of themselves. Police

:41:59. > :42:02.and Fire Service work nights, weekends with no extra pay. More on

:42:03. > :42:07.the strike and we do want to know how you have been affected so get in

:42:08. > :42:13.touch. After 10, we'll be talking with our viewers to tell us what

:42:14. > :42:16.they think and our audience. Be part of that discussion by getting in

:42:17. > :42:19.touch in all the usual ways. Let's get a weather

:42:20. > :42:27.update with Matt. You will probably agree it's

:42:28. > :42:33.starting to feel a bit more like winter now. Yes, it is. We had a

:42:34. > :42:37.ridiculously warm December. The weather is lacking the picture

:42:38. > :42:45.perfect quality of what you can see here. Look at China, the lovely

:42:46. > :42:49.white deposits on the trees. It's water vapour in the atmosphere that

:42:50. > :42:54.freezes when it hits any object. Usually happens by night when you

:42:55. > :43:02.see fog around, when the fog clears, you leave these beautiful pictures.

:43:03. > :43:07.It's called Rime. A nice version of that, this is footage from the

:43:08. > :43:13.United States. Look at this car encased in ice. Rough seas whipped

:43:14. > :43:17.up over the lake, the waves crashed on to to shore, lots of frozen

:43:18. > :43:20.vapour. Imagine trying to get your car open with that! They are

:43:21. > :43:23.suffering with extreme weather in the US, black out conditions in and

:43:24. > :43:27.around the Great Lakes. The snow will come day after day after day.

:43:28. > :43:31.When this happens, we are talking about two, three, four feet of snow

:43:32. > :43:36.falling within the space of 24 hours. Crikey. Not quite like the

:43:37. > :43:40.winter we are having at the moment but it will get colder. Let us get

:43:41. > :43:44.back to what is happening at the moment because it's chilly at the

:43:45. > :43:47.moment. While some started with sunshine, others have seen the

:43:48. > :43:51.showers and we'll see more develop more widely as we go through the day

:43:52. > :43:56.but still quite a chilly wind as well.

:43:57. > :44:01.At the moment, we have plenty of cloud across the east of Scotland,

:44:02. > :44:07.bringing in rain and hill snow. It will drift to northern England. This

:44:08. > :44:11.hook of cloud as well feeding the showers to north-west England and

:44:12. > :44:14.northern and western parts of Wales. Gale force winds here will push the

:44:15. > :44:18.showers to areas where so far you have been dry and sunny. As they

:44:19. > :44:21.push south and east, it means the west should have a brighter

:44:22. > :44:25.afternoon. Cornwall should be fine this afternoon. A good deal of

:44:26. > :44:30.sunshine. The winds will ease down. A noticeable wind chill for many,

:44:31. > :44:34.especially across the west. Brightening up towards Pembrokeshire

:44:35. > :44:39.and Carmarthenshire. Wintry over the hills and after a brief respite in

:44:40. > :44:42.the north, more cloud, rain and hill snow will develop.

:44:43. > :44:47.Into Northern Ireland, pretty wet. This afternoon looking much, much

:44:48. > :44:50.better with a few showers around. We'll continue to see sunny spells

:44:51. > :44:55.in the far west of Scotland throughout the day, but eastern

:44:56. > :44:58.Scotland, grey and gloomy, hill snow persisting and working its way into

:44:59. > :45:02.north-east England. A few showers south of that. After a sunny

:45:03. > :45:06.morning, East Anglia and the south-east, here we'll see some

:45:07. > :45:10.heavy showers to end the day. If you have got to work with conditions

:45:11. > :45:14.dry, you may not on the way home, because lots of outbreaks of rain. A

:45:15. > :45:18.cold wind as well. It eases away, dying back to the eastern coasts

:45:19. > :45:22.toward the end of the night and, with clear skies widely, a

:45:23. > :45:27.widespread frost away from towns and city centres. Could get as low to

:45:28. > :45:31.minus eight in pars of Scotland, just about staying frost free down

:45:32. > :45:36.the eastern districts but a risk of ice tomorrow. Tomorrow morning, a

:45:37. > :45:40.lot more waking up to sunshine, with a frosty start, and some across

:45:41. > :45:45.eastern England will stay dry throughout.

:45:46. > :45:50.The showers spreading to Northern Ireland, northern England, Scotland,

:45:51. > :45:53.a mixture of hail, sleet and snow and thunder, a bit of everything and

:45:54. > :45:58.it will still feel chilly. Tomorrow night, the showers take over a bit

:45:59. > :46:02.more widely across England, Wales, southern Scotland. A bit more white

:46:03. > :46:07.on the charts, increasing chance of the showers turning wintry. A bit of

:46:08. > :46:11.sleet and snow into Thursday. As that system clears, it opens the

:46:12. > :46:17.door to north to north-westerly winds and a plunge of colder air to

:46:18. > :46:20.end the week. A bit of sunshine, a few wintry flurries and also

:46:21. > :46:23.overnight widespread frost. That's it.

:46:24. > :46:25.Hello, it's Tuesday, it's 10 o'clock, I'm Joanna Gosling

:46:26. > :46:29.If you've just joined us, coming up before 11am...

:46:30. > :46:32.The first strike by junior doctors in 40 years.

:46:33. > :46:36.There's major disruption to thousands of NHS patients England

:46:37. > :46:39.as routine operations and appointments cancelled

:46:40. > :46:44.as the row over changes to pay and conditions escalates.

:46:45. > :46:48.We'll hear from our studio audience about their thoughts

:46:49. > :46:51.on the industrial action - and we also want to hear

:46:52. > :46:57.from you and whether you agree with the strike.

:46:58. > :47:05.A large explosion in the old town of Istanbul, ten people are dead. We

:47:06. > :47:09.will bring you the latest. The migrant camp at Calais is getting

:47:10. > :47:12.bigger and bigger, our reporter has been looking at what is being built

:47:13. > :47:19.there and whether that will tempt more people to head there.

:47:20. > :47:22.The main news this morning: Junior doctors in England have begun a 24

:47:23. > :47:29.hour strike in their dispute with ministers about new contracts.

:47:30. > :47:32.Emergency cover is still being provided but around 4000 scheduled

:47:33. > :47:39.One hospital in Birmingham have has declared a level four incident,

:47:40. > :47:41.winning junior doctors must go into work.

:47:42. > :47:43.The Health Secretary Jeremy Hunt says doctors have been offered

:47:44. > :47:47.a rise in basic pay but wants to see changes, so that more

:47:48. > :47:50.It is a last resort, doctors have not been on strike

:47:51. > :47:53.for more than 40 years and we have been pushed into a corner

:47:54. > :48:00.The responsibility lies with them for what is happening.

:48:01. > :48:03.The Governor's Office in Istanbul say that at least 10 people people

:48:04. > :48:05.have been killed in a large explosion in the city.

:48:06. > :48:07.It's thought to have happened in the city's historic Sultanahmet

:48:08. > :48:09.district, an area popular with tourists.

:48:10. > :48:15.The cause of the explosion is not yet known.

:48:16. > :48:26.We now have an editor from the EDC Turkish service. We can confirm this

:48:27. > :48:29.was a suicide attack, a bomb attack. It was definitely a bomb attack,

:48:30. > :48:34.this is what we've heard from the governor. It happened early in the

:48:35. > :48:40.morning, but before jurors groups were gathered in the square to visit

:48:41. > :48:45.the attractions, the historic attractions of the square. What

:48:46. > :48:50.we're hearing is that this was quite a large explosion, it was heard from

:48:51. > :48:56.the Asian side of Istanbul as well, a couple of kilometres away from the

:48:57. > :49:01.explosion site and also, you hearing from the hospital that there were

:49:02. > :49:06.numerous wounded people getting treatment in hospital, several of

:49:07. > :49:13.them seriously injured. The police officers are still contacting the

:49:14. > :49:14.investigation and the area is sealed off and we are monitoring the

:49:15. > :49:17.situation. Thank you very much. The UN is warning that around 400

:49:18. > :49:20.people urgently need to be evacuated from the besieged Syrian town

:49:21. > :49:23.of Madaya or face dying from starvation or other

:49:24. > :49:26.medical problems. Residents received their first

:49:27. > :49:29.supply of food and medicine in months yesterday,

:49:30. > :49:31.when an international aid convoy Doctors think they've identified

:49:32. > :49:37.genetic mutations which left a four-year-old girl unable to talk

:49:38. > :49:42.and with damaged kidneys and eyes. Georgia Walburn-Green is the first

:49:43. > :49:45.person to have her condition explained by the 100,000

:49:46. > :49:49.Genomes Project. The scientists who studied her DNA

:49:50. > :49:52.hope that new treatments will be Archaeologists working on what's

:49:53. > :49:57.said to be Britain's best preserved Bronze Age settlement have given

:49:58. > :49:59.a glimpse behind the scenes Must Farm was home to several

:50:00. > :50:05.Bronze Age families when a fire tore through it 3000 years

:50:06. > :50:07.ago, causing it to sink This is almost like getting

:50:08. > :50:12.the opportunity to peek through the curtains and see people

:50:13. > :50:15.actually in their daily moment, and as archaeologists,

:50:16. > :50:19.you're just really nosy and that is what we want,

:50:20. > :50:22.to be able to see what people are doing and this gives us

:50:23. > :50:28.an opportunity unlike others. The media mogul Rupert Murdoch

:50:29. > :50:31.and the actress and model Jerry Hall The couple have been together

:50:32. > :50:37.for four months. The engagement was announced in this

:50:38. > :50:39.morning's Times newspaper, which is owned by Mr Murdoch's News

:50:40. > :50:41.Corporation company. Let's catch up with

:50:42. > :50:57.all the sport now. We're talking about a man we have

:50:58. > :50:59.ran out of superlatives for. Special, incredible and more than

:51:00. > :51:02.anything he dreamed of as a child - that was Lionel Messi's reaction to

:51:03. > :51:09.winning Fifa's Ballon d'Or for a record fifth time. He beat his

:51:10. > :51:12.Barcelona team-mate Neymar and Real Madrid's Cristiano Ronaldo to the

:51:13. > :51:15.prize. Messi's nickname is 'La Pulga Atomica' - the Atomic Flea - fitting

:51:16. > :51:18.for a man who stands just five foot seven tall and has proved a constant

:51:19. > :51:21.pest to every opposition. Last season, Messi helped Barcelona win

:51:22. > :51:30.the league, the Copa del Rey and Champions League, plus the Uefa

:51:31. > :51:32.Super Cup and Fifa Club World Cup. England's Mark Sampson missed out on

:51:33. > :51:35.the Women's Coach of the Year award - that went to the USA manager Jill

:51:36. > :51:40.Ellis, who was born and bred in Portsmouth. But Sampson did extend

:51:41. > :51:42.his contract as England Head Coach, to include the 2019 World Cup

:51:43. > :51:51.campaign, after guiding the Lionesses to third place in Canada

:51:52. > :51:55.last summer. We believed in his team and that was one of the motivations

:51:56. > :51:59.for signing the contract. I want to work with winners and to know we

:52:00. > :52:01.have a team capable of winning the European Championships and hopefully

:52:02. > :52:07.go one to 2019 and win that tournament. We know we will be

:52:08. > :52:15.judged as a group one, can we eventually win a major tournament?

:52:16. > :52:18.That is the aim for 2017 and 2019. Eastleigh manager Chris Todd said it

:52:19. > :52:20.was unbelievable for his side to be mentioned in the same breath as

:52:21. > :52:27.Leeds United after they were drawn together in the fourth round of the

:52:28. > :52:29.FA Cup. Non-league Eastleigh have a replay with Bolton to negotiate

:52:30. > :52:32.first, after they drew 1-all at the weekend - but if they come through

:52:33. > :52:34.that, they'll have a home tie against the 1972 cup winners to look

:52:35. > :53:04.forward to. It's taken over half a season, but

:53:05. > :53:06.it seems manager Louis van Gaal is finally at one with the Manchester

:53:07. > :53:09.United fans - the Dutchman has admitted he too has been bored by

:53:10. > :53:11.his side this season. . United were booed off at half-time during

:53:12. > :53:13.Saturday's 1-nil FA Cup win over Sheffield United, with thousands of

:53:14. > :53:15.home fans leaving before Wayne Rooney's last minute winner. Van

:53:16. > :53:17.Gaal speculated the Manchester traffic may have had something to do

:53:18. > :53:22.with the early exodus. But he believes the team can improve. There

:53:23. > :53:32.are also matches but I am also very broad or angry with because we're

:53:33. > :53:42.not taking apart the defence of our opponents. But at this moment, we

:53:43. > :53:52.have created a two. But they have done it. So they can do it. We will

:53:53. > :53:53.see if they can in the Premier League tonight against Newcastle and

:53:54. > :53:57.that match is live on Five Live. Thank you for joining us this

:53:58. > :54:00.morning, welcome to the programme We're on BBC Two and the BBC News

:54:01. > :54:05.Channel until 11am this morning. Thank you from -- thank you for all

:54:06. > :54:08.of your comments. Email from Sidney -

:54:09. > :54:10.fully support striking doctors. Very confident they will have been

:54:11. > :54:12.given little option. They are not slaves and so can

:54:13. > :54:15.withdraw their labour. I thank them for trying

:54:16. > :54:17.to protect our NHS. Tweet from Mike: My mother's

:54:18. > :54:19.operation has been cancelled. She has to remain in

:54:20. > :54:21.agony until Friday. Your contributions to this programme

:54:22. > :54:26.and your expertise really is key. Texts will be charged

:54:27. > :54:29.at the standard network rate. And of course you can watch

:54:30. > :54:31.the programme online wherever you are - via the BBC

:54:32. > :54:37.News App or our website. And you can also subscribe

:54:38. > :54:40.to all our features on the News App by going to add topics and searching

:54:41. > :54:47.'Victoria Derbyshire'. As we've been telling you,

:54:48. > :54:49.junior doctors went on strike across England at 8am this morning

:54:50. > :54:59.in a row with the government Thousands of appointments have been

:55:00. > :55:04.cancelled. Some hospitals are feeling the pressure, Sandwell

:55:05. > :55:08.Hospital in West rummage. They must attend work after declaring what has

:55:09. > :55:16.been described as a level four incident. No further details or not.

:55:17. > :55:19.We will talk to a group of viewers, some of whom work in the Health

:55:20. > :55:23.Service and others have experience of using it. Before that, a reminder

:55:24. > :55:25.of what this strike is about. Junior doctors are on strike

:55:26. > :55:28.as they're unhappy with the way their pay and conditions

:55:29. > :55:29.are being changed. There are 55,000 junior doctors -

:55:30. > :55:33.over a third of medical workforce - from those just out

:55:34. > :55:35.of medical school to doctors Average earnings in the first two

:55:36. > :55:44.years are ?36,000, but those in higher training can earn ?53,000

:55:45. > :55:48.rising to ?70,000 for The Government wants an 11% rise

:55:49. > :55:55.in basic pay, but this would be offset by 25% cut

:55:56. > :55:58.in what are classed as unsociable hours -

:55:59. > :56:02.which get extra payments. This includes classing Saturday

:56:03. > :56:08.as a normal working day. The BMA, over time, say it

:56:09. > :56:11.could lead to a large pay cut and mean they're forced to work more

:56:12. > :56:15.evenings and weekends 98% of BMA members voted

:56:16. > :56:22.yes for strike action - How will patients be affected

:56:23. > :56:32.by the action? NHS England estimates nearly 4,000

:56:33. > :56:35.operations and procedures out In a moment we'll speak

:56:36. > :56:40.to our correspondent Smitha Mundasad who is at

:56:41. > :56:43.Harrogate District Hospital but first Elaine Dunkley is outside

:56:44. > :56:57.the Royal Devon and Exeter Hospital. They're on the picket line. Over to

:56:58. > :57:01.you. We're on the front line, two hours ago junior doctors walked away

:57:02. > :57:06.from the wards and came onto picket line and there are more common out

:57:07. > :57:10.to support this strike. We have heard lots of car horns beeping,

:57:11. > :57:16.there appears to be lots of support in the south-west for junior doctors

:57:17. > :57:22.and I have got to them. Louise and Matt Jones, you have been a junior

:57:23. > :57:29.doctor for 20 years. How did you feel, not? This is not something we

:57:30. > :57:33.wanted to do. We don't want to take care away from the patients. -- for

:57:34. > :57:40.non-2 years. We feel forced into this. It is unsafe for patients and

:57:41. > :57:47.unfair for doctors and we feel we have been forced into having to take

:57:48. > :57:51.this to industrial action today. You are at the start of your career.

:57:52. > :57:57.Yes, it is a big decision because as doctors we set out to do the best

:57:58. > :58:01.for patients and care for our patients and to take that caraway

:58:02. > :58:07.and not turn up for work is not a decision we take lightly. We do this

:58:08. > :58:10.for the future of the NHS and the future of patients. Why was so

:58:11. > :58:17.important for you to be here, Louise? We have significant concerns

:58:18. > :58:19.about the safety of the new contract and the suggestion is to take away

:58:20. > :58:24.current safeguards to stop was working too many hours and without

:58:25. > :58:29.those I am worried that the shifts mean that we will not be able to do

:58:30. > :58:33.our job properly. The government says this is about improving

:58:34. > :58:38.standards across the NHS. Today in Devon, 360 junior doctors are at

:58:39. > :58:46.this hospital and the majority will be on strike. We can go to Harrogate

:58:47. > :58:52.night. What is the situation there? -- now. You can hear lots of public

:58:53. > :58:56.support, members of the public have been coming up here all morning and

:58:57. > :59:00.shaking the hands of junior doctors and saying well done. Lots of junior

:59:01. > :59:05.doctors joining the strike all morning. There has been a lot of

:59:06. > :59:12.support coming in at the situation is less severe, perhaps, than other

:59:13. > :59:17.parts of England. For operations have been cancelled across England

:59:18. > :59:21.and here, no planned operations have been cancelled because senior

:59:22. > :59:24.doctors have come in to help. Just 40 outpatient appointments have been

:59:25. > :59:30.cancelled. I enjoyed by Doctor goldfields. There have been some

:59:31. > :59:37.cancellations and disruption to patients. How do you feel? We feel

:59:38. > :59:40.horrified that we have to strike, we feel very sorry if this has caused

:59:41. > :59:47.problems for patients and we feel very strongly about the future of

:59:48. > :59:50.the NHS and patient care. Some people will say that public sector

:59:51. > :59:54.workers across the board have had pay cuts and pay freezes. Should

:59:55. > :59:59.doctors not go through the same thing? I think we feel we are not

:00:00. > :00:02.special people, but we feel we have to stand up for all of our

:00:03. > :00:06.colleagues in the public sector, nurses, pharmacists, refuse

:00:07. > :00:11.collectors, we have to say that enough is enough, we're looking at a

:00:12. > :00:16.30% pay cut and that is simply not fair. But this argument is deeper,

:00:17. > :00:21.it is about patient safety. Some patients will have health concerns

:00:22. > :00:27.today. What about emergency services? Today is exactly as a

:00:28. > :00:31.weekend, it is also the same as a bank holiday. There is enough

:00:32. > :00:35.emergency care for patients. We would say, please come to the

:00:36. > :00:40.hospital or your GP if you feel unwell, do not stop coming in, it is

:00:41. > :00:45.safe to come to hospital today. Thank you for speaking to us.

:00:46. > :00:49.Emergency services will continue today so patients should come in

:00:50. > :00:53.they need to. Thank you very much indeed. Those were the picket lines

:00:54. > :00:54.at different hospitals. We're joined this morning

:00:55. > :00:56.by group of viewers - some of whom work in

:00:57. > :00:58.the health service. Others, like many of you,

:00:59. > :01:01.have experience of using it. They all have very different

:01:02. > :01:16.views on the strike Straight to Nicky, you are a mental

:01:17. > :01:22.health nurse and have experience as a patient. What is your perspective

:01:23. > :01:24.on this? I completely agree that the doctors deserve better treatment but

:01:25. > :01:29.I don't think striking is the right way to go about it because I'm an

:01:30. > :01:33.activist myself for mental health charities and stuff and I know

:01:34. > :01:39.that's different, but I have managed to raise the profile of issues

:01:40. > :01:45.without doing strikes and stuff. I'm studying to be a mental health nurse

:01:46. > :01:49.and I understand that sometimes steps like this are necessary, I

:01:50. > :01:56.just don't think that striking is going to achieve more than it would

:01:57. > :01:59.risk. Sabrina, you are a junior doctor working in a maternity unit

:02:00. > :02:04.in East London. Why are you going out on strike? I really feel pushed

:02:05. > :02:07.into this and this is the last thing me and my colleagues want to do. We

:02:08. > :02:10.do not want to strike. We would have hoped that since the threat of

:02:11. > :02:13.strike in December the negotiations would have come further along and we

:02:14. > :02:17.would have reached agreement and hoped that the Government would have

:02:18. > :02:22.engaged truly in a meaningful discussion, but unfortunately that's

:02:23. > :02:26.not the case. That is why we have been pushed to strike and withdraw

:02:27. > :02:32.services today. Since the strike mandate went ahead though, there

:02:33. > :02:36.have been changes and an 11% pay increase has been put forward by the

:02:37. > :02:39.Government? The 11% is only in the basic salary, a large proportion of

:02:40. > :02:45.our salary is based on the out-of-hours work we do as well. If

:02:46. > :02:49.you look at the basic salary, it's not enough money really for a

:02:50. > :02:53.professional that's been working - I've been working in the NHS for 11

:02:54. > :02:57.years and if you count my basic salary, it wouldn't be enough to pay

:02:58. > :03:02.for my mortgage and tolike after my children. Andrew Brown, you are a

:03:03. > :03:05.Conservative health spokesperson for Hammersmith and Fulham Council and

:03:06. > :03:10.studied medicine yourself. Do you see a justification for doctors

:03:11. > :03:14.striking? Yes. Because of my background, I have huge sympathy for

:03:15. > :03:18.the doctors but I do not agree that strike is the right way forward. Why

:03:19. > :03:23.not? As you already mentioned, there's been a lot of progress since

:03:24. > :03:28.the negotiations started properly at ACAS in December, but over the last

:03:29. > :03:31.six months, that's been the only negotiations between the BMA and the

:03:32. > :03:35.Department of Health and the Government. I think the fault lies

:03:36. > :03:40.both with the BMA and also with the Department of Health. I want to see

:03:41. > :03:44.everyone get back around the table, talk about how the contract can

:03:45. > :03:49.improve things for junior doctors and also patients - the most

:03:50. > :03:53.important people in this. Dr Sarah Hallett, you are another junior

:03:54. > :03:57.doctor working in a Ne-Yo natal intensive care unit. It seems the

:03:58. > :04:01.areas of disagreement are actually not as great as they were at the

:04:02. > :04:07.dispute. Are they still great enough to justify a strike? Absolutely. I

:04:08. > :04:10.think Jeremy Hunt's comments about the areas of disagreement, a lot of

:04:11. > :04:13.what he said was completely inaccurate. There are significant

:04:14. > :04:18.areas we disagree on. Spell them out? So one of the main areas that

:04:19. > :04:22.we are having issues with are safeguards in the contract. The

:04:23. > :04:26.current contract has safe forwards to ensure junior doctors are not

:04:27. > :04:30.overworked and not worked to unsafe levels unsafe for us and our

:04:31. > :04:34.patients. What they are proposing in new contract, the safeguards do not

:04:35. > :04:38.exist and, as a result we are really quite concerned that the impact this

:04:39. > :04:42.will have on us and our patients and the amount of hours that we are

:04:43. > :04:46.going to have to work. That is one area of disagreement but there are

:04:47. > :04:51.many more as well. Does it boil down to pay? No. Pay is the very bottom

:04:52. > :04:55.of our agenda. When you become a doctor, you become a doctor because

:04:56. > :04:58.you want to help people. The reason you go to medical school is to help

:04:59. > :05:03.people. Nobody would go into medicine to earn lots of money. It

:05:04. > :05:07.would be the wrong career choice if that is what you are looking to do.

:05:08. > :05:13.What this comes down to is concern about our patients.

:05:14. > :05:16.Let's bring in a medicine student, a fourth-year student on placement at

:05:17. > :05:22.Guys St Thomas' Hospital. So you are at the start of your career

:05:23. > :05:29.path, how do you see it, is money a factor because you will be leaving

:05:30. > :05:33.with debt, but for medical students the debt gets racked up over a

:05:34. > :05:37.number of years? Sure. For me and a lot of medical students, the issue

:05:38. > :05:39.is that we are worried about entering a system where we are

:05:40. > :05:44.basically being set up to fail, where we are going to have to work

:05:45. > :05:50.longer hours, there'll be less support staff during the week, less

:05:51. > :05:54.colleagues around to help us make clinical decisions that are

:05:55. > :05:57.essentially very difficult in an ageing population with very

:05:58. > :06:02.complicated health needs. We don't want to be in a position where we

:06:03. > :06:05.are making mistakes, and if this contract is unfair and unsafe, which

:06:06. > :06:10.I think it is, I think most of us would agree it is, we are worried.

:06:11. > :06:13.What is it specifically that is unsafe, the fact that safeguards

:06:14. > :06:19.aren't in it? Yes, that would be the main thing. The total number of

:06:20. > :06:22.hours junior doctors can work under contracts are limited so they are

:06:23. > :06:26.fewer than currently? That's assuming the safeguards they want to

:06:27. > :06:31.put in place work. However, I think it's very hard to believe that would

:06:32. > :06:34.be the case. Abbie Cooper, a hospital nurse in

:06:35. > :06:39.second year recently joined an intensive care team. Do you have

:06:40. > :06:44.sympathy with the junior doctors you work with? Absolutely. The NHS is

:06:45. > :06:49.such a huge team and it's not just doctor that provide the care. I have

:06:50. > :06:52.the biggest sympathy with the strike and I completely support it, but at

:06:53. > :06:56.the end of the day it's not just down to them, there are so many more

:06:57. > :07:00.problems need addressing. It's not just about the doctors needing to

:07:01. > :07:04.work more or less hours and earning less, it's about supporting the

:07:05. > :07:08.health care professionals that are caring for patients at their most

:07:09. > :07:12.vulnerable state. What is morale like on medical

:07:13. > :07:15.teams? In my personal opinion I think it's fantastic but that's

:07:16. > :07:23.obviously my own experience that I've had. I mean, I feel within the

:07:24. > :07:24.NHS, doctors, nurses, physiotherapists, pharmacists,

:07:25. > :07:28.radiographers work fantastically well as a team and that's what the

:07:29. > :07:34.NHS is about, that is what I feel needs to be recognised.

:07:35. > :07:38.Anne, your daughter died being treated in an NHS hospital. She'd

:07:39. > :07:42.been treated for some time but it was over the weekend when she was

:07:43. > :07:46.being treated that she died. The Government says this is about

:07:47. > :07:51.getting good 24-7 care rolled out across the NHS. What is your

:07:52. > :07:54.perspective on this? Its seems at the moment it was Monday to Friday

:07:55. > :07:57.and unfortunately my daughter got the moment it was Monday to Friday

:07:58. > :08:01.ill on a Friday evening and there just wasn't the cover available over

:08:02. > :08:04.the weekend, there was no communication and she actually died

:08:05. > :08:08.on the Wednesday afterwards. You work in a hospital as well don't

:08:09. > :08:12.you? Yes. So you have that perspective on the dynamic across

:08:13. > :08:19.the week and at weekends. Do you see a difference? I'm a ward clerk so

:08:20. > :08:23.obviously I don't work weekends, but it's really scared us, you know, the

:08:24. > :08:28.experience we had with our daughter to think if we were ill at the

:08:29. > :08:31.weekend what would happen. What is your perspective on the strike?

:08:32. > :08:34.Obviously you can see the doctors work lots of hours and it's not good

:08:35. > :08:40.for them and it's certainly not good for the patients.

:08:41. > :08:43.Sarah and Sabrina, just respond to that, because by striking, some

:08:44. > :08:47.might say it looks like you are against the patients when the

:08:48. > :08:50.Government says it's doing this because it wants 24-7

:08:51. > :08:52.Government says it's doing this sure every patient has the best

:08:53. > :08:56.possible quality of care whenever they go into a hospital? I

:08:57. > :09:01.absolutely want every patient to have the best possible care whenever

:09:02. > :09:06.they go into a hospital. However, I know because I work at least one in

:09:07. > :09:09.four weekends, at least one weekend every month I'm at work on a

:09:10. > :09:12.Saturday and Sunday, I know the struggles that we face at the

:09:13. > :09:17.weekend. We have a lack of admin staff because the ward clerks don't

:09:18. > :09:22.work at the weekends, we have a lack of pathology staff so the lab

:09:23. > :09:26.results don't come, a lack of imagery staff, so the images we need

:09:27. > :09:30.to come through to treat patients in the best possible way, they are just

:09:31. > :09:35.not there and this idea that you can deliver a seven day NHS and top

:09:36. > :09:39.class emergency services 24 hours a day without investing ex-that money

:09:40. > :09:42.in an already struggling system is just absolutely ludicrous. I want

:09:43. > :09:51.the Government to put the money where their mouth is and truly

:09:52. > :09:55.deliver a seven-day NHS. Andrew are the doctors being scapegoated for

:09:56. > :10:01.the problems at the weekends? I don't think so, but I agree that

:10:02. > :10:05.they need the support of radiographers, radiology and admin

:10:06. > :10:08.staff and porters, as well as from a council perspective, from social

:10:09. > :10:12.services, to help patients get discharged from hospital in the

:10:13. > :10:16.first place. I also think the Government is investing a lot of

:10:17. > :10:20.money in the NHS and all the faults and problems and challenges that the

:10:21. > :10:24.NHS is facing, a lot is due to demand and we need to do things to

:10:25. > :10:27.tackle demand by investing more in public health, helping people live

:10:28. > :10:32.healthier lifestyles as well. Alastair, you are a student. When we

:10:33. > :10:36.see a debate where doctors and the Government are pitted against each

:10:37. > :10:42.other effectively, does it become a debate about who really has the best

:10:43. > :10:45.interests of patients at heart and, is it therefore a very edifying

:10:46. > :10:50.debate, I suppose you could say, when you look at what is best for

:10:51. > :10:55.the NHS in an impartial way as possible going forward? I think

:10:56. > :11:02.that's why the debate's become so poisonous and skewed because it's

:11:03. > :11:06.become about, it's moved beyond the technical issues about whether

:11:07. > :11:10.doctors are better working out-of-hours which are issues we

:11:11. > :11:13.can't talk about without knowing a lot about how productive junior

:11:14. > :11:19.doctors are at their particular level of training. The reason is

:11:20. > :11:22.because it's been skewed by the way the BMA has approached this and

:11:23. > :11:29.called on strike action. The elephant in the room is, if you call

:11:30. > :11:33.for strike action, you are invoking affirmative action politics which is

:11:34. > :11:37.kind of not speaking to people in this country which is why the

:11:38. > :11:40.strikes are a very bad idea in practical terms because people don't

:11:41. > :11:45.respond to that kind of language and that means we can't talk about the

:11:46. > :11:50.technical issues. On that point, let us bring in Theresa, a teacher,

:11:51. > :11:53.teachers strike many times, what do you think about the doctors striking

:11:54. > :11:59.today? I'm not a teacher at the moment but I think it's, as we can

:12:00. > :12:03.see, all of the polls have shown the support for this strike is

:12:04. > :12:07.incredibly high. I think this is a problem that we have that somehow

:12:08. > :12:13.strike action is, as you say from a by gone era, you have to remember

:12:14. > :12:17.when push comes to shove, you don't have, I mean if you try to negotiate

:12:18. > :12:21.and can't get anywhere with that negotiation, there is very little

:12:22. > :12:23.that is left to you and withdrawing your labour is a fundamental right

:12:24. > :12:35.and something that you should be able to do. The doctors striking

:12:36. > :12:38.today, it's got incredible support from the public and it's raised this

:12:39. > :12:42.issue in a way it wasn't being raised until the talk of strike

:12:43. > :12:45.action came into being. This is people now understanding in a way

:12:46. > :12:50.that they wouldn't have done because these thingses don't obviously get

:12:51. > :12:57.the same kind of attention that it has at the moment. I think that's

:12:58. > :13:01.incredibly important. We know how important the NHS is to the public,

:13:02. > :13:07.you know, just looking at things like the Olympics and how proud

:13:08. > :13:11.people were when they saw Danny Boyle's thing on the NHS there, the

:13:12. > :13:14.choir coming to number one, you know, these are things that show the

:13:15. > :13:22.affection and importance that people place on the NHS. I think that

:13:23. > :13:25.people absolutely understand that the doctors are not taking this

:13:26. > :13:29.action because it's just about, we want to have lots of money and we

:13:30. > :13:32.want to go on the golf course, you know, that's not how it is any more

:13:33. > :13:37.for doctors, it hasn't been for a very long time and they understand

:13:38. > :13:41.that doctors are saying, if we don't do something now, the NHS as we know

:13:42. > :13:46.it will cease to exist and that cannot be allowed to happen. Leena,

:13:47. > :13:49.you are an employer in the private sector, what is your view on the

:13:50. > :13:55.right of doctors or anyone else to strike? There are 5.4 million small

:13:56. > :14:01.businesses in this country and 48% of all jobs created in private

:14:02. > :14:10.sector are created by companies like mine, small businesses. I do not

:14:11. > :14:16.support the strike. I understand where doctors come from, but to run

:14:17. > :14:20.a small business, to run the NHS is not different really, it's just

:14:21. > :14:24.complexity and budget. So if something doesn't work, a small

:14:25. > :14:31.business hooks into it and tries to find a solution. We've got the

:14:32. > :14:35.Federation of Small Businesses who lobby on behalf of small businesses.

:14:36. > :14:40.If tomorrow they say, hey guys let's strike, a small business owner will

:14:41. > :14:44.go to the office and work because if you don't work, it doesn't mean you

:14:45. > :14:52.don't earn money, we lose money and we can't pay our employees. My

:14:53. > :14:57.opinion is it's a failure of leaders of NHS and unions and they should

:14:58. > :15:01.come back to the table and negotiate and get the result. It's not what

:15:02. > :15:04.they have done, it's what results they have achieve and they haven't

:15:05. > :15:09.achieved the result. Sarah, answer that? The truth of the matter is

:15:10. > :15:17.that we've now been discussing this contract for months, over a year in

:15:18. > :15:21.fact. We have repeatedly raised the concerns and we feel we have not

:15:22. > :15:24.been listened to. No junior wants to have to take industrial action, it's

:15:25. > :15:28.an absolute last resort for us and I feel really sad we have come to

:15:29. > :15:33.this. It doesn't feel like you are that far apart any more, it feels

:15:34. > :15:38.like this strike was going ahead because it was in train but... No.

:15:39. > :15:43.You are shaking your head, Sabrina? If you look at the sticking points,

:15:44. > :15:46.we have already talked about the issue of the safeguards, but I mean

:15:47. > :15:50.we have not really talked so much about how just unfair it is. I have

:15:51. > :15:54.a seven-year-old and when she asks me why we were going on strike, I

:15:55. > :15:58.said to her, the Government wants mummy to work more weekends and she

:15:59. > :16:02.said, you already work lots of weekends and I said yes, but the

:16:03. > :16:05.Government want mess to work more weekends which means less time with

:16:06. > :16:09.you and in return they are not going to give me anything extra. In terms

:16:10. > :16:14.of a financial point of view, I've got to arrange childcare ona

:16:15. > :16:18.Saturday that costs more money. You can't get a nursery on a Saturday,

:16:19. > :16:21.schools are not open so it costs me more money to go into work on a

:16:22. > :16:27.Saturday but I'm not getting anything to help me cover that cost.

:16:28. > :16:29.That is just not fair. Junior doctors, consultants, health workers

:16:30. > :16:35.across-the-board will vote with their feet and they'll leave.

:16:36. > :16:40.Gary says he fully supports the doctors in their battle with this

:16:41. > :16:43.horrible government. Mark says junior doctors on duty at the

:16:44. > :16:50.weekend by rapid problem, weekend issues are not enough, senior or

:16:51. > :16:56.Houseman, there are no consultants on duty at the weekend. By law, a

:16:57. > :16:59.bus driver works for hours maximum without a break because of

:17:00. > :17:05.concentration issues and no more than a ten hour shift. How does the

:17:06. > :17:09.new contract provide better weekend coverage? It rewards anti-social

:17:10. > :17:12.hours and working less. Eamonn McCann, you are the final year

:17:13. > :17:20.student and you have decided not to go into the profession? Why? I am

:17:21. > :17:24.still on the fence but I am considering not doing medicine and

:17:25. > :17:28.it is truly sad that after six years, all of this money I put into

:17:29. > :17:29.this and all of that work, and at the last hurdle to think, it is not

:17:30. > :17:38.worth it any more. Why not? It is the last hurdle to think, it is not

:17:39. > :17:43.not appealing. It is not that... I knew I was not going to make it

:17:44. > :17:48.about money or anything like that, I was not thinking I would earn lots

:17:49. > :17:53.of money. I genuinely thought I wanted to help people. I wanted to

:17:54. > :17:57.make a difference. And now, just thinking about having to work in

:17:58. > :18:01.this environment with the government attacking us, smearing us, they

:18:02. > :18:07.don't care about what we want to say, it is... Is at this

:18:08. > :18:13.specifically that has changed your mind? It is one of the things, it

:18:14. > :18:18.does not feel like it is worth it any more. I meant to be starting

:18:19. > :18:21.work in six months I am dreading it and all of the medical disputes

:18:22. > :18:25.around the UK, they have such low morale, we have had e-mail from

:18:26. > :18:31.lecturers to keep faith and even they know we're not looking forward

:18:32. > :18:37.to it any more. You just treading it and so many students, I am one of

:18:38. > :18:43.many who want to do something else, go somewhere else, leave England.

:18:44. > :18:51.Martin, the audit paramedic. What is your view? -- review archive. My

:18:52. > :18:56.concern is the seven-day week NHS and when you listen to patients, the

:18:57. > :18:59.experience where they have the NHS filling is when things go wrong,

:19:00. > :19:09.acute medical complaints, emergency care. -- failing. And predominantly

:19:10. > :19:13.that is in the community, provided by fellow professionals like nurses

:19:14. > :19:18.and paramedics. What we really need to do is look at how we can provide

:19:19. > :19:21.care in the community, we need more highly trained

:19:22. > :19:24.care in the community, we need more professionals to provide patients

:19:25. > :19:29.with the care they need in their own homes and in the community and only

:19:30. > :19:32.take the most severe patients to the hospital so that doctors working at

:19:33. > :19:37.the weekend can provide the care they need safely but we need to look

:19:38. > :19:42.at community care and we talk about seven days a week and this is not

:19:43. > :19:47.just about doctors, it is about all health care professionals. Andrew

:19:48. > :19:51.says it is a disgrace that junior doctors or on strike over working at

:19:52. > :19:58.beginners, patients are dying at weekends because the luck of the is.

:19:59. > :20:02.-- because of a lack of doctors. Another says that doctors are

:20:03. > :20:08.becoming more demoralised. Even though I am waiting for an

:20:09. > :20:13.operation. The issue is being discussed with this strike and

:20:14. > :20:17.obviously there is a lot of focus, but to any others feel like you

:20:18. > :20:23.understand better this debate about the NHS and 20 47 caring and how

:20:24. > :20:29.things should go forward? I think so. That is why it has been so

:20:30. > :20:34.positive, we have been able to discuss these things and I think the

:20:35. > :20:39.issue we have touched upon, wages and medicine as a vocation, it is

:20:40. > :20:44.important. My grandfather was a GP in the north of Scotland, he had a

:20:45. > :20:51.seven-day working week. He took afternoons off, it was not because

:20:52. > :20:54.of remuneration, it was because of his calling and vocation and I am

:20:55. > :20:59.not commenting on junior doctors because they are fantastic. But

:21:00. > :21:05.maybe the debate is becoming more about wages and what you can get out

:21:06. > :21:09.because we live in Mideast bridge is context and the public debate takes

:21:10. > :21:15.place, not in the same post-war context that those discussions took

:21:16. > :21:23.place churning the creation of the NHS. But we are that kind of

:21:24. > :21:33.society, I work for 24 hours, seven days a week. To have a 24/7 NHS, the

:21:34. > :21:38.government has not defined what they mean when they call for a seven-day

:21:39. > :21:43.NHS. As junior doctors were already stretched with what we currently are

:21:44. > :21:46.doing so the government might say, we're not going to provide any more

:21:47. > :21:50.junior doctors, we will not change the pay. And yet we're going to have

:21:51. > :21:55.more junior doctors working at weekends. We say, where are you

:21:56. > :22:00.getting these junior doctors from? At the moment, it just does not add

:22:01. > :22:07.up and it seems like this is political spin, unfortunately. If

:22:08. > :22:10.we're going to talk about wages, the safe delivery of professionals in

:22:11. > :22:15.hospitals, the mistake we have made is to talk about one group. It is

:22:16. > :22:19.more than just doctors working in hospitals, we need to talk about the

:22:20. > :22:23.conditions of everyone who works in the NHS together and only by doing

:22:24. > :22:31.that can be create a nHS provides the care that we need 24/7. Couple

:22:32. > :22:35.more comments from viewers, Mike Luffield boy has a lump in his

:22:36. > :22:39.chests in September and was going to be checked yesterday but it has been

:22:40. > :22:47.postponed. The only solution for these services is to have more staff

:22:48. > :22:48.employed, not changing the contract. Thank you for joining us. And please

:22:49. > :22:50.do keep in touch. We'll have a special report

:22:51. > :22:55.from Calais where new shelters to house migrants

:22:56. > :22:59.have been installed. And how a groundbreaking DNA project

:23:00. > :23:01.has finally allowed children with mystery diseases

:23:02. > :23:07.to be diagnosed. Junior doctors in England have

:23:08. > :23:15.begun a 24 hour strike in their dispute with ministers

:23:16. > :23:17.about new contracts. 4000 scheduled operations

:23:18. > :23:20.have been postponed, although one hospital in Birmingham

:23:21. > :23:23.has declared a level four incident, meaning junior doctors must go

:23:24. > :23:25.into work because of The Health Secretary Jeremy Hunt

:23:26. > :23:33.says doctors have been offered a rise in basic pay

:23:34. > :23:35.but wants to see changes It is a last resort,

:23:36. > :23:42.doctors have not been on strike for more than 40 years and we have

:23:43. > :23:45.been pushed into a corner The responsibility lies with them

:23:46. > :23:49.for what is happening. A bomb explosion in Istanbul has

:23:50. > :23:52.killed at least 10 people people Latest reports say tourists

:23:53. > :23:57.from Germany and Norway The blast happened in the historic

:23:58. > :24:01.Sultanahmet district. Local media reports suggest it may

:24:02. > :24:05.have been a suicide attack. The UN is warning that around 400

:24:06. > :24:10.people urgently need to be evacuated from the besieged Syrian town

:24:11. > :24:13.of Madaya or face dying from starvation or other

:24:14. > :24:16.medical problems. Residents received their first

:24:17. > :24:18.supply of food and medicine in months yesterday,

:24:19. > :24:21.when an international aid convoy Doctors think they've identified

:24:22. > :24:26.genetic mutations which left a four-year-old girl unable to talk

:24:27. > :24:31.and with damaged kidneys and eyes. Georgia Walburn-Green is the first

:24:32. > :24:34.person to have her condition explained by the 100,000

:24:35. > :24:38.Genomes Project. The scientists who studied her DNA

:24:39. > :24:41.hope that new treatments will be We will talk more about that in a

:24:42. > :24:51.moment. The media mogul Rupert Murdoch

:24:52. > :24:54.and the actress and model Jerry Hall The couple have been together

:24:55. > :24:57.for four months. The engagement was announced in this

:24:58. > :24:59.morning's Times newspaper, which is owned by Mr Murdoch's News

:25:00. > :25:08.Corporation company. New containers to house migrants

:25:09. > :25:11.have been installed at Calais - the first semi-permanent structures

:25:12. > :25:14.to be built in the area since 2002. The buildings have raised concerns

:25:15. > :25:17.that more people wanting to make it to the UK will be tempted to do

:25:18. > :25:19.so because the temporary accommodation was thought to be

:25:20. > :25:22.an incentive to force Our reporter James Longman

:25:23. > :25:25.is in Calais and has been having The new face of Calais' jungle

:25:26. > :25:29.looms over its residents. For the first time since 2002,

:25:30. > :25:32.semipermanent homes have been built Certainly not luxury

:25:33. > :25:38.but better than this. These are the new containers

:25:39. > :25:42.here in Calais, which the French have installed to house migrants

:25:43. > :25:45.currently living in the jungle, There will be enough space

:25:46. > :25:58.for 1500 eventually. There are three larger

:25:59. > :26:01.containers, giving migrants Is all this going to tempt more

:26:02. > :26:07.people here and then on to Britain? It was tighter border controls that

:26:08. > :26:14.actually made the difference. TRANSLATION: Since 22nd of October,

:26:15. > :26:20.no-one has been caught in the UK It is actually that that

:26:21. > :26:27.stops people coming. Peering through at this new world,

:26:28. > :26:30.residents in the camp remain determined as ever and some

:26:31. > :26:33.do not want to move Go outside every night,

:26:34. > :26:48.going to try England. Even those who do want the shelter

:26:49. > :26:52.aim to make it to the UK. Mohammed Shafiq and his family

:26:53. > :26:55.of eight have been at the camp They may have some dry beds now but,

:26:56. > :26:59.when the weather clears, Mohammed says he will

:27:00. > :27:03.be trying again. My dad, my mum, five

:27:04. > :27:06.sisters, three brother. There will not be enough space

:27:07. > :27:18.here for everyone but the bottom line is the French want

:27:19. > :27:21.the jungle cleared. What happens to those who do not get

:27:22. > :27:24.or want a place is anyone's guess. We are yet to know what effect these

:27:25. > :27:28.containers will have on people What is clear is that migrants

:27:29. > :27:35.still living in the jungle A four-year-old girl

:27:36. > :27:49.with a previously unknown medical condition has been diagnosed

:27:50. > :27:53.after volunteering to take part in a groundbreaking DNA

:27:54. > :27:55.sequencing project. Georgia Walburn-Green,

:27:56. > :27:57.a patient at Great Ormond Street hospital in London, suffered

:27:58. > :28:05.from a rare gene mutation. She's the first person

:28:06. > :28:08.to have her condition explained The scientists who studied her DNA

:28:09. > :28:12.hope that new treatments will be With me now is Professor Mark

:28:13. > :28:25.Caulfield, Chief Scientist Just tell us first of all what the

:28:26. > :28:31.project is. The 100,000 Genomes Project is about understanding the

:28:32. > :28:38.causes of rare inherited disease and what drives cancer and to infection.

:28:39. > :28:43.Today we're sharing diagnoses where we have read through the 3.3 billion

:28:44. > :28:47.letters in our genetic code that make us the individuals that we are

:28:48. > :28:51.but also carry a tendency to have disease and in these cases, we are

:28:52. > :28:55.able to feed for the first time answers to the mothers and fathers

:28:56. > :28:59.of these children and that is what they crave. It is an important

:29:00. > :29:02.milestone. What difference does it make for someone like Georgia

:29:03. > :29:06.Walburn-Green? She is able to have this diagnosis. When George was

:29:07. > :29:10.born, there was evidence of thing was wrong but the NHS through

:29:11. > :29:15.conventional tests could not find the cause and what Georgia

:29:16. > :29:21.Walburn-Green had was something amongst 7000 people in Britain, a

:29:22. > :29:25.syndrome without any name so we did not know what the diagnosis or the

:29:26. > :29:29.causes and a very do not know that, we cannot understand the biology and

:29:30. > :29:33.we have limited chance of getting treatment or any preventative

:29:34. > :29:38.strategy. For Georgia Walburn-Green and her parents, she has an answer

:29:39. > :29:43.and if you talk to affected families, above all else, they want

:29:44. > :29:47.to understand why their child is like what they are and they want to

:29:48. > :29:52.pave the way for treatments but in many cases it may not. So in

:29:53. > :29:56.practical terms, doesn't make much difference? In some cases it will

:29:57. > :30:03.and hopefully in the second case, which is where a child has a defect

:30:04. > :30:07.of the transport of glucose in the brain and this child at 13 months

:30:08. > :30:11.had recurring fits a lot of the time and that develop mental delays,

:30:12. > :30:18.another syndrome without any name, and in that case, then modifying the

:30:19. > :30:21.diet to eat a high-fat diet you can reduce the effects on the seizure

:30:22. > :30:27.and we hope that will bring benefit to the family. In some cases we can

:30:28. > :30:31.work out what helps. And in some cases will be a direct material

:30:32. > :30:35.benefit. Obviously, understanding the biology gives us the chance to

:30:36. > :30:39.begin to unravel how we might approach treatment and I think the

:30:40. > :30:42.great thing for the family of Georgia and other families affected

:30:43. > :30:46.by these diseases is that they neither have others with the same

:30:47. > :30:49.disease and support framework and network and I think the loneliness

:30:50. > :30:55.that people feel when they don't have any answer to why the child is

:30:56. > :30:58.like they are, that is profound. If you meet the parents of these

:30:59. > :31:02.children, they are so heroic and the love they give the children Ex

:31:03. > :31:07.Machina very humble, having two daughters myself. I believe the

:31:08. > :31:12.answer is very important. Even if it is only the beginning of the search.

:31:13. > :31:17.Tell us about some cases that you have been involved with where you

:31:18. > :31:21.have found that relief because someone's got a bit of clarity? One

:31:22. > :31:26.example of another case we had back this Newcastle has been a family

:31:27. > :31:32.affected by kidney disease where the father, uncle and brother of the

:31:33. > :31:36.affected man in his 50s had a severe kidney disease and he'd had to have

:31:37. > :31:40.two kidney transplants. Unfortunately, he transmitted that

:31:41. > :31:44.to his daughter but she is well because she had also got good blood

:31:45. > :31:49.pressure control and her kidneys didn't fail so that's excellent. But

:31:50. > :31:54.her daughter had a daughter herself and they've been worried for years,

:31:55. > :31:59.the daughter is a teenager, that she would be affected by the disorder,

:32:00. > :32:03.so a palpable example of what can be done is that by getting a diagnosis,

:32:04. > :32:07.answering why the grandfather had his kidney failure and why the

:32:08. > :32:12.daughter has the same condition but hasn't gone into kidney failure, we

:32:13. > :32:15.have been able to test in the NHS that daughter, granddaughter of this

:32:16. > :32:25.family and find that she doesn't have it. A huge relief? Yes. She has

:32:26. > :32:32.to have check force protein loss and blood pressure. Sometimes it doesn't

:32:33. > :32:36.change the disability people have but when you understand the cause

:32:37. > :32:40.you can begin to start to search for treatment. How labour intensive is

:32:41. > :32:53.it to find out where the sequencing goes awry? You mentioned 3.3 billion

:32:54. > :32:58.sequencing letters? Absolutely. There are areas that regulate bits

:32:59. > :33:02.that make the protein so there is a lot to read through. It's like

:33:03. > :33:05.reading a complex book and periodically we have to reread it to

:33:06. > :33:14.make sense of it and bring the answers out. In geonomick, we are

:33:15. > :33:21.developing with parter ins automated ways of doing this, so we can bring

:33:22. > :33:25.die know seize to patients in the Health Service -- geonomics.

:33:26. > :33:28.We hope to transform this. Thank you very much.

:33:29. > :33:35.Breaking news to bring you about defence. We are just hearing from

:33:36. > :33:39.Jonathan Beale, our correspondent, that 131 British military personnel

:33:40. > :33:44.have died during training since 2000 according to statistics released by

:33:45. > :33:49.the Ministry of Defence. It represents 5.5% of all military

:33:50. > :33:54.deaths on duty over the period from January 2000 to October 2015, so

:33:55. > :34:00.that is about one in 20 deaths during training. 88 of those who

:34:01. > :34:12.died in training or on exercise were in the army, eight in the Royal

:34:13. > :34:16.Marines, 21 in the RAF. Junior doctors are on strike in England in

:34:17. > :34:21.a row with the Government over new contracts. They are only working in

:34:22. > :34:23.emergency departments today. It's a dispute which politicians remain

:34:24. > :34:27.divided on. In a moment we'll speak to two of them. Jim Reed has been

:34:28. > :34:35.looking at why the doctors are striking.

:34:36. > :34:44.The priority at the moment is the thousands of people we thinnk

:34:45. > :34:48.die unnecessarily because we do not have proper cover for urgent

:34:49. > :34:58.We're already overworked, underpaid, demoralised.

:34:59. > :35:04.There are 55,000 junior doctors in England.

:35:05. > :35:09.These are not just students leaving medical school but anyone below

:35:10. > :35:16.That can mean someone with nine years experience in charge

:35:17. > :35:22.They're the person you will see clerking you in when you go

:35:23. > :35:25.into A, they are the person you might see in your GP practice.

:35:26. > :35:28.Often they will be the person that comes round on the ward

:35:29. > :35:35.They are often also the people that will be doing surgery in theatre,

:35:36. > :35:38.they will be assisting the consultant when they do

:35:39. > :35:42.The starting salary is just under 23,000.

:35:43. > :35:45.Add in overtime and unsocial hours, average pay in the first two

:35:46. > :35:52.Those in higher training can earn 53,000, rising up to 70,000

:35:53. > :35:57.How does that compare with other jobs?

:35:58. > :36:00.It is hard to measure and depends on where you live but take

:36:01. > :36:05.the average pay for a junior doctor in those first two years.

:36:06. > :36:07.That is more than a teacher or a police officer

:36:08. > :36:10.but about the same as the starting salary for a banker and less

:36:11. > :36:18.One big part of this is hours worked.

:36:19. > :36:21.The Government wants to raise basic wages but change the way it pays

:36:22. > :36:28.At the moment, regular hours are set at 7-7 Monday to Friday,

:36:29. > :36:35.The Government wants to extend those core hours till 10pm in the week

:36:36. > :36:45.and into Saturday for the first time.

:36:46. > :36:48.This contract does not seem to value the hard work of junior doctors.

:36:49. > :36:51.The trouble with that is, the doctors that are working some

:36:52. > :36:54.of the most difficult hours, the ones that are working some

:36:55. > :36:57.of the hardest rotas, working through the night

:36:58. > :37:00.and weekends, etc, these are the people who really lose

:37:01. > :37:04.They are the people this affects the most.

:37:05. > :37:07.In the last general election, the Conservatives promised to bring

:37:08. > :37:13.Illness does not respect working hours.

:37:14. > :37:15.Heart attacks, major accidents, babies, these things do not just

:37:16. > :37:21.It has been known for years it is more dangerous to get

:37:22. > :37:26.A recent study found the odds of dying in hospital are 10% higher

:37:27. > :37:32.Doctors say these changes will strip back the safeguards meant to stop

:37:33. > :37:35.them working excessive hours and make life less

:37:36. > :37:41.Junior doctors in England only are now on strike for 24 hours

:37:42. > :37:49.Two more strikes are planned for the end of January and February,

:37:50. > :37:55.unless there is a breakthrough in the talks.

:37:56. > :38:00.Louise Hague is heading to the picket line later and David Morris

:38:01. > :38:03.is disappointed that the strike has gone ahead. Thank you both for

:38:04. > :38:07.joining us. Louise, why will you be off to the picket line? I've already

:38:08. > :38:13.been on my way here this morning just outside St Thomas' to talk to

:38:14. > :38:18.junior doctors there. I've spoken to many in my own constituency. We are

:38:19. > :38:21.really concerned about if contracts being imposed on them, but also they

:38:22. > :38:24.are concerned about the way they are being spoken about. The Government

:38:25. > :38:28.is taking them on as a political battle, rather than trying to work

:38:29. > :38:32.with them to make sure patient safety is improved and as we have

:38:33. > :38:38.heard, that weekend working is improved as well so people aren't

:38:39. > :38:41.put at risk. There's been an awful lot of misinformation on this, not

:38:42. > :38:44.least from Jeremy Hunt who is refusing to talk about the

:38:45. > :38:48.industrial action today, about weekend deaths, about the contract

:38:49. > :38:51.that is being imposed on junior doctors, and these are very, very

:38:52. > :38:54.caring people. The last thing they want to do today is strike, they

:38:55. > :38:59.want to make things work and improve safety for patients. David? I

:39:00. > :39:05.disagree totally. The BMA have handled this totally wrong. If you

:39:06. > :39:08.look at the hierarchy, they are all Labour-wanna be candidates, all of

:39:09. > :39:11.them and some stood against noted Conservatives for Parliament. The

:39:12. > :39:15.electorate have given the Conservative Government a mandate to

:39:16. > :39:26.give a full NHS seven days a week. But it's junior doctors who've

:39:27. > :39:30.voted. On 98%. On 74%. 9ving 87%. You are talking in the region of 20%

:39:31. > :39:36.not voting. It's the majority, so they have the mandate? But it's how

:39:37. > :39:40.it's been put across. You look at what's been offered, more money for

:39:41. > :39:44.less hours. You have seen what is happening today, this is what is

:39:45. > :39:47.happening. There is a furore at the moment saying we are not covered at

:39:48. > :39:50.the weekend. We are covered but this is what is happening every weekend.

:39:51. > :39:55.What Jeremy Hunt wants to bring in is a seven-day NHS where doctors are

:39:56. > :39:59.being paid right, being monitored correctly and, more to the point,

:40:00. > :40:05.any overtime they do is being put into their pension which it isn't

:40:06. > :40:11.now. The pay rise offered is 11%, originally it was 15% but that

:40:12. > :40:15.doesn't begin to compensate for the 26%... Let's top stop you on that

:40:16. > :40:19.point. You are saying antisocial hours, I've been listening to some

:40:20. > :40:23.doctors on this programme saying it's antisocial hours working

:40:24. > :40:28.Saturdays, but they don't want to be penalised nor forgot working

:40:29. > :40:31.Saturdays, so let's clear that up. They want to work Saturdays but get

:40:32. > :40:37.paid more, this package gives them that. It's a 26% cut for the hours

:40:38. > :40:40.they'll be asked to work over an above the hours they are can'tly

:40:41. > :40:44.working. At the end of the day, this isn't about pay for a lot of the

:40:45. > :40:50.junior doctors, it's safety for patients, I don't want to be

:40:51. > :40:56.operated on by a doctor that's been working 80-90 hours a week. That is

:40:57. > :41:03.why the hours are going down. 91 hours down to 72. This will return

:41:04. > :41:08.us to the bad old days of 90-hour working week. How can they? This is

:41:09. > :41:12.the ultimate negotiation. This is a basis for the contract that NHS,

:41:13. > :41:17.health education England's put out. The final negotiation with the BMA

:41:18. > :41:20.put forward have shown the major points of disagreement left are

:41:21. > :41:24.working hour weeks, rest breaks and night shifts. Those are the final

:41:25. > :41:27.things the Government won't negotiate on. The chief negotiator

:41:28. > :41:30.says we have to topple this Government, don't forget the last

:41:31. > :41:33.election was won by a Conservative Government with a mandate to sort

:41:34. > :41:39.this problem out and that's what we are doing. What the Government is

:41:40. > :41:43.doing, this is going to disincentivise people applying to

:41:44. > :41:50.antisocial hours. We have seen specialities like paediatricians. 91

:41:51. > :41:53.to 72 hours. 70% of junior doctors surveyed said they would consider

:41:54. > :41:57.leaving the NHS if the contract is imposed. We are facing a massive

:41:58. > :42:01.recruitment and retention crisis in the NHS, we have lost a third of A

:42:02. > :42:06.doctors in five years overseas and nothing being put in here will

:42:07. > :42:11.tackle any of those problems. They are overstretched because they are

:42:12. > :42:16.working longer hours, they say, they are working 91 down to 72 hour,

:42:17. > :42:22.monitored better, better pay and it's safer for the patients and that

:42:23. > :42:26.is the important thing. The safeguards are being removed. The

:42:27. > :42:31.indisincentive for Trusts to award excess hours, unsafe hours for

:42:32. > :42:34.junior doctors, that is being removed and they are putting in

:42:35. > :42:38.place voluntary special guardian. I want to come in because you have

:42:39. > :42:42.both run through all of the arguments very effectively there. In

:42:43. > :42:48.terms of the strike today, are you concerned about patient safety?

:42:49. > :42:51.Personally I would rather see everyone get around the table and be

:42:52. > :42:55.grown up about it and sort it out for the future. From what I can

:42:56. > :42:59.gather, most hospitals are covered. I've looked on the Twitter feed from

:43:00. > :43:03.my local hospital in Lancaster, there are no doctors on the strike

:43:04. > :43:10.line s just opposition politicians, whether they be the Greens or

:43:11. > :43:13.council candidates or whoever are Labour. This is what we see every

:43:14. > :43:17.Saturday and weekend where we have less staff on, we want to see that

:43:18. > :43:21.being monitored better and have more staff on at the weekend. Emergency

:43:22. > :43:25.care is being well covered today but the idea that this is a political

:43:26. > :43:29.strike exercised by militants which is what several colleagues have

:43:30. > :43:34.called junior doctors is appalling. That's exactly what it is. This is

:43:35. > :43:37.an enormous mandate for junior doctors. We are out of time, you

:43:38. > :43:42.two. Thank you very much and we'll wrap up with a couple of viewers'

:43:43. > :43:45.comments. Doctors have every right to strike as do the Tube drivers.

:43:46. > :43:47.Janet, it's Government's responsibility to make sure

:43:48. > :43:52.contracts are safe for doctors. Thank you so much for your views,

:43:53. > :43:54.your company today. See you same time tomorrow. Have a good

:43:55. > :44:05.afternoon. Bye. So, no-one pays tax here?

:44:06. > :44:09.No-one pays taxes.