:00:00. > :00:00.winners, how the British hopefuls fared and reaction to protest about
:00:00. > :00:00.the lack of ethnic diversity. That is at 9.30 on BBC Two and the BBC
:00:00. > :00:07.News Channel. It's 9.15, I'm Joanna Gosling
:00:08. > :00:11.in for Victoria, welcome A recruitment crisis in the NHS,
:00:12. > :00:15.with tens of thousands of nursing Hospital workers tell us
:00:16. > :00:27.the impact it has on them. I am an emergency registrar and I am
:00:28. > :00:33.concerned about the number of doctors leaving A and leaving the
:00:34. > :00:36.UK. I am a registrar. I have just finished a night shift this morning
:00:37. > :00:40.and what concerns me is the sustainability of the medical
:00:41. > :00:44.workforce in the future. I am Joe Harrison, a senior staff nurse in
:00:45. > :00:46.A, and I am concerned about the number of nurses leaving the
:00:47. > :00:52.profession and the impact on the NHS as a whole. We will hear much more
:00:53. > :00:54.from them later. Let us know your thoughts as well.
:00:55. > :00:56.Also on the programme - life inside the capital of so-called
:00:57. > :01:07.A group of Isis police rushed over and grabbed me. They took me to
:01:08. > :01:11.their headquarters. I tried to reason with them, but it was no use.
:01:12. > :01:12.You were cursing out loud. Your punishment is 40 lashes.
:01:13. > :01:15.And at 9.30, Jane Hill will bring you all the glitz, glamour,
:01:16. > :01:17.winners and losers from this year's Oscars.
:01:18. > :01:20.After six nominations, Leonardo DiCaprio finally wins
:01:21. > :01:25.Best Actor as Spotlight defies expectations to take Best Film.
:01:26. > :01:28.And it's not a been a bad night for the Brits either.
:01:29. > :01:34.Join me and the film critic Jason Solomons in 15 minutes.
:01:35. > :01:50.And the Oscar goes to, spotlight. Join me in 15 minutes.
:01:51. > :01:53.Welcome to the programme, we're on BBC Two
:01:54. > :01:55.and the BBC News Channel until 11 this morning.
:01:56. > :01:57.A slightly different programme today, because at 9.30,
:01:58. > :02:00.here to bring you all the winners and losers from the Oscars.
:02:01. > :02:03.And then after 10, we'll bring you more of the latest news
:02:04. > :02:06.and developing stories, including a powerful interview
:02:07. > :02:10.with a 27-year-old whose father has just died from alcoholism.
:02:11. > :02:13.We'll be looking at the impact a parent's drinking can
:02:14. > :02:17.If you've grown up with an alcoholic parent, do get in touch ad
:02:18. > :02:20.Texts will be charged at the standard network rate.
:02:21. > :02:22.And of course, you can watch the programme online
:02:23. > :02:24.wherever you are via the BBC News app
:02:25. > :02:34.First this morning, a recruitment crisis in the NHS.
:02:35. > :02:37.More than two-thirds of trusts and health boards in the UK
:02:38. > :02:40.are actively trying to recruit from abroad as they struggle to cope
:02:41. > :02:44.Tens of thousands of NHS nursing and doctor posts are vacant.
:02:45. > :02:49.The figures, obtained by the BBC, show that in December of last year,
:02:50. > :02:52.the NHS in England, Wales and Northern Ireland had more
:02:53. > :03:00.than 23,000 nursing vacancies - that's 9% of the workforce.More
:03:01. > :03:06.Comparable figures for Scotland were not available.
:03:07. > :03:10.Many hospitals in England are having to rely on expensive agency staff
:03:11. > :03:12.to make up the shortfall, and that is driving a financial
:03:13. > :03:19.One solution is to recruit from abroad.
:03:20. > :03:22.The figures show that more than two thirds of trusts and health boards
:03:23. > :03:25.across the UK are actively seeking staff overseas.
:03:26. > :03:28.The Royal College of Nursing and the British Medical Association
:03:29. > :03:33.blame poor workforce planning, but the Government says since 2010,
:03:34. > :03:39.more nurses and doctors have been working in the NHS wards.
:03:40. > :03:42.So what impact does this have on those working within the NHS?
:03:43. > :03:47.Dr David Rouse is an emergency medicine registrar and deputy chair
:03:48. > :03:51.of the UK BMA Junior Doctors Committee.
:03:52. > :03:54.Dr Reena Aggarwal is an obstetrician and gynaecologist
:03:55. > :03:56.who has just finished a 13 hour night shift.
:03:57. > :03:59.And Joe Harrison is a nurse from the Royal College of London
:04:00. > :04:11.He is originally from Ghana and trained in this country.
:04:12. > :04:17.You have been up all night working. Tell us about the impact where you
:04:18. > :04:23.are working of staff shortages. Is it something you are aware of? You
:04:24. > :04:29.cannot work in the NHS and not be aware of staff shortages. For
:04:30. > :04:33.example, last night, on my Labour ward, we were two midwives short.
:04:34. > :04:40.That is common across the country and in my hospital. In terms of
:04:41. > :04:45.nurses as well, I see shortages of nurses on the wards during the week
:04:46. > :04:50.and at weekends. In terms of junior doctors, there is a huge shortage of
:04:51. > :04:55.junior doctors. There are gaps everywhere across the country. In my
:04:56. > :05:01.own hospital last year, between April and October, I worked on a
:05:02. > :05:05.rotor of 14 registrars. We were seven down. I was one of two full
:05:06. > :05:11.time registrars working that wrote it. On top of my ordinary shifts, I
:05:12. > :05:17.worked extra shifts between April and October. By September I was so
:05:18. > :05:22.exhausted, I was so burnt out that at the time I was considering
:05:23. > :05:27.reducing my shifts or giving up the profession. I had a holiday, some
:05:28. > :05:30.sleep, I got some perspective and I remembered my vocation and what I
:05:31. > :05:35.love being a doctor and I am still here and will carry on but this is
:05:36. > :05:40.reality. The gaps are driving doctors out of the NHS, they are
:05:41. > :05:44.causing burn-out and it is a real issue for sustainability in the
:05:45. > :05:51.future. What about the impact on patients? That has huge impact. If
:05:52. > :05:57.you have tired and demoralised staff that will have huge impact.
:05:58. > :06:03.Yesterday, the real impact of having to midwives down meant care has to
:06:04. > :06:06.change. Patients have too weird. We had women on the antenatal ward he
:06:07. > :06:10.needed to be induced. They are stable but we had to delay that
:06:11. > :06:14.because we had emergencies to deal with and because we do not have the
:06:15. > :06:23.staff to treat those women or care those women. There are shortages
:06:24. > :06:27.now. The NHS is facing a financial crisis and all hospitals are being
:06:28. > :06:33.asked to look at their wage packets and hospitals are be choosing the
:06:34. > :06:39.amount of nurses that are on the floor and that impacts care. We have
:06:40. > :06:44.a triage surfers -- service in my hospital which had two full-time
:06:45. > :06:48.midwives. Since December, there has only been one full-time midwives
:06:49. > :06:53.stuff that so the same number of women are coming to visit us. That
:06:54. > :07:01.means women with longer, it means it impact on patient care. It means
:07:02. > :07:06.emergencies. You are a nurse in A What is it like for you? I am not a
:07:07. > :07:15.political person and do not want to say this in a political way, but I
:07:16. > :07:22.think, as a nation, if we are not healthy -- healthy, we cannot go to
:07:23. > :07:26.war. The impact on the nation as a whole is that when nurses are dealt
:07:27. > :07:33.a raw deal, they do leave. It is patients who suffer. On a daily
:07:34. > :07:40.basis, are you aware of shortages which are marked absolutely. In the
:07:41. > :07:46.space of six weeks we have had about ten or 15 nurses leave because they
:07:47. > :07:52.are not getting the two is that they need to nurse the weight they want
:07:53. > :07:57.to nurse and so, therefore, the best thing for them to do is to leave.
:07:58. > :08:07.Explain the impact of that on the Department. It is patient care. That
:08:08. > :08:14.is the impact that is terrible. The impact is terrible. You are not
:08:15. > :08:18.given the resources you need to give optimum care and patient to come in
:08:19. > :08:26.and get the brunt of these shortages. You work in A as well.
:08:27. > :08:31.You represent junior doctors with the BMA, Sony have this overview.
:08:32. > :08:37.What is a perspective from your personal experiences and why it is
:08:38. > :08:40.happening? We are looking at emergency departments where the
:08:41. > :08:44.number of patients attending is skyrocketing. We are seeing 17 or
:08:45. > :08:51.18% attendance is now than we did last year and the year before. This
:08:52. > :08:53.is having a massive impact. We have rotor gaps throughout emergency
:08:54. > :08:58.medicine and we are struggling to recruit doctors G emergency
:08:59. > :09:04.medicine. This is linked. If you look at the number of people
:09:05. > :09:10.attending you can see why people are getting burnt out. This is not just
:09:11. > :09:16.emergency medicine, business across specialities. Also in nursing,
:09:17. > :09:18.physiotherapy and allied health professions. They are feeling the
:09:19. > :09:23.brunt of the strain of being put on the NHS at the moment. When you look
:09:24. > :09:29.at that and you think doctors and nurses are getting burnt out, they
:09:30. > :09:34.are voting with their feet. Junior doctors, going forward from
:09:35. > :09:37.foundation years, that is the first two years after qualification, 50%
:09:38. > :09:41.are choosing not to go into specialist training and are going
:09:42. > :09:45.abroad to Australia or are choosing to leave medicine altogether. That
:09:46. > :09:49.is compounding the problems and making burn-out more likely. On top
:09:50. > :09:54.of that would have the government imposing an unfair contract on
:09:55. > :09:57.junior doctors. At a moment when staff are more demoralised than they
:09:58. > :10:02.have been in decades. It is not surprising doctors are leaving the
:10:03. > :10:06.country. We wanted someone from the government on but they couldn't put
:10:07. > :10:13.someone up. They said their artwork nurses and doctors in the NHS than
:10:14. > :10:17.ever before. 29,600 extra clinical staff since 2010, of which there are
:10:18. > :10:24.more than 10,600 doctors and 10,600 nurses. You had to look at those
:10:25. > :10:29.figures and think the government removing bursaries, making medicine
:10:30. > :10:35.in accessible to students because... They are saying there are more
:10:36. > :10:38.clinical professionals. If you reduce the number going in and
:10:39. > :10:42.demand increases, and whether they have more doctors are sent there
:10:43. > :10:48.are, we are seeing people leaving in droves. The number doesn't stack up
:10:49. > :10:52.on the shop floor. It is like putting all wide indeed he knew
:10:53. > :10:57.wineskins. The same problem will repeat itself. We saw this in the
:10:58. > :11:01.mid-2000 is when nurses and other health care professionals were
:11:02. > :11:05.brought in from different countries like the Philippines, Zimbabwe and
:11:06. > :11:12.they have left in droves. It is the same problem. The government does
:11:13. > :11:19.say there are 10,000 more doctors since 2010. There probably are, and
:11:20. > :11:23.David has been saying the junior doctor contract has created such
:11:24. > :11:26.negative publicity, especially in the last six or eight months that
:11:27. > :11:31.medical School applications are done over the last two years and
:11:32. > :11:36.statistics show they are almost 15% down. June 17 and 18-year-old kids
:11:37. > :11:40.who have always wanted to be doctors are not looking at the NHS and
:11:41. > :11:45.looking at the government and looking at the contract and are not
:11:46. > :11:49.choosing to the medicine. You said you had to remember it was a
:11:50. > :11:54.vocation at one point. Do you all feel like that? I choose to be a
:11:55. > :12:00.doctor when I was four. That is all I have ever wanted to do. Over the
:12:01. > :12:05.last eight or ten months with the junior doctor battle and we all
:12:06. > :12:10.understand the NHS is under huge strain, we work on the front line,
:12:11. > :12:15.we did this every day, we accept that, we take the job as it is, but
:12:16. > :12:21.the current rhetoric is causing us to think again. These are people who
:12:22. > :12:25.are not leaving medicine, they are choosing to stay with their
:12:26. > :12:33.vocation, to be doctors, they are just not choosing to do it in the
:12:34. > :12:37.NHS. That speaks volumes. Jason on Facebook, look after the stuff. I
:12:38. > :12:42.have seen them stay beyond their shift. They are so busy they do not
:12:43. > :12:45.take a break. I have seen them eat in the toilet because they felt
:12:46. > :12:46.could the about taking a break. Look after them. Keep your thoughts
:12:47. > :12:50.coming in. There will be more on vacancies
:12:51. > :12:53.and recruitment in the NHS on tonight's Inside Out -
:12:54. > :12:55.BBC One, that's 7.30, First, it's time for
:12:56. > :13:03.the main news this morning. An Oscar at last for
:13:04. > :13:05.Leonardo DiCaprio, after more The 41-year-old wins Best Actor
:13:06. > :13:09.for his role in survival epic The Revenant and uses his speech
:13:10. > :13:11.to call for action Thank you all for this
:13:12. > :13:17.amazing award tonight. Let us not take this planet
:13:18. > :13:20.for granted, I do not take The NHS is struggling
:13:21. > :13:27.with a shortage of doctors A BBC investigation has revealed
:13:28. > :13:39.that most trusts in England, Wales and Northern Ireland are now
:13:40. > :13:42.recruiting abroad, as they try to fill tens of thousands
:13:43. > :13:45.of vacant posts. A warning of tough times
:13:46. > :13:49.ahead for shop workers. Almost one in three could lose
:13:50. > :13:52.their jobs in the next ten years, according to the British
:13:53. > :13:57.Retail Consortium. It says the High Street will be
:13:58. > :14:01.increasingly squeezed by a switch to online shopping,
:14:02. > :14:03.as well as rising costs from the National Living
:14:04. > :14:05.Wage and higher taxes. The Raspberry Pi has become the most
:14:06. > :14:08.popular British computer ever made. British astronaut Tim Peake took one
:14:09. > :14:11.into space and total sales are now The new Raspberry model has been
:14:12. > :14:17.unveiled with a faster processor Let's catch up with all the sport
:14:18. > :14:29.now and join Olly Foster, and Manchester City were the big
:14:30. > :14:37.winners to start football's The first award of the football
:14:38. > :14:43.season was one yesterday but Manchester City. The beat Liverpool
:14:44. > :14:48.in one of the penalties. A surprise lifetime achievement award. He has
:14:49. > :14:52.been the city cop keeper all season. He led in five against Chelsea in
:14:53. > :14:58.the FA Cup but they stuck by him and he saved three of those spot kicks.
:14:59. > :15:02.Best actor award? At ten o'clock Michu you how Louis van Gaal threw
:15:03. > :15:08.himself to the ground in frustration at Addicks from Arsenal. A lot of
:15:09. > :15:17.the spruce of him lying prostrate have been doing the rounds. They
:15:18. > :15:21.beat Arsenal. With Spurs winning yesterday, the title race is getting
:15:22. > :15:31.interesting. I will be back at ten o'clock.