29/02/2016 Victoria Derbyshire


29/02/2016

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winners, how the British hopefuls fared and reaction to protest about

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the lack of ethnic diversity. That is at 9.30 on BBC Two and the BBC

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News Channel. It's 9.15, I'm Joanna Gosling

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in for Victoria, welcome A recruitment crisis in the NHS,

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with tens of thousands of nursing Hospital workers tell us

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the impact it has on them. I am an emergency registrar and I am

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concerned about the number of doctors leaving A and leaving the

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UK. I am a registrar. I have just finished a night shift this morning

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and what concerns me is the sustainability of the medical

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workforce in the future. I am Joe Harrison, a senior staff nurse in

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A, and I am concerned about the number of nurses leaving the

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profession and the impact on the NHS as a whole. We will hear much more

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from them later. Let us know your thoughts as well.

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Also on the programme - life inside the capital of so-called

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A group of Isis police rushed over and grabbed me. They took me to

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their headquarters. I tried to reason with them, but it was no use.

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You were cursing out loud. Your punishment is 40 lashes.

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And at 9.30, Jane Hill will bring you all the glitz, glamour,

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winners and losers from this year's Oscars.

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After six nominations, Leonardo DiCaprio finally wins

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Best Actor as Spotlight defies expectations to take Best Film.

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And it's not a been a bad night for the Brits either.

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Join me and the film critic Jason Solomons in 15 minutes.

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And the Oscar goes to, spotlight. Join me in 15 minutes.

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Welcome to the programme, we're on BBC Two

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and the BBC News Channel until 11 this morning.

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A slightly different programme today, because at 9.30,

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here to bring you all the winners and losers from the Oscars.

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And then after 10, we'll bring you more of the latest news

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and developing stories, including a powerful interview

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with a 27-year-old whose father has just died from alcoholism.

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We'll be looking at the impact a parent's drinking can

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If you've grown up with an alcoholic parent, do get in touch ad

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Texts will be charged at the standard network rate.

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And of course, you can watch the programme online

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wherever you are via the BBC News app

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First this morning, a recruitment crisis in the NHS.

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More than two-thirds of trusts and health boards in the UK

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are actively trying to recruit from abroad as they struggle to cope

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Tens of thousands of NHS nursing and doctor posts are vacant.

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The figures, obtained by the BBC, show that in December of last year,

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the NHS in England, Wales and Northern Ireland had more

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than 23,000 nursing vacancies - that's 9% of the workforce.More

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Comparable figures for Scotland were not available.

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Many hospitals in England are having to rely on expensive agency staff

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to make up the shortfall, and that is driving a financial

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One solution is to recruit from abroad.

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The figures show that more than two thirds of trusts and health boards

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across the UK are actively seeking staff overseas.

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The Royal College of Nursing and the British Medical Association

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blame poor workforce planning, but the Government says since 2010,

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more nurses and doctors have been working in the NHS wards.

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So what impact does this have on those working within the NHS?

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Dr David Rouse is an emergency medicine registrar and deputy chair

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of the UK BMA Junior Doctors Committee.

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Dr Reena Aggarwal is an obstetrician and gynaecologist

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who has just finished a 13 hour night shift.

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And Joe Harrison is a nurse from the Royal College of London

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He is originally from Ghana and trained in this country.

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You have been up all night working. Tell us about the impact where you

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are working of staff shortages. Is it something you are aware of? You

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cannot work in the NHS and not be aware of staff shortages. For

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example, last night, on my Labour ward, we were two midwives short.

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That is common across the country and in my hospital. In terms of

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nurses as well, I see shortages of nurses on the wards during the week

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and at weekends. In terms of junior doctors, there is a huge shortage of

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junior doctors. There are gaps everywhere across the country. In my

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own hospital last year, between April and October, I worked on a

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rotor of 14 registrars. We were seven down. I was one of two full

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time registrars working that wrote it. On top of my ordinary shifts, I

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worked extra shifts between April and October. By September I was so

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exhausted, I was so burnt out that at the time I was considering

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reducing my shifts or giving up the profession. I had a holiday, some

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sleep, I got some perspective and I remembered my vocation and what I

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love being a doctor and I am still here and will carry on but this is

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reality. The gaps are driving doctors out of the NHS, they are

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causing burn-out and it is a real issue for sustainability in the

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future. What about the impact on patients? That has huge impact. If

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you have tired and demoralised staff that will have huge impact.

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Yesterday, the real impact of having to midwives down meant care has to

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change. Patients have too weird. We had women on the antenatal ward he

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needed to be induced. They are stable but we had to delay that

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because we had emergencies to deal with and because we do not have the

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staff to treat those women or care those women. There are shortages

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now. The NHS is facing a financial crisis and all hospitals are being

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asked to look at their wage packets and hospitals are be choosing the

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amount of nurses that are on the floor and that impacts care. We have

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a triage surfers -- service in my hospital which had two full-time

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midwives. Since December, there has only been one full-time midwives

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stuff that so the same number of women are coming to visit us. That

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means women with longer, it means it impact on patient care. It means

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emergencies. You are a nurse in A What is it like for you? I am not a

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political person and do not want to say this in a political way, but I

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think, as a nation, if we are not healthy -- healthy, we cannot go to

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war. The impact on the nation as a whole is that when nurses are dealt

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a raw deal, they do leave. It is patients who suffer. On a daily

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basis, are you aware of shortages which are marked absolutely. In the

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space of six weeks we have had about ten or 15 nurses leave because they

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are not getting the two is that they need to nurse the weight they want

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to nurse and so, therefore, the best thing for them to do is to leave.

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Explain the impact of that on the Department. It is patient care. That

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is the impact that is terrible. The impact is terrible. You are not

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given the resources you need to give optimum care and patient to come in

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and get the brunt of these shortages. You work in A as well.

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You represent junior doctors with the BMA, Sony have this overview.

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What is a perspective from your personal experiences and why it is

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happening? We are looking at emergency departments where the

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number of patients attending is skyrocketing. We are seeing 17 or

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18% attendance is now than we did last year and the year before. This

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is having a massive impact. We have rotor gaps throughout emergency

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medicine and we are struggling to recruit doctors G emergency

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medicine. This is linked. If you look at the number of people

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attending you can see why people are getting burnt out. This is not just

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emergency medicine, business across specialities. Also in nursing,

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physiotherapy and allied health professions. They are feeling the

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brunt of the strain of being put on the NHS at the moment. When you look

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at that and you think doctors and nurses are getting burnt out, they

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are voting with their feet. Junior doctors, going forward from

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foundation years, that is the first two years after qualification, 50%

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are choosing not to go into specialist training and are going

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abroad to Australia or are choosing to leave medicine altogether. That

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is compounding the problems and making burn-out more likely. On top

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of that would have the government imposing an unfair contract on

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junior doctors. At a moment when staff are more demoralised than they

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have been in decades. It is not surprising doctors are leaving the

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country. We wanted someone from the government on but they couldn't put

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someone up. They said their artwork nurses and doctors in the NHS than

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ever before. 29,600 extra clinical staff since 2010, of which there are

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more than 10,600 doctors and 10,600 nurses. You had to look at those

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figures and think the government removing bursaries, making medicine

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in accessible to students because... They are saying there are more

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clinical professionals. If you reduce the number going in and

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demand increases, and whether they have more doctors are sent there

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are, we are seeing people leaving in droves. The number doesn't stack up

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on the shop floor. It is like putting all wide indeed he knew

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wineskins. The same problem will repeat itself. We saw this in the

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mid-2000 is when nurses and other health care professionals were

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brought in from different countries like the Philippines, Zimbabwe and

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they have left in droves. It is the same problem. The government does

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say there are 10,000 more doctors since 2010. There probably are, and

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David has been saying the junior doctor contract has created such

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negative publicity, especially in the last six or eight months that

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medical School applications are done over the last two years and

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statistics show they are almost 15% down. June 17 and 18-year-old kids

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who have always wanted to be doctors are not looking at the NHS and

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looking at the government and looking at the contract and are not

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choosing to the medicine. You said you had to remember it was a

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vocation at one point. Do you all feel like that? I choose to be a

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doctor when I was four. That is all I have ever wanted to do. Over the

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last eight or ten months with the junior doctor battle and we all

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understand the NHS is under huge strain, we work on the front line,

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we did this every day, we accept that, we take the job as it is, but

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the current rhetoric is causing us to think again. These are people who

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are not leaving medicine, they are choosing to stay with their

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vocation, to be doctors, they are just not choosing to do it in the

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NHS. That speaks volumes. Jason on Facebook, look after the stuff. I

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have seen them stay beyond their shift. They are so busy they do not

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take a break. I have seen them eat in the toilet because they felt

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could the about taking a break. Look after them. Keep your thoughts

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coming in. There will be more on vacancies

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and recruitment in the NHS on tonight's Inside Out -

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BBC One, that's 7.30, First, it's time for

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the main news this morning. An Oscar at last for

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Leonardo DiCaprio, after more The 41-year-old wins Best Actor

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for his role in survival epic The Revenant and uses his speech

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to call for action Thank you all for this

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amazing award tonight. Let us not take this planet

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for granted, I do not take The NHS is struggling

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with a shortage of doctors A BBC investigation has revealed

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that most trusts in England, Wales and Northern Ireland are now

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recruiting abroad, as they try to fill tens of thousands

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of vacant posts. A warning of tough times

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ahead for shop workers. Almost one in three could lose

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their jobs in the next ten years, according to the British

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Retail Consortium. It says the High Street will be

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increasingly squeezed by a switch to online shopping,

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as well as rising costs from the National Living

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Wage and higher taxes. The Raspberry Pi has become the most

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popular British computer ever made. British astronaut Tim Peake took one

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into space and total sales are now The new Raspberry model has been

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unveiled with a faster processor Let's catch up with all the sport

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now and join Olly Foster, and Manchester City were the big

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winners to start football's The first award of the football

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season was one yesterday but Manchester City. The beat Liverpool

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in one of the penalties. A surprise lifetime achievement award. He has

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been the city cop keeper all season. He led in five against Chelsea in

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the FA Cup but they stuck by him and he saved three of those spot kicks.

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Best actor award? At ten o'clock Michu you how Louis van Gaal threw

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himself to the ground in frustration at Addicks from Arsenal. A lot of

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the spruce of him lying prostrate have been doing the rounds. They

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beat Arsenal. With Spurs winning yesterday, the title race is getting

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interesting. I will be back at ten o'clock.

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