06/09/2017 Victoria Derbyshire

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Hello, it's Wednesday, it's 9am, I'm Chloe Tilley.


The Government is looking at ways to reduce the number of low skilled EU


migrants after Brexit. According to a leaked Home Office leaked


document. We want companies to do more to


improve skills of those who leave our colleges. We are not closing the


door on all future immigration, but it has to be managed properly.


Bosses faced being told they could be taxed if they keep taking on


unskilled EU migrants and should put British workers first.


As thousands of nurses prepare to lobby Parliament over their pay,


some of them tell us why they can't afford to live on what they get.


I'm Michael. I'm a nurse. I'm ?400 a month worse off under the pay cap.


We report on a scheme in Glasgow to help refugees who previously worked


as doctors join the NHS. Lots of colleagues who are doctors living


here and they are working other jobs. Some of them are even taxi


drivers which has let down hope for a lot of people and when you hear


about this, it has given us a lot of hope.


Hello. Welcome to the programme.


We're also talking about endometriosis this morning,


an incurable condition affecting women which causes extreme pain


Under new NHS guidelines should improve the treatment people get,


Do get in touch if it's something you've suffered from.


Use the hashtag Victoria LIVE and if you text, you will be charged


A leaked Home Office document has set out plans for how


the UK immigration system could work after Brexit.


The paper, which has been published by the Guardian newspaper,


considers how the Government could dramatically reduce the number


It also proposes time limits on how long EU nationals


The BBC understands the document - which was produced last month -


Our Political Guru Norman Smith is in Westminster this morning.


Norman, tell us more about what's in the leaked document? Well, there are


two sort of big thoughts in this document. One is the desire for a


concerted climb-down on unskilled EU migration into the UK and the second


is to put British workers first. To give them priority. Now, how would


this work out? Well the Government is suggesting you could say to


unskilled EU workers coming to Britain, you can only stay for two


years, you would have to get a certain salary level. You couldn't


come here and look for a job, you would have to have a job to come to


and the Government is also thinking about just imposing a blanket cap on


the number of unskilled workers from the EU who can come here. So they


would say well, you can have X thousands, but no more than that. As


for business, they will be under an obligation to try and recruit local


British workers first and they will have to pass a test to show that


they have gone out and tried to recruit British workers and if then


they still want to recruit people from the EU, they could face a


charge, a tax, and that money would go to train up British workers. So,


it's a very, very big change from what the current sort of freedom of


movement regime and while it's not definite Government policy, I think,


we do get a clear insight into the strategy the Government is hoping to


unveil once we finally get the immigration plans unveiled in the


autumn. How is it being received, Norman? Well, business, I think, is


already deeply alarmed and the reason for that is they say look,


there simply aren't the indigenous British workers out there to take up


all the unskilled jobs because unemployment is down at around 4.5%.


That's nearly full employment. So they say look, we have got to go out


to Europe to bring in those unskilled workers otherwise we can't


meet customer demand and we can't grow our businesses. The response


from ministers has been to say look, immigration was at the heart of the


referendum campaign. There is no getting away from it and this


morning the Defence Secretary Sir Michael Fallon was saying he would


make no apology for bearing down on immigration. Let's be clear, freedom


of movement has to end. It has to end because legally we're living the


European Union, that's what people voted for last year and freedom of


movement is part of membership. So that has to finish. We don't want to


shut the down on I will gration, but equally the public want to see


immigration continue to come down. It's falling at the moment. We've


always said we want to get it manageable, down from hundreds of


thousands a year, down to tens of thousands a year to reduce the


pressure on public services. So we will set out the proposals as to who


can come here from the rest of the European Union, how long they can


work here and what their varied will be and it will be set out by the


Home Secretary later this year. Chloe this is going to provoke a


huge row, debate, call it what you will over the road in Westminster


including in the Conservative Party. When you talk to different ministers


they say, "Well, I don't want any reduction in EU migrants in my


particular field." No one really wants to see fewer NHS workers from


the EU or fewer care workers. No one really wants to see fewer farm


workers coming to work in fruit farms. No one wants to see fewer


construction workers. The difficulty is working out who are the unskilled


EU workers that the Government now wants to keep out. Norman, thank you


very much. Annita is in the BBC


Newsroom with a summary Islands in the Caribbean


are making last-minute preparations for Hurricane Irma,


one of the most powerful Atlantic storms on record


with officials warning of its "potentially


catastrophic" effects. It's already lashing the British


territory of Anguilla where residents say the powerful


waves and high winds have been Latest reports say the eye


of the hurricane is passing over Our correspondent


Sarah Corker reports. This is the eye of


the storm from space. Dramatic images from Nasa


capture the sheer scale The category five storm


is on a collision course Popular holiday destinations


like Antigua and Saint Martin are preparing for life-threatening


winds and torrential rains. Storm surges of up to 12-feet


are forecast and overnight some Irma's path may change but at


the moment it looks set to head towards the British Virgin Islands,


Puerto Rico, Cuba and by People are securing their homes and


stocking up on essentials. The dough minutical republic the


rains have already arrived. The tourist like, like its neighbour,


Haiti issued hurricane warnings. And in Florida, a state of emergency has


been declared. The torm is massive and the storm surge will go for


miles and miles. Right now Irma is travelling at 15mph and the track


has it forecasted to move just south of the Florida quays on a westerly


path with a slight north-west turn. It is important that all Floridans


keep an eye on this storm. Do not sit and wait to prepare, get


prepared now. The storm's track may change.


This monster hurricane comes on the heels of Harvey, which struck


This But Irma is a bigger storm and potentially more dangerous. In


Miami, they are preparing for the worst. This is not a storm to be


taken lightly. This is probably the worst one since we moved here in


2003. I have lived through Hurricane Andrew and Hurricane Katrina and


Hurricane Wilma. A research plane filmed these pictures from inside


the hurricane to predict its route and now millions of people across


the Caribbean are preparing for this potentially catastrophic storm.


A 14-year-old boy has died after a double


Corey Junior Davis and another boy, who's 17, were found with gunshot


injuries in Forest Gate on Monday afternoon.


The second victim is said to have "life-changing injuries".


Police have launched a murder investigation.


Russian President Vladimir Putin has said that North Korea's nuclear


and missile programme are a "flagrant violation"


Speaking after talks with his South Korean counterpart


in the Russia city of Vladivostok, Mr Putin also called for talks


to try to resolve the crisis, warning that no resolution would be


possible with just sanctions and pressure alone.


The de-facto leader of Myanmar, Aung San Suu Kyi, has claimed


that the crisis in Rakhine state is being distorted by


Myanmar is currently under intense diplomatic pressure to end


the violence its security forces are reportedly inflicting


Nearly 150,000 people have fled into neighbouring Bangladesh.


That's a summary of the latest BBC News - more at 9.30am.


Get in touch with us throughout the morning -


use the hashtag Victoria LIVE and If you text, you will be charged


use the hashtag Victoria LIVE and if you text, you will be charged


He only made his debut for Wales at the weekend and already he's


turning into a real star in the side, isn't he?


E-Ben Woodburn could well become the next big star. He is thought of


highly by his club manager, Jurgen Klopp. His international manager


decided to bring him in for Wales at the age of 17. He had a real effect.


He scored a winner on his debut and in last night's qualifier, well he


made another impact off the bench. The Liverpool man, showed no fear so


far in a Welsh shirt. He has defied his age. Good wide play from him to


set up the opening goal. It was a Man of the Match performance from


Woodburn. So we could be looking at another Ryan Giggs or Gareth Bale,


Aaron Ramsey getting another goal to put a seal on the result, but it was


a very important win for Wales because that result coupled with


defeat for the Republic of Ireland in their game with Serbia means that


Wales have moved into second spot in Group D. That gives them a good


chance of a play-off spot with a couple of qualifying games left.


Wales and Ireland will face each other in a final qualifier in a


month's time. That could be a winner takes all decider.


Now, the England women's manager Mark Sampson has been responding


Yes. There has been a bit of a storm at the FA over this. The former


striker alleged an atmosphere of bullying and discrimination. She


said that had been created by Sam son and included allegations of


racially insensitive language and Sam son has been cleared by a FA and


independent investigation and yesterday he chose to speak about


the issue. He said his conscience was clear responding to the claim


that he joked that he didn't want her Nigerian family to bring ebola


to an England game. This is what he had to say. I have heard the


specifics of the allegation and at the time we released a statement to


be very clear that I didn't say that and I'm very disappointed the


allegation has come out and I understand it. All I can say is I


didn't say that with any of my communication, my intention clearly


is to support the players, give them confidence and give them every


chance to be successful on the field.


She has claimed she e-mailed Sam son and he hasn't responded. We will see


if the FA chooses to look at this further.


Football will lose one of its greatest commentators


at the end of this season - John Motson.


We will hear and see less of John Motson. He is deciding to hang up


the microphone after 50 years. He covered ten World Cups, ten euros,


29 FA Cup Finals and more than 200 England games. He is at the age of


72. He says he wants to stay within football and commentary. He won't be


retiring from everything, but we won't have him describing a goal or


two on a Saturday night and that will be a brand-new feeling for many


of the football fans up and down the country. Hugh, thank you. I'll catch


up with you later on. Hundreds of nurses are expected


to gather in Central London later to demand a pay rise


from the Government It comes as the Scottish government


announce the pay cap in Scotland will be lifted and after hints


from ministers that things could be Tell me how your life has been


affected by the pay cap? I worry a lot more about money than I used to.


Money is a lot tighter at the end of the month, there is less money left.


So that means maybe you don't have a holiday that year or you shop for a


cheaper brand in the supermarket. But it's also about how we feel


under valued. So it's about yes, about money, but it's also every


time the pay cap stays in place and every time we are told there is no


money, it is a slap in the face for hard-working nurses and health care


assistants, midwives, doctors, operating department practitioners,


radiographers, everybody that works in the NHS and it is not, some of


the lower paid staff that are really suffering. So health care assistants


who are on band two, admin staff who are band ones, band twos, band


threes which are the lower pay scales because they have had their


pay frozen in the same way. It isn't just nurses that are suffering, it


is staff across the NHS. Emma Louise, you are in Glasgow, so


you will benefit from the cap is being lifted in Scotland. But that


does not mean I will not keep fighting for it to be lifted across


the UK. As well as that, I am a student, but I have benefited from


the bursary appear, and I would love to see it being overturned down


south, because I can see the number of nurses decreasing rapidly without


that bursary in place. On top of that, Michael is right when he says


it is about being undervalued, because we are out there saving your


family's life, and it is about the same respect been coming back to us.


I know that you used to be a nurse yourself - is the pay capped their?


I worked under the bank, but I worked under the cap and a pay


freeze from 2010-15, so I have done five years and I know how tough it


is. Nurses don't go into the profession to become wealthy or to


earn huge wages. It is about the recognition of how hard nurses have


worked, and about the whole public sector and what it says to people


when we say, we can't afford to give you a pay rise. But it is your


Government that has enforced that. I am one of many colleagues trying to


influence the Government to lift the pay cut. I am sponsoring an event


with the RCN to raise awareness amongst MPs not just about the pay


rise but to showcase what nurses really do, because I think there is


a lack of understanding about how the role has changed and the crucial


work that nurses do, both in hospitals and the community, and


what a difference they make to the NHS. Sam, introduce yourself,


please. I am the Executive Director of a free-market think tank. After


the crisis, public sector wages rose as private sector wages collapsed,


so the gap between the public and private sectors became large. The


purpose of the pay freeze was to close that gap so that


private-sector ways these -- wages and public sector could go back to


the pre-crisis point. So you back the pay cap? Correct. It is probably


time to think about getting rid of it, and I think there probably isn't


a case for having a cap on all Government workers. It is a little


strange to say that nurses should be treated the same way as tax


collectors, for example. But we also need to remember that private-sector


wages have been very sluggish and are still not much higher than they


were ten years ago. When we talk about stuff like this, we need to


remember that the private sector, which pays for this, is also


suffering and has had a difficult time, but it may be time to review


this and look at alternatives. Lorraine, I want to bring you in at


this point, if I made. Do you think that nurses, firefighters, police


officers are special cases and should have the cap removed? Very


much so. I think front line emergency services are needed, and


the skills that they have taken years to get... They also have to


keep continual development to keep their accreditation, and I think


that they should be treated specially in terms of the private


sector. Sam said it is tough for people in the private sector, and


many people watching the programme will say, I haven't had a pay rise


for many years, and I know that has been the case for you as well. I


left the private sector. I work for a telecoms company for 31 years. For


the last few years, since 2008, we didn't have a pay award at all. We


have had bonuses cut, but no pay award, which has an effect on our


pension payments. Our pension will be a lot less when we retire. Yes, I


do see that our pay award is based on performance, not just


individually but on the company's performance, and in some instances,


yes, you can use that yardstick, but in front line emergency services,


like fire, police, etc, you need to be able to pay them a living wage,


especially in areas like London, where the cost of living is very


high. And also, we have got to keep and attract key personnel in the


industry. If not, you get a situation like the one I have in


Luton, where we have to recruit internationally. They do brilliant


work in terms of looking after our pregnant women in the local hospital


here, but we have to look externally to get the skills to bring in, which


is ludicrous. I want to bring saffron into the


conversation. I am an adviser at NHS providers, and we represent hospital


and ambulance trusts in England. How much will it cost to lift the pay


cap? The Institute of fiscal studies says it would cost ?1 billion per


year. It is a substantial amount of money. But I would say that we


called for an end to the pay cap last year, and we were amongst the


first to do so, because we know it is critical that we not only recruit


new staff into the NHS so we can maintain safe services but that we


also retain those staff that R.N. There. We know there is huge


pressure on the front line at the moment, and it is impacting on


morale, and pay is one of those elements that we can see boosting


morale. It is absolutely fundamental. Let's talk about the


realities: Theresa May has said there was no magic money tree, so


where does this ?1 billion a year come from? Across the public sector,


if we lifted the cap, it would cost ?9 billion. I think there is


sympathy from the public sector workers from the first few years --


for the first few years, but that is waning. We still have a deficit that


is costing ?46 billion a year, and if we just increase public sector


spending, the interest payments will go up, and that is money we could


spend on front line services. It is not just as simple as spending more


money. We either raise taxes, which will hit those people getting the


pay rise, or we make tough decisions. The money would have to


come from another department or another policy, and that is the


tough decision Government has to make. It is not easy. That is an


important point. The other one is, if we found that we had ?9 billion


to spend, would it necessarily be best spent on wages? Yes, in some


cases, no in others. It is not clear that the money should always go to


wages. The way the debate is focused, it seems as if it is the


only thing the Government should spend money on. I think it is


fundamental that we look at what the NHS's biggest asset is - its


workforce. We need to invest in that. We need to do that so that


services can transform. You can't transform services without the staff


to do it. It fundamentally has to be new money. The ?8 billion that the


Conservatives put in their manifesto for the NHS over the course of the


next parliament, that will go on tackling demand, on keeping services


going. We need to see new money for this pay cap, not money taken up


elsewhere. So it is taxes? It is for politicians to decide how they raise


that money. It is for the service to deliver the service. Politicians


decide how much they will spend on the NHS, which we know is held dear


in everyone's hearts. You have been listening patiently and I know you a


dental nurse, and your mum is a nurse as well. Just explain to


people watching how your life has been affected by the pay cap, and


respond to what other people had been saying. Basically, we had to go


to food banks. We would be scraping around for food. She couldn't afford


her NMC registration most years, and that is about ?120 a year that


nurses have to pay to remain qualified and to keep their jobs.


She couldn't afford that, so she had to go to a charitable organisation.


To her, that was quite embarrassing and hurt deeply, because she would


be working 50 hours a week and would have hardly anything to show. People


find it staggering. You say your mum had to go to a food bank even though


she was working full time as a nurse? That's right, full-time hours


and extra hours on top. She would have hardly anything to show for it.


She had to get help with bills as well. I try to get a job when I was


13 just so I could help her. It is a difficult situation which thousands


of families are in right now. So, what is the answer? We're talking


about the reality of lifting the pay cap being that this ?8 billion has


to be found. Higher taxes or taking money from elsewhere - what is the


best option? I think taking it from elsewhere. Everyone has taxes,


including everyone in the public sector, who would have to pay more.


They wouldn't benefit from that. I think they need to look elsewhere


for this money. Everyone should benefit and not have more taken away


from them. Marina has just rushed into the studio. Thanks so much for


dashing in to see us. You are a student nurse? Just about to


qualify, yes. I will start work in a few months. How do you feel right


now? Michael was speaking at the beginning of the programme, saying


how undervalued he feels at a nurse. How do you feel as you approach this


new era in your life? I agree, it is a sad time. I started nursing


because I have a passion for caring people, and it is a sad time to


almost be a baby nurse, embarking the career in a climate where it is


clear that the Government just doesn't care. We want to care for


people, and we can't even care for ourselves and our families. I'm


starting my career on pay that has been cut for the last few years and


will not be going up to match the cost of living any time soon under


the current plans. Yeah, it is a really difficult... Speak to Maria.


She is a Conservative MP and used to be a nurse. Maria, speak to Marina -


she says your Government doesn't care. The Government does care. They


are in a difficult situation. If they simply spend more public money,


we will all pay that and we will all lose that ?46 billion we're paying


on interest rates. If you don't pay the balance on your credit card, you


have to pay that interest when you could be spending it on your family.


The Government, it is just a big credit card, and if we simply


increase our spending, the money has to be paid back at some point. I get


it, because I still do bank shifts at my old hospital. The NHS staff


don't feel cared for. There are ways of doing this without simply lifting


the cap across the whole sector. If we focused on the lowest bands,


which are most nurses... What money are you talking about that people


would earn? It would be significantly less than ?9 billion.


Michael, do you know? Someone at the top of the increment would be on


about ?41,000. Band one, a member of the security staff, a catering


assistant, I think it is about 15,000, though I couldn't say for


sure. The gender -- agenda for change pay scales are online and you


can look at them. What you said about the magic money tree... I


raised that, to be fair. Somebody raised it. In the papers just this


week, there was a big headline of ?400,000 spent on ferrying


briefcases around London by ministers. There is money out there,


but it is about where it is being spent. There was another big


headline a few weeks ago - Jeremy Hunt was getting a new ?40,000


bathroom in his new offices at the Department of Health. I don't know


if that is true, but there seem to be sums of money available that


perhaps are not going where they should be. No one is a bigger critic


of Government West than I am, but those are very small sums compared


to what we're talking about. I think Maria's approaches the right one: On


lower paid workers. We need to remember that job security is


stronger in the public sector than in the private sector. Pensions are


still better in the public sector than in the private. Those things


come into it as well. I'm not completely convinced that if we had


?9 billion to spend, the best thing would be to raise public sector


workers' wages, rather than for example changing the welfare freeze.


People who rely on welfare have much more dependency on food banks and


people in that position have suffered as well. The point is, if


we have this kind of money to spend, it is not clear it should be going


on public sector wages. I think the point about security in the public


sector, with the current climate, is null and void, because people are


leaving. They may have job security, but if they haven't got enough


security to raise their families and care for themselves, then, yeah, it


is kind pointless. We are talking about Agenda for


Change. Those people on the bands up to ?40,000. I think it is really


important that we're clear what we're talking about. One of the


things that's critical in this debate is that we make sure that the


pay review body, which is the kind of the organisation that will look


at pay is given a free hand to decide what the best level of pay


increase is. That should be a fully independent body that looks at that.


So that we actually know what needs to be spent to make sure that we


have the staff we need in place to deliver a safe service. So the


starting salary for a new nurse is about ?22,000 which works out about


?13 an hour. To put that into context, McDon't amds workers have


gone on strike for a ?10 an hour pay increase. We really do need to look


at what we're paying highly skilled, highly trained people that are doing


an amazing job and are doing it harder and harder all the time.


Jeremy Hunt regularly says the NHS is doing more work than its ever


done before. We can testify to that. But generally if you work in a


business and your business is doing more and more work and doing better


and better, you reward your staff and you recognise that your staff


are working really hard. Lots of people getting in touch with us on


the hashtag Victoria live. David says, "Low wages in whatever sector


are wrong. The only beneficiaries are employers and the rest struggle


to make ends meet." This one, Maria, it is a tweet from Rachel, "When was


the last pay cap for MPs and how much could be saved if we capped


their pay for seven years?" A tweet from Stewart saying, "The pay cap on


nurses is about choice, they can find money for what the Government


wants, but not for nurses." It is about choices and I'm trying to


raise the issue of nurses' pay, it isn't about the pay cap, it is about


nurses pay across-the-board. Nurses are taking on more and more roles


and the nursing profession feels under valued so the pay freeze and


the pay cap is one issue, but we need to look across-the-board at the


pay structure for nursing in the long-term. Briefly, if you would. It


is worth saying that the NHS isn't kind of set in stone on this issue.


They are really developing changing working inowe vaitively and bringing


in new roles so they can work more productively, it isn't about


something that isn't changing with the times. The NHS workforce is


often at the cutting edge of different ways of working and


different ways of delivering service, it is worth remembering


that we're not just asking for the pay cap to be lifted so that we can


support what's there, it's about supporting change as well which is


needed. Thank you all so much. Sorry, we're out of time, but thank


you for all of you giving up your time to speak to us this morning.


We invited the government to join our debate but they said


In a statement the Department of Health said:


"As the Secretary of State has made clear,


Ministers are well aware of the pressures on frontline NHS


staff, including nurses, who do a fantastic job.


The support and welfare of NHS staff is a top priority,


and the government is committed to ensuring they can continue


We are helping the NHS to make sure it has the right staff,


in the right place, at the right time to provide safe care -


that's why there are over 31,100 more professionally qualified


clinical staff, including over 11,600 more doctors,


and almost 12,000 more nurses on our wards since May 2010."


Still to come: How a ground-breaking scheme in Glasgow is helping


refugees who previously worked as doctors, join the NHS.


We'll be speaking to the descendant of the last King of Myanmar,


exiled by the British in 1885, a new documentary on the country's


Royal family and how their descendents continue to live


Here's Annita in the BBC Newsroom with a summary of today's news.


A leaked Home Office document has set out plans for how


the UK immigration system could work after Brexit.


The paper, which has been published by the Guardian newspaper,


considers how the Government could dramatically reduce the number


It also proposes time limits on how long EU nationals


The BBC understands the document, which was produced last month,


Winds from Hurricane Irma have begun lashing islands in the Caribbean -


where people have been told to evacuate their homes.


Officials are warning of the "potentially catastrophic"


effects of the Category Five hurricane which has already


It's starting to hit the Leeward Islands and will move


on towards Puerto Rico and the Dominican Republic.


It's projected to reach the US state of Florida on Saturday.


A 14-year-old boy has died after a double


Corey Junior Davis and another boy, who is 17,were found with gunshot


injuries in Forest Gate on Monday afternoon.


The second victim is said to have "life-changing injuries".


Police have launched a murder investigation.


Russian President Vladimir Putin has said that North Korea's nuclear


and missile programme are a "flagrant violation"


Speaking after talks with his South Korean counterpart


in the Russia city of Vladivostok, Mr Putin also called for talks


to try to resolve the crisis, warning that no resolution would be


possible with just sanctions and pressure alone.


That's a summary of the latest BBC News - more at 10am.


17-year-old Ben Woodburn came off the bench and put in a Man


of the Match performance to help Wales to a 2-0 win over Moldova.


He set-up the opening goal for Hal Robson Kanu.


Aaron Ramsey got the second in the closing moments.


That win coupled with defeat for the Republic of Ireland at home


to Serbia, means Wales go into the play off spot


in Group D with two qualifiers remaining -


the sides do meet in the final group game.


At the age of 37, Venus Williams is into another Grand Slam semi-final.


She beat Petra Kvitova in a thrilling final set tie-break


to reach the last four at the US Open.


She'll face fellow American Sloane Stephens next.


Chris Froome doubled his lead yesterday. He won the 16th stage


time trial to extend his lead to one minute and 58 seconds with five


stages to go. That's all the sport for now. We


will be back with more after 10am. Doctors who've travelled to Scotland


as refugees are being given the chance to start working


for the NHS. A new training programme gives


qualified doctors training, language support and mentoring,


with the aim of helping them to register with


the General Medical Council The scheme is being funded


by the Scottish Government I always say to people that


I imagine taking out someone's appendix in Peshwar is not that


different to taking out someone's People arriving in the UK


and seeking asylum have been dispersed to Glasgow


for the last 17 years. Proportionately, it's got the second


highest population of asylum seekers And recently a lot of the people


arriving are highly qualified. I wish that one day this country


will be proud of me. So, Glasgow, hello,


how are you doing? Monday,


he seems confused. We would like you to do


an assessment of him. First, you can see


his airway's open. A class of doctors relearning


bits of their trade This exercise is situational


judgment and as part of a programme funded by the Scottish Government


that gives refugee doctors the skills to get their UK medical


registration approved, At the moment, these doctors are not


allowed to practice. Is it frustrating, not being able


to do what you're qualified for? You want to do it,


but your hand is cut. How qualified where


you back at home? I'm a qualified medical doctor,


I passed all my exams, licensed. It's hard to start again from zero,


because I already did everything. How do you make sure they've got


the right qualification? NHS Education for Scotland does that


bit of the programme, and they check out the qualifications


they bring with them. It's a bit difficult sometimes,


because the institutions that people have studied are perhaps no longer


there, but the process of becoming a doctor,


retraining as a doctor, is so complex that there


is no way that anyone who is not a doctor would get


through the clinical exams. And then once you give them fluid,


it's a diuretic, so you kind of go on the injuries that they've


got, plus the physical, What things is Pat saying that


are different, that things are done differently here to how you may have


learned them before? In my country, the system


is British, the medical system, But the nice thing is that he speaks


simple English-language. I would imagine when you're


learning English, local When you're actually


speaking to patients, sometimes they're not quite as clear


as you and I. For example, yesterday someone


told me I have a headache, And people say I had a couple


of beers, and they don't mean two. I don't think there's any difference


in the actual clinical skills. I think where there has


been a huge difference is attitudes to patients,


and attitudes to how And we had one surgeon


who didn't really seem to be in engaging in the class,


and when I asked him, he looked slightly puzzled,


and he said well, I'm a surgeon, and I said, yes, and he said well,


when I get my patients, they're asleep, I never have


to talk to them. So it's getting them to understand


that the NHS is very different. This man used to be


a doctor in the Iraqi army. He came to Scotland to study,


but his life was threatened in Iraq, It's quite confusing sometimes


because we know medical terms. If you tell them something


that is informal, it might not sound right


or the patient may not I learned to say how


are the waterworks down there? Before refugees can even


take their medical exams, they have to speak really good


English. Now that means taking


an English test, called IELTS, Now that's a test that even some


American and Australian doctors You can tell from the kind of words


being discussed in here, and the ideas, that this is a really


high level of English. It would be double R


if I were using it, so I incurred... The programme also arranges


placements with GPs or hospitals, all pushing towards passing


their medical exams. Have you been out of the medical


profession for some time? Yes, the sometime, maybe


four or five years. We have clients from every


conceivable area of work, and many of them find it


so difficult to get back into the jobs that they've done,


that they end up taking jobs for which they are


way over qualified. And I think underemployment


in the refugee population If someone is a qualified


accountant, and they are working pushing trolleys in Tesco's,


now there is an argument that they are actually taking a job


from a poorly qualified person Lots of colleagues, or people


who are doctors living here, Some of them are even taxi drivers


which has let down hope for a lot of people,


and this has given us a lot of hope. Fatimah was a surgeon


in the Middle East. She treated anti-government


protesters, and in the end her care for them meant she too was a target


for the government If I would say yes, then


where is my promise in medical graduation that we would treat


people equally and we will try to do whatever


is possible to help people? There are 38 people


on the programme at the moment. Asylum seekers are allowed


on as well as those who have been It is funded by ?160,000


of Scottish Government money, and as part of the deal doctors


commit to working for NHS Scotland. I've been a doctor or a medical


student since I was 17. Being a doctor becomes a very


central part of your identity, you know, it's kind of who you are,


so I can understand how difficult it must be for a refugee doctors


where that part of their identity So you're part of this international


community of people. When I used to work


in the hospital in my country, and we would discuss with friends,


and come up with a certain difficult or rare disease,


and I cannot explain. As well as getting people back


to their careers as doctors being the right thing to do


from a humanitarian standpoint, it's also the right thing to do


financially because it would be a hugely wasted resource if people


had already gone through very expensive medical training were not


used as doctors. And medicine isn't a job


for any of these women and men, it's a vocation,


they want to practice medicine. Hopefully that I will pass


all exams, and first of all it is the language exam,


and to practice medicine again. And I wish that one day this country


will be proud of me. That report from Glasgow. If you


want to watch it or share it, you can go to our programme page.


Is the Government is planning a dramatic crackdown on EU migrant


labour after Brexit? We'll have the details.


Our next guest is the great-grandchild of Thibaw -


the last King of Myanmar - who was overthrown by the British


He's in the UK for the very first time since Myanmar -


also known as Burma - gained independence


from Britain, for the screening of a new documentary.


It's about the history of the country's Royal family


and how their descendents continue to live there in also


The film coincides with another crisis in Myanmar's troubled history


- the exodus of more than a hundred thousand of the country's


Rohingya Muslims who have fled the country after suffering violence


Rohingya Muslims who have fled the country after suffering violence


Life is a very complicated matter. It is a surprise to some of them


that we are still alive. We are born with a history. We have to accept. I


am the great-grandson of King Thibaw. We have a responsibility,


because that blood is running in our body. Princess Margaret, she likes


the free life, no? I like her. We lost our identity.


The incredible twists and turns their lives to, stranger than any


work of fiction. Let's talk now with the film's


director Alex Bescoby and its subject, great-grandson


of the former king, U Soe Win. Thank you both for coming in. Alex,


I want to ask you first of all why you wanted to make this film. Good


question. It is bizarre to be sat here with U Soe Win in London. Three


years ago we first met, and the story started to unfold of what


happened to his great-grandfather. And how his family vanished from


history. I had been studying Burmese history, and I had wanted to tell a


particular story, the story of Britain in Burma. Many people in


this country really have no idea about our shared history of what an


impact we had on this country. And I think a lot of what is happening in


modern Myanmar you can trace to its past, obviously. We started making


this film three years ago together, and we have ended up here in London,


showing him the city that I live in. Tell us why you wanted to take part.


I know when I was watching the film yesterday, you said in it, I was


surprised that you wanted to take part. What was the appeal for you?


From the very beginning, we were not much interested. Especially since we


lost our royalty. But in 2014, when we met this gentleman and also his


colleague, they wanted to show our lost families. And then we decided


to talk to them, because before, we didn't want to talk about this. I am


very surprised I am here in London. And you didn't want to talk about it


because it was a painful part of your family history? Our family lost


everything. When my great-grandfather was 85, only to


make daughters, very young, the first and second Princess, and the


third Princess was in her mother's boom, in a very late stage, and she


was born in madrasahs. -- in her mother's womb. They had objectives


we couldn't quite see. They only found us because we are lost.


Sometimes we don't know we are lost because we have been forgotten for


many years. You a forgotten, and people will find that fascinating to


watch this. Many people who watch this programme will not be familiar


with Myanmar's history. They may recognise the name Aung San Suu Kyi,


whom I know you have met. Before we talk about that, how were you


treated in your country? -- how are you treated in your country? Are you


given special status or are people unaware? We are just commoners. At


the same time, they have respect. The majority of us are Buddhists,


and the Kings, our ancestors, they were very staunch protectors of the


religion. In this city, everyone is busy, but in remote areas, they


still remember this attachment. When we first met, I was looking for him,


was sat next to her matter table, and figured it out afterwards. It


was that unknown, really. It has been wonderful to go through this


three-year journey with U Soe Win, because a lot of it we have been


finding out together. We visited India together to see the tomb of


his great-grandfather, still in exile, whether British said Tim. And


we have been sort of finding out more and more about the hidden


history of this story. I think it is important to get it out there,


because it is a story that's really important in Myanmar, but also the


British people to understand as well. As I say, you have met Aung


San Suu Kyi. Many people will be familiar, she was under house arrest


for many years in Myanmar. What is she like as a person and for you to


meet her? We have a personal attachment, I think. Why an I was


serving in the foreign service, she was under house arrest. She was


meeting a UN representative, and during the meetings, I was in charge


of protocol matters. I met her at the state guesthouse, welcomed them,


introduced the guests. I don't remember how many times we did that,


but on one occasion, while we were walking, she asked me, from where


IQ? I said, I'm from the Foreign Ministry, but I didn't stop there. I


said I am the nephew of a Prince that she knew personally. She


changed, she was smiling, and from then on, when we met,... We look


today at what is happening in your country, in Myanmar, a huge crisis


there right now. Second man has -- Aung San Suu Kyi has responded today


to the Muslims moving over the border to Bangladesh. We're very


sorry about that. At the same we would like to express that we are a


peace-loving country. We all believe that this matter should be


brought to an end as soon as possible. Do you hope for a quick


end to it? Do you think there will be? Yes. Aung San Suu Kyi has the


confidence of the international community, so we all believe. It is


heartbreaking to see. We have been working and living and travelling


around Myanmar for ten years, making this film for three years, and in


that time, I have seen thousands of incidences of kindness and


generosity, and I hope some of that comes across in this film. It's not


the Myanmar we want to know will stop and I think it is coincidental


that when we were making this film, we had the first credible election


in 50 years, and we film someone voting for the first time. We were


on the streets. And it is an unimaginable sense of hope for a


better future. And I think we both hope that Myanmar is still on the


right track, but there are a lot of challenges. Tell people where they


can see the film. That is why we're here. The Premier is on Saturday at


the British library. Sold out a month ago, which is great. But we're


hoping for a UK broadcast after the premiere, and we will take it on


tour next year because it is 70th anniversary of Myanmar's


independence from the UK. Thank you for coming in. I hope you enjoy your


trip to London. Get him to show you all the good sites.


Let's get the latest weather. Hurricane Irma has moved to here so


far. You can see the size and extent of the storm, with a well-defined


eye. It has been producing winds of 185 mph. Gusts over 200 mph. The


winds will be catastrophic from this hurricane. As well as heavy rainfall


and a significant storm surge too. It will move across parts of the


Virgin Islands, Haiti and the Dominican Republic, before heading


towards Cuba and eventually Florida by the time we get to the weekend.


There could be a storm surge of up to 15 feet, potentially catastrophic


impact from Hurricane Irma in the Caribbean. Closer to home, a much


quieter picture on this side of the Atlantic. A bright and breezy day.


Seems like this one, taken near Peterborough. And that is how it


stays through the day - bright, breezy, and for most of us, a dry


day. A few showers packing into the north and west. Scattered showers


across north-west Scotland, one or two back for Ireland, some for


north-west England and Wales. Elsewhere, likely to stay dry and


bright. A bit of a breeze from the west, and it feels fresh and less


humid than in recent days. In the afternoon, some of those showers


affect northern and western Scotland. Some sunshine in between.


Eastern Scotland will feel quite pleasant, 17 Celsius in Aberdeen.


That could be a passing shower in parts of Northern Ireland, but


mostly drive through the afternoon. A few isolated showers for Cumbria


and Lancashire. Across England and Wales, a lot of dry weather. Some


clout, but it shouldn't spoil the sunshine too much. Most of us will


be dry into the evening hours. And with clear skies and light winds, it


will be quite chilly once again. Later in the night, more cloud


arriving from the West, bringing the north-west some rain. Tomorrow, not


quite as chilly as it was first thing this morning. Through the day,


things start to change because we see wet and windy weather arriving


from the north-west. From Scotland's -- for Scotland and Northern


Ireland, a wet and blustery day. Further south-east across the UK,


you are more likely to say stay dry. With the arrival of this area of low


pressure, it marks a change to something more unsettled to end the


week. As we move into Friday morning, the low pressure sits to


the north of the UK, and we will see the wind rotating around that low


pressure, bringing plenty of blustery showers and more persistent


rainfall to southern counties of England. It will be cooler, 14-18dC.


Low pressure stays into the weekend. Sunshine and showers on Saturday,


but things could turn increasingly wet and windy on Sunday.


Hello, it's Wednesday, it's 10am, I'm Chloe Tiley.


The Government is looking at ways to dramatically reduce the number of


low skilled EU migrants after Brexit according to a leaked Home Office


document. We want British companies to do more


to train up British workers to do more to improve skills of those


who leave our colleges. So there is always


a balance to be struck. We're not closing the door


on all future immigration, Company bosses being faced by being


told put British workers fired or you will be taxed if you keep on


hiring unskilled EU workers. But critics say such a plan would be


disastrous for business. We look at the new NHS guidelines


on how to treat endometriosis - an incurable condition affecting 10%


of women which causes extreme pain Do get in touch if it's something


you've suffered from. And we'll have the latest on one


of the strongest storms ever recorded in the Atlantic -


Hurricane Irma is the size of Texas - and it's about to barrel


through the Caribbean. The advice has been if you're


in a flood prone area, get out. Like no two-ways about it


and obviously those big storm Here's Annita in the BBC Newsroom


with a summary of today's news. A leaked Home Office document has


set out plans for how the UK immigration system


could work after Brexit. The paper,


which has been published by the Guardian newspaper,


considers how the Government could dramatically reduce the number


of low-skilled EU migrants. It also proposes time limits


on how long EU nationals The BBC understands the document,


which was produced last month, Winds from Hurricane Irma have begun


lashing islands in the Caribbean - where people have been told


to evacuate their homes. Officials are warning


of the "potentially catastrophic" effects of the Category Five


hurricane which has already It's starting to hit


the Leeward Islands and will move on towards Puerto Rico


and the Dominican Republic. It's projected to reach the US state


of Florida on Saturday. A 14-year-old boy has


died after a double Corey Junior Davis and another boy,


who is 17,were found with gunshot Corey Junior Davis and another boy,


who is 17, were found with gunshot injuries in Forest Gate


on Monday afternoon. The second victim is said to have


"life-changing injuries". Police have launched


a murder investigation. Russian President Vladimir Putin has


said that North Korea's nuclear and missile programme


are a "flagrant violation" Speaking after talks


with his South Korean counterpart in the Russia city of Vladivostok,


Mr Putin also called for talks to try to resolve the crisis,


warning that no resolution would be possible with just sanctions


and pressure alone. The de facto leader of Myanmar,


Aung San Suu Kyi, has claimed that the crisis in Rakhine state


is being distorted by Myanmar is currently under intense


diplomatic pressure to end the violence its security forces


are reportedly inflicting Nearly 150,000 people have fled


into neighbouring Bangladesh. That's a summary of the latest BBC


News - more at 10.30am. Thank you. Message are coming in. My


tablet is not updating. Wales are still on track to qualify


for next year's World Cup It was another great night


for 17-year-old Ben Woodburn, who set up Kal Robson-Kanu 10


minutes from time. Woodburn scored the winner


against Austria at the weekend, And in injury time, Aaron Ramsey


sealed the win that leaves them We have to make sure we got these


wins no matter. We always talk about performance. It has come down to the


crunch time and it's all about results now. Yeah, obviously two


wins out of two. We haven't done that in a long time. It is great


that we have the winning mentality back and hopefully it is a snowball


effect for next time. It means Wales leapfrog the Republic


of Ireland after they were beaten Former Manchester City player


Aleksander Kolarov scored The England women's


coach Mark Sampson has responded to allegations


from former striker Eni Aluko that he had created


an atmosphere of "bullying and discrimination" and used


racially insensitive language. Sampson was cleared by both an FA


and an independent investigation He denies Aluko's claim that he'd


joked he didn't want her Nigerian family to bring Ebola


to an England game. I've heard the specifics


of the allegation and at the time we released a statement


and to be very clear I'm very disappointed


the allegation's come out but I understand it and all I can


say is I didn't say that to Eni. With any of my communication, my


intention is to support the players, give them confidence and give them


chance to be successful At the age of 37, Venus Williams


is two wins away from another grand She beat Petra Kvitova


in a real thriller to reach It took over two and a half hours


and the deciding set Kvitova only returned to the tour


three months ago after the knife attack that damaged her playing hand


and Williams said it felt This match means a lot to me. I have


been playing at home and of course, it being a major and it means a lot


to her coming back and being able to compete in this major and to prove,


you know, obhave you beensly to herself that she could defeat


anything no matter what is thrown at her. It was amazing to see her shine


today. Chris Froome heads into


another day in the hills on the Tour of Spain


today and he's nearly two Froome won his fourth Tour de France


in July, but he's never He dominated yesterday's time trial


to almost double his lead And before I go, there's time to let


you know that the BBC Get Inspired Unsung Hero Award


is open for nominations. It's designed to recognise those


who devote their free time to help people in grass-roots


activity and sports and it's You can find everything you need


to know at: bbc.co.uk/unsunghero That's all the sport for now. I will


be back with more later on. Thanks, Hugh.


The Government is looking at ways to dramatically reduce the number


of low-skilled EU migrants after Brexit according to a leaked


The document, which is NOT official government policy,


suggests capping visas for unskilled labourers at two years.


Let's speak to our political guru, Norman Smith,


What's in the leaked document? Big thought number one is the Government


wants a concerted clamp-down on the number of unskilled EU migrants


coming into the UK and big thought number two is they want to


pressurise companies to have a British workers first policy. Now,


in detail, what that means is they are going to suggest that if


unskilled EU workers want to come to Britain, they will only be able to


stay for two years. They'll have to be earning a certain salary and they


can't just come here and look for work, they will have to have a job


already lined up and the Government is looking at the possibility of


just putting a cap, a limit on the number of unskilled EU migrants who


can come here. So there will be X number and once you reach that


number, back, the door is closed. In terms of business, business will be


under huge pressure to recruit British workers. They may have to


under go a sort of test to make sure that they have gone out and tried to


recruit British workers and if they then skill want to recruit unskilled


EU migrants they could be taxed with the money going to a sort of


training levy to help improve the skills of British workers. This is a


draft document. It's not signed, sealed and delivered. It's not all


been agreed, but when you listen to ministers, listen to the Defence


Secretary, Sir Michael Fallon this morning, they are hardly distancing


themselves from the contents of this document.


We want more British companies to invest in the British workforce.


To make sure we have a better skilled workforce for them to dau


on. The public want immigration to come


down to sustainable levels. We made that clear in every


manifesto. So there is a balance to be struck here.


The Home Secretary will set out proposals later this year.


When will this kick in? There will be a two year transition phase after


we leave the EU, after March 2019 when not much will change. If you


are an EU national and want to come to Britain during the transition


phase for more than six months, you'll have to get the approval of


the Home Office and you'll have to have a sort of ID card, a biometric


passport to show you're OK to be in this country. Norman, thank you for


clarifying that for us. Let's get some more


analysis on this story now. Joining me in the studio


is the Conservative MP for Dover, Marley Morris from


the IPPR think tank, Alp Mehmet is Vice-Chair


of the Migration Watch think-tank. We are also joined down


the line form Westminster by the co-leader of the Green Party,


Caroline Lucas. Thank you all for speaking to us


this morning. You broadly welcome this leaked document? I do, yes. I


hope that it remains substantially as it is that it doesn't go through


any sort of change so it is watered down. If you want to bring numbers


down frankly from the EU in the way that I think people voted for then


this strikes me as a sensible balanced and reasonable way of going


about it. Focussing on the higher skilled and indeed, making sure that


we don't bring people in simply because they're cheaper or they are


there and prepared to take up the jobs. So yeah, it is the right way


and will potentially lead up to 100,000 fewer people coming in over


the numbers that we've had in recent years. I can see Marly wincing.


There is no detail yet about what this future system for immigration


will be and that document doesn't explain that. What it really sets


out is what the transition measures will be and the concern there is


there is a contradiction between what the transition will be agreed


between the EU and the UK for the years after Brexit and what this


document says about EU migrants because what we are saying in the


transition there won't be freedom of moment and that may go down very


badly with EU leaders, you know, across the 27.


Well, freedom of movement is going to end. That goes without saying


because that's what will happen when we come out of the EU. And once


freedom of movement ends then you have got to have some sort of system


to control people coming in and this is a perfectly reasonable system. If


only because we have been doing it for many, many years for those


coming from outside the EU anyway. So it's nothing new. Perfectly


reasonable system, Caroline Lucas? Absolutely not. This suggested paper


is economically illiterate. It will harm our economy. I think it's


cruel. It's going to separate families and I think it's also


backward looking. I think it will deny future generations the right


that all of us had to study and to work and to live and live in 27


other member states. Do you want to come in, Charlie on this? It seems


to me the referendum was a clear instruction by the British people to


take back control of our borders and to end uncontrolled EU immigration


and that's what this Government is doing. Everyone accepts that we want


to have the brightest and the best from across the world. That's not


the issue. The public concern centres on low skilled migrants,


British businesses, not investing in their employees, but seeking to


bring in low skilled migrants as a way to avoid that kind of


investment. Some people say the EU referendum was about whether you


wanted to stay in the Union, not about immigration. There was no


question on that ballot paper that was about immigration. Your


constituentsy in Dover is a constituency that's been affected a


lot by migration and benefited a lot as well? It is important to realise


that the change that we have in recent years in 1997 when Labour


were first elected net migration was 48,000. In 2015, it reached 333,000.


People are deeply concerned. They want a rebalancing. They want


control of our borders and that is very clearly what the Home Office


are rightly looking at doing. People didn't vote in the referendum to


have nursing shortages. People didn't vote to have crops rotting in


the fields because that's what will happen if we don't have people


coming in from the EU to help the crop pickers. You know, so


essentially I think what we're seeing here is an ideological


approach, this idea that the referendum and Brexit has to be


migration first even if that means damaging our economy. Even if that


means our own businesses are saying they are going to suffer. The Office


for Budget Responsibility are saying this could lead to a ?6 billion hole


in the economy. Not only is it economically foolish, but it will


harm our businesses and harm our societies, families not being able


to come together. If you happen to have a child over 18, they are not


allowed to join us anymore. That's not the kind of country that most


people want to live in. This system is intended for the time


after we leave. In terms of the sort of arrangements we have two bring


people in perhaps the do seasonal agricultural work or other jobs,


what will stop will be that automatic right to come in by


exercising treaty rights and effectively staying here for as long


as you like. That will stop. There's nothing wrong with that. Won't this


cause a problem for businesses? Norman Smith mentioned earlier that


if you are in Boston in Lincolnshire or parts of Kent, where fruit


picking is a huge industry, and they can't get enough local workers to


fill positions, will businesses have to recruit locally and when they


can't recruit -- and when they can't, they have to recruit from the


EU? Know, frankly. That is not the way it's going to happen. We had a


seasonal agricultural workers scheme for many years and I don't see any


reason why we shouldn't have something like that again. Nurses


and all the other sort of people that we need at the moment, there is


no reason why they shouldn't continue to come in. And frankly, we


should now start thinking for three, four years hence and start preparing


now. You can't wait for three years until the whole transitional phase


ends and then think about how we will replace workers. The document


fails to recognise that there are some sectors of the economy that are


really relying on EU workers. Something like 11% in some sectors.


Food processing, for instance, hospitality, the proportions are


much higher. In food processing, we're talking about a third of


workers being EU migrants. That is not just a question of transition


but of having to manage how you have a proper workforce for that sector


and the long-term. No one is saying that we shouldn't have a system that


enables migrants to come to Britain to work where they are highly


skilled, where it is seasonal or they are required. Why is it wrong


to insist that the children of our land have a chance? It is important


to enable people from Britain to get on, do well, and we get business to


invest in skills and not simply seek to avoid having to invest by


bringing in low skilled people, as they have done for too long. Thank


you, all of you, for joining us, and Caroline Lucas as well. I'm sure the


discussion will continue over the next months and years.


Still to come: The final whistle for John Watson as he prepares to call


time on his 50 years at the BBC. It's a disease that affects 1 in 10


women of reproductive age. Yet on average it takes


seven and a half years The condition costs the UK roughly


?8.2 billion a year. Endometriosis is an incurable


condition, where tissue that behaves like the lining of the womb is found


in other parts of the body, Today, new guidelines have been


published for the NHS, which aim to reduce delays


in diagnosis and save women years But a leading charity says


the guidelines will only make a difference if they're backed up


with extra financial support. Let's speak to Amelia Davies -


she's 18 and started getting symptoms of endometriosis


at the age of just 12. Helen McLaughlin is here too -


she's 32 and was diagnosed And Lakshmi Livingstone -


who waited seven years for any treatment when her


symptoms became severe. Emma Cox runs the charity


Endometriosis UK - she's calling for the NHS to make


sure the new guidelines And Andrew Home is a professor


of gynaecology and is on the group of experts that helped draw up


the new guidelines from the National Institute of Health


and Care Excellence. Thank you, all, for coming in to


talk to us. I think many people at home will have heard of


endometriosis but they won't know how severe it can be for many


people. Amelia, tell me, first of all, you were just... Sorry! You


were 12 when you got symptoms first and you were diagnosed at 14. My


first period was at 12 and I was experiencing pelvic pain before that


age. It wasn't until I was 14 and got pain some excruciating that I


couldn't attend school any more that we pushed for the initial scans


which showed up an ovarian cyst, which led to my operation, which


allowed the diagnosis of endometrial asses. Unlike some people, I was


diagnosed quite quickly, but I was very lucky to have the cyst, because


it led to the diagnosis. It sped up the process? Yes, I consider myself


lucky, but unfortunately other people as fortunate. I was diagnosed


in 2011. My symptoms started when I was 16, because I had a period every


other week, but I was put on the pill. It was 2011 that I was


misdiagnosed, and it was only because I wrote letters and kept


diaries that I was able to get a diagnostic laparoscopy. What does it


do to you? The physical aspect is one thing, but the mental aspect is


exhausting. You are fighting every day to get through your painkillers.


I was on 25 painkillers a day just to try and manage the symptoms. So


you have that as well as going to consultants and making them believe


you. It comes down to having to think about what you well, because


you get bloating. Leggings, I couldn't wear jeans. I had to have


physio to work on my muscles. It comes down to every aspect of your


daily life. And I know that you, Amelia, alluded to the dreadful time


you have had. Lakshmi, explain some of your story, if you would. I


recently discovered I probably had symptoms from about the age of eight


or nine, which was mostly sleep problems. Hormonal changes can cause


problems with sleep, but my periods were incredibly painful. I started


when I was 11. I didn't know that that wasn't normal, so I lived most


of my life just thinking that those sort of pain levels were normal and


acceptable. It was only when I started getting extreme bowel pain


around 2009 that I finally thought, hang on, this is weird. It still


took another six months for me to go to the doctor with it. My GP was


fabulous. As soon as I mentioned my symptoms, he said, I am referring


you to an endometriosis specialist. From there, I didn't have a


diagnostic laparoscopy until to make years ago, at which point I was


given the full diagnosis of how widespread my disease is. I was


reading, you were told when you went to an endometrial is his clinic that


you should stop eating meat and you were sent away. It was wheat. I was


told to change my diet. I was given an MRI at that time. It wasn't until


2014 that I realised that you cannot diagnose endometriosis with doing a


laparoscopy, keyhole surgery. Going through your tummy, isn't it?


Exactly, so that finally happened in 2015, and that is when I discovered


it is not just in my uterus but has spread outside into my general


pelvic area. Emma, I want to bring you in. How common are the stories


we are heaving? Sadly, very common. There are some great examples -- we


are hearing. There are some great examples of GPs getting a diagnosis


early. It is caused by cells being in the wrong place, and in different


women, there will be different symptoms. Sadly, the isn't enough


awareness. It is about periods, and often people talk about it. A lot of


women get told when they are young just to get on with it and that it


is part of being a woman. Is a cultural, that no one wants to talk


about it? There is some evidence that it is genetic, so you get a


double whammy. You are told it hurts, love, just get on with it.


Your mother might say, we have bad periods in our family. That is what


is like. It is a hidden disease, there is no measure of it, and you


can't show anybody what your pain is. So, it is really hard for


people, and for whatever reason as a society we have not taken it


seriously enough. We have this e-mail from money. If you have a


similar story, do get in touch. I have stage for endometriosis and it


has had a huge impact in my life. I was rushed to hospital and had


emergency surgery. The doctors thought I had appendicitis. I was in


intensive care for ten days. Due to the damage caused, I have cysts,


fibroids, damaged fallopian tubes and I am definitely unable to have


children. I am frustrated, sad and angry that if this disease affected


men, there would be more awareness, research and money put behind the


treatment. Would you agree with that, Andrew? Sadly, this is the


problem. I think endometriosis is suffered because it only affects


women. There has been a bit of a gender bias in terms of investment,


research funding. I think these guidelines, and hopefully the


awareness raised by them, will encourage increased Government


funding, not only into research but into developing the infrastructure


we have already to try to better manage women with endometriosis. A


seven year diagnosis sounds insane, I'm sure, to many people watching.


Do you think the medical profession takes this disease seriously enough?


It would be unfair to say they didn't, but I think we could do


better. I think we could do better educating from medical school


onward, so that people are very much aware of it. As everyone here has


highlighted, the big problem is that we don't have a simple test to


diagnose it. There is not a blood test or you're in test. It has to be


diagnosed by keyhole surgery. Do you think it is taken seriously as a


condition? Personally, I believe that you can't point your finger and


say, it is your fault it takes so long to diagnose it. It is a case of


being educated. GPs and specialist, it is not essentially their fault


that there's not enough research into it, so they don't know enough


about it. Because of my age, and I started going to specialist


appointments from the age of 14, and although I probably know more about


this condition and my own body than anybody else, yet, I believe that


sometimes it is as if people just speak to my parents about it. It


needs to be taken a bit more seriously, because as a young woman,


and like everyone else who has this condition, you want to take charge


of your own body, to be able to actively step forward and say, look,


something is wrong with me. You need to change this. I can't live my


day-to-day life like this. Sometimes something simple like getting up and


having a shower, you can't even get up and do it. It's ridiculous.


Support groups have great information on their website. If


anyone is trying to get information to make yourself more knowledgeable


to go to your GP, you can then have discussions with them. I run the


London group. It is a great way to empower yourself through knowledge.


Do you think these guidelines will change anything? I hope so. From


what I understand, Emma 's probably best answer... From a patient


perspective, do you have more faith it will be taken? If you have


someone who is not listening, you can take them with you, do your bit


of caring and sharing, share your knowledge with this person. They


might read it at night time and they might share it with someone the next


day. It is all about education. I think there was an opportunity to


make a difference. We could make it easy for GPs by giving them simple


toolkits. The Royal College could be developing specialist training,


which it is. We don't teach menstrual health in schools, so


people don't know what to look out for. I would like to say that the


guidelines at the moment are only for England. There was huge


variation in service across England and across the UK, so we also need


to see the other nations in the UK taking up these guidelines as well.


In Northern Ireland, I know people who have been waiting over two years


to get a laparoscopy done. That's not because of any reason other than


that there are not enough slots allowed because the NHS hasn't yet


taken this seriously and allowed enough time to deal with the women


who need to be seen. Thank you, all, for coming in. I am grateful to you


for coming in. A warning from school


leaders that poor language and behaviour mean an increasing


number of children are not ready to take part in classroom activities


when they start school. As Hurricane Irma, one


of the strongest storms ever recorded in the Atlantic,


heads for the Caribbean we'll have an update


on preparations from Antigua. With the news, here's Annita


in the BBC Newsroom. A leaked Home Office document has


set out plans for how the UK immigration system


could work after Brexit. The paper, which has been published


by the Guardian newspaper, considers how the Government


could dramatically reduce the number It also proposes time limits


on how long EU nationals The BBC understands the document,


which was produced last month, Winds from Hurricane Irma have begun


lashing islands in the Caribbean - where people have been told


to evacuate their homes. Officials are warning


of the "potentially catastrophic" effects of the Category Five


hurricane which has already It's starting to hit


the Leeward Islands and will move on towards Puerto Rico


and the Dominican Republic. It's projected to reach the US state


of Florida on Saturday. A boy has died after a shooting in


East London. Corey Junior Davis and another boy,


who is 17, were found with gunshot injuries in Forest Gate


on Monday afternoon. The second victim is said to have


"life-changing injuries". Police have launched


a murder investigation. The de facto leader of Myanmar,


Aung San Suu Kyi, has claimed that the crisis in Rakhine state


is being distorted by Myanmar is currently under intense


diplomatic pressure to end the violence its security forces


are reportedly inflicting Nearly 150,000 people have fled


into neighbouring Bangladesh. That's a summary of the latest news,


join me for BBC Newsroom 17-year-old Ben Woodburn came off


the bench and put in a Man of the Match performance to help


Wales to a 2-0 win over Moldova. He set-up the opening goal


for Hal Robson Kanu. Aaron Ramsey got the second


in the closing moments. That win, coupled with defeat


for the Republic of Ireland at home to Serbia, means Wales go


into the play-off spot in Group D The sides meet in


the final group game. At the age of 37, Venus Williams is


into another Grand Slam semi-final. She beat Petra Kvitova


in a thrilling final set tiebreak to reach the last four at the


US Open. She will face fellow


American Sloane Stephens next. Chris Froome virtually


doubled his lead at the Vuelta He won the 16th stage time trial


to extend his lead over Vincenzo Neebali to one minute


and 58 seconds with That's all the sport for now. I will


be back with more on BBC News after 11am.


A 14-year-old boy who was gunned down in an east London


What happened? The details on this incident are scant, but the police


launched a murder investigation. He died in hospital around 10pm last


night. Apparently he, this was a double shooting. It happened on


Monday afternoon. He was injured as was a 17-year-old who has got what


police are describing as life changing injuries and he remains in


hospital in a stable condition. No arrests have been made yet, but


police are appealing for help. And what have the police said? What do


they know? I know there is a fear of retaliation? The borough commander


said there is a serious fear of retaliation and therefore, what they


have done is they have put a number of armed and plained clothed police


officers in the area and they have increased stop and search incidents


for weapons and anything else that's going on in the area and to reassure


residents as well. They are only too aware this incident comes after a


spate of violent firearm discharges that have been blighting their


communities and seriously injuring their young men. So far there has


been a number of gun incidents in and around the Newham area. There


was one even at the end of July that had been taking place in less than


24 hours where two men were injured. But the concern with this particular


incident is the violent nature under which it went and the age of the


victim because he was only 14. Thank you.


School leaders are warning that increasing numbers of children


are not ready to take part in classroom activities


Some are lacking basic communication skills.


A survey carried out by the association for school


leaders, NAHT, and the Family and Childcare Trust,


found 86% of headteachers were concerned that children


being ready for school is worse now than five years ago.


Joining us now, Andy Mellor, Headteacher of St Nicholas Church


of England Primary School, is concerned at the lack of services


available to support families and children in need of extra help


Lynn Knapp, Headteacher of Windmill Primary School thinks


children using phones and gadgets isn't helping with


Parent John Adams in concerned at the social skills


He is joined by his four-year-old daughter Izzy who will start


Hi Izzy. A lovely wave. Thank you very much. I want to ask first of


all,anedy, when we say children aren't ready for school. We're


talking about four-year-olds. Children who have just turned four.


So what is it that they are not ready for? When children enter


school we need to be making sure that we hit the ground running with


them. They have got seven years in primary school. And we need to make


the most of that time in primary school. Basic skills such as being


able to take your coat off, basic things like having a conversation


with another child. All the early literacy skills. I mean we do an


audit with our families just to make sure that we know what we are


getting in terms of the needs of these children. Basic literacy and


basic understanding of what a book is, how to follow through the plot


line if you like in a picture book. All those sorts of basic skills,


particularly speech and language skills. We are seeing, our members


are seeing, across the country, deceasing and us having to do more


work in reception to actually make good that and then, of course, the


work that we have got planned for foundation stage and beyond that


into the National Curriculum, there is that to do as well. So, it's


actually increasing the workload if you like for the staff in reception


when these children really should be accessing the curriculum that we've


got planned for them from day one. Lyn, are you finding similar things?


Children don't recognise a book and can't hold a conversation with


another child? Yes, we do see that with some children coming in. It is


a broad picture. We have children coming in very ready for school.


Other children coming in with very little language and I think it is


that deficit of language which can be a real inhibitor for them


starting to access education. You are saying this is down to, what


lazy parenting, shoving a tablet or phone in front of a four-year-old


and not having a conversation? Not necessarily lazy parenting. Parents


are under pressure with both parents working particularly in Oxford, on


the whole two parents are working. Yes, do I think children are given a


tablet, a phone and in the last five years, those things weren't


available. Children didn't have that easy access to smartphones, smart


technology and I think it has opened up a whole new way of if you like


keeping children occupied. It is a very isolating type activity then


they are not conversing with other children in the home and that


vocabulary and language just by being in conversation and talking to


each other isn't happening. John, I know you have got an older daughter.


Is she eight? Have you noticed that? That's the beginning of the iPad


generation. My eldest is eight and she started playing with an iPad


when she was two. Do you recognise what you are hearing from Lyn? Oh,


absolutely. It is very interesting that we are at the end of the school


summer. Izzy is saying hello. It is interesting that we are just at the


end of the school summer holidays now. I have noticed a marked


difference with my children. The battle for screen time used to be


keeping your children away from cartoons. Now, partly because of


the, the developments in technology, but also partly I think because, my


other daughter is getting older, what they are trying to do with


technology is different, it is not just car teens, it is apps, cartoons


and YouTube videos as well as TV. One of the common battles that we


have as parents is we do our best to tell our children not to watch TV,


you turn your back for a minute, they are playing with an iPad or


they have managed to get your phone or something. There is this constant


battle to keep your kids away from screens. I do notice if my children,


I really, really dislike children having excessive screen time so I


limit it as much as I can, but if it has been a rainy day and the kids


have a lot of screen time I notice a marked difference in their


behaviour. Worse behaviour? They are not burning off energy. They are not


really thinking so when the screens get switched off, I do notice they


are much more excitable. They are bouncing off the walls, basically,


we have experienced that on a rainy day. Do you think parents are being


lazy? We can all say no, you can't have a tablet in the car. We will


discuss as we are driving along or walking to the bus or whatever it


maybe. Is this laziness? That's not what our survey is telling us. Our


survey tells us that this coincides with a major change in the funding


of things like children's centres. We lost a lot of those services for


families in parts of the country, very similar to Blackpool, where you


know, they need that level of support and that got cut with the


first round of funding cuts to local authorities. Schools did their best


to make that good and similarly, we have a family support worker in


school. We didn't have a family support worker five years ago, but


that's to meet a need, the needs of our family and our families in


school. If we're now finding that, you know, the cuts to school budgets


are now affecting the ability of schools to be able to fund family


support workers. So we haven't just lost children's centres and all the


wrap around care that went on before they came to school and supported


families, we are now having that infrastructure that we have built in


schools taken away because of the funding cuts to schools and speech


and language is huge. You know, it comes through loud and clear in the


survey. We've had to cut ?20,000 worth of speech and language therapy


that we put in place to make good the cuts to the local authority.


Now, we can't afford to do that anymore. We haven't got the money in


the budget to do that. The only answer to address all of this is to


put that support back in in the early years and support early years


settings and schools with this. Andy, thank you. We have to ask Izzy


if she is excited about school. Izzy, are you looking forward to


starting school next week? Yes. What is it that you like best? Is it


reading? Is it numbers? What is it, darling? Numbers. Numbers. She has


just dived into a book while we have been on air though. Good girl. She


has been drilled well by her father. Izzy, thank you for sitting so


beautifully. Bye Izzy. Hurricane Irma has strengthened


to a Category Five storm - the highest possible level and has


in its path a string of Caribbean islands, Puerto Rico,


Haiti, Cuba and then Florida. The National Hurricane Centre


in Miami is recording sustained winds of nearly 300


kilometres, more than 186mph. A state of emergency has been


declared in Florida, Puerto Rico and the US Virgin


Islands. I spoke with Gemma Handy,


a journalist and resident of Antigua and Angel


Adames-Corraliza, a tropical meteorologist with family


in Puerto Rico who told me about the impact hurricane Irma has


already been having. The winds are # 5 to 90mph. We can


expect them to pick up to 150mph and hopefully they should start to


lessen around 5am or 6am which is a couple of hours from now. We are


getting reports that several roofs have sadly been blown off including


an entire apartment building roof in one area of Antigua. Biggest cause


of concern right now is we seem to have lost contact with our sister


island. They are getting the full force of this right now. They are in


the eye. That should be coming to a close soon and then they are going


to get the 185mph winds happening again shortly. We will be grateful


when we get news back. What's been the advice to people who are in


Antigua? Are you sitting in your home, your office right now? No,


we're broadcasting live from the local radio station. We have stuck


two stations together. We have been broadcasting live for 12-and-a-half


hours and taking calls from the public trying to reassure people and


giving them constant weather updates from local metolgists and from our


expert in Florida as well. Are people told to go to shelters or


stay in their home, what's the advice been? If you are in a flood


prone area, get out. Like no two-ways about it. And obviously


those big storm surges are dramatic and I mean there has been strong


encouragement, but people generally know because people are used to


being in a hurricane area here, most people have gone to shelters. There


is 43 across the islands and 42 in Antigua and 200 people are in some


which for Antigua is unprecedented. I want to bring you in. You are a


tropical meteorologist. I know you are in Seattle, but you have got


family in Puerto Rico, who are concerned right now?


What have they told you about the preparations


When I talked to my family, friends and other


people today, people are


Hurricane Irma is pretty much unprecedented when it comes to


There has been a bit of a freak out this


morning, but that has been helpful in a sense because it has brought


people to realise that they really have to get ready for this


People have been putting storm shutters on their houses,


Pretty much all the wooden panels have been sold out


People have stocked up on supplies to the point that there


is a shortage of food in supermarkets.


People are heading to their homes, not going out on the


People in flood prone areas are advised to go to shelter.


I suspect that a lot of people will do


At this point, in the middle of the night, in Puerto Rico, I


suspect that people are waiting to see what is happening tomorrow


People following the news in the last week will be familiar with


Hurricane Harvey, but this is bigger, isn't it?


It is a different situation from Harvey.


Harvey was not a category five hurricane but a


The big impact from Harvey was the fact that it slowed


down and stayed stationary over Texas.


Hurricane Irma is a different situation, in which we have a bigger


size of storm with much stronger winds, and it is moving more


quickly, so when it comes to impact, the impacts from Hurricane Irma


But you will also possibly have a surge, and wind damage,


especially for the areas directly in the part of the hurricane.


People are using words like catastrophic -


explain a storm surge and the impact it could have.


It is a rise in the average sea level.


Usually, at the beach, the ocean is at a certain distance from the shore


and the houses and so on, but when you have a hurricane coming in, the


wind tends to cause the water to rise. The number of feet you see


forecasters is the number of feet above the average water level that


we will see. This doesn't count waves, which will occur on top of


that. Gemma, do you get a sense that people are worried about this like


no other hurricane, that this is unprecedented? Yes, pretty much. As


I say, people here are generally used to being in a hurricane area,


but there is definitely a sense that this is like nothing they have ever


experienced, and people have been comparing it to Hurricane Lewis. It


is certainly dramatic. People here tend to take things in their stride


quite well, so some people are calling in a little panicky, others


are more gung ho about it. Some people have even been sharing


light-hearted stories, so it is a mixture. You seem pretty relaxed.


Give us a sense of what is going outside, for people who haven't


experienced a hurricane. Can you hear building is moving? We're lucky


because we are in a bit of a bunker at the station. It is a very sturdy,


concrete building, and we are on a bit of a hill as well. Other people


have reported their building physically shaking, saying they feel


like the roof is coming off, very dramatic conditions. We feel a


little sheltered from it here, and we are trying hard to keep other


people come, so that is helping keep us come too. Angel, tell us what the


path will be for Hurricane Irma over the next few hours. As a


meteorologist, explain what that path will be. Right now, the


hurricane has made up turn to the west north-west, which is what we


were expecting. As it goes in the next couple of days, it will make a


close approach to several of the islands of the Lesser Antilles. It


will probably approach Puerto Rico at some point tomorrow. It should


continue steadily in pretty much a straight path, West Northwest, at


about 50 mph. And eventually to Florida? That is what the current


forecast is calling. It could be at some point on Sunday. There is some


uncertainty about that. There is a lack of consensus about different


models. But the model agree that it will probably impact at some point


over the weekend, yes. Personally, I you worried about your family in


Puerto Rico? I can't say that I'm not, write? When I woke up this


morning and I saw that Hurricane Irma had become a category five


hurricane with 170 mph sustained winds, it's really hard to keep it


together. I immediately called my family and saw how they were doing,


if they were getting prepared. The current track forecasts that it will


barely miss the island, so I am really crossing my fingers about


that, because if that happens, at least the strongest winds will


remain offshore. It does not mean it won't be a threat. There is the


threat of tropical to hurricane force winds. I am still concerned


about them. I told them I am going to call them tomorrow, and I've I


think the situation will get worse, I will tell them to seek shelter.


For now, they have put storm shutters on the house, they have


readied the whole yard and everything, just to make sure that


there isn't anything that could get in the way and damage our house.


That was Gemma and Angel, speaking to me earlier about Hurricane Irma.


Some of John Motson's greatest moments from his


He's calling his final match at the end of the season.


Before that though, he's been talking to our


Dan asked him what the key to being able to commentate was.


We will hear more from him in a moment, but first, some of his


career highlights. Radford for Newcastle. Bradford again. Oh, what


a goal! What they goal! Ronnie Radford. The crowd - the crowd are


invading the pitch. And there it is will stop the crazy gang had beaten


the culture club. Wimbledon have destroyed Liverpool's dreams of the


double. Her Royal Highness supports one of the great cup shocks of all


time. Platini through the middle... Goal! Platini, for Franz, with a


minute to go. It is 3-2. I have not seen events like this in years.


He cannot be shaken. In the end, the German bench get up to protest that


Gascoigne's last challenge. Oh, dear. Oh, dear me. He's going to be


out of the final if England get there. For the tackle on number 14,


Gascoigne has had his second yellow card of the competition, and here is


a moment that almost brings tears to his eyes.


Free kick given. His arms are apt. Is it over? It is. It's dramatic,


it's delightful. It's Denmark who are the European champions. He has


been speaking to our sports editor, Dan, who asked them what is the


secret to his commentary. It is like saying to your postman,


how do you prepare the letters? People don't need to


know that, do they? And people didn't need to know that


I was spending two days in this office banging myself over the head


with who the substitute was going They were only concerned


with the end product, and I had to make that as good


as I could. PRESENTER: If ever you thought


that we sporting commentators always sit nicely warm in our commentary


box, that is John Motson, reporting for us tonight on the Southend-


Liverpool match, looking rather We are sending out a St


Bernard to rescue him. The big breakthrough game


for you was that big '72 cup match. Newcastle winning 1-0


with five minutes to go. COMMENTATOR: Now Tudor has


gone down for Newcastle. Whenever I meet Ronnie Radford,


I say, you changed my life, Ronnie. And he said, that goal


changed my career, which it did. And when they drag it out on cup


weekend, and I hear myself commentating on that goal,


and I remember when he hit it and it was flying


towards the top corner of the net, and when I see it again,


as I have hundreds of times, I still think to myself,


please, go in, don't hit the post. If that hadn't nestled


in the Newcastle net, I'm afraid that Mark West


and Martin O'Neill are a few days longer if they're


going to add another chapter to Wycombe's famous cup history,


because as you can see, this part of Buckinghamshire


is absolutely snowbound, and there is a gale hurtling


around me now. The sheepskin coat has sort


of entered folklore now. It is such a normal thing to do,


to have a warm overcoat. Did you think at the time it


could be your trademark? Because you couldn't buy


a sheepskin full-length coat. It was only a jacket


you could get in the shops. So I started having


these made-to-measure. People started saying,


you are the bloke in the sheepskin. Where were you when


you were in the snow? I didn't set out to make that


a trademark, honestly. We can't get down there to actually


find out what has happened, but I think Trevor Brooking


is next to me. I did my first-ever commentary


for BBC television from this very gantry, and in those days,,


nobody had heard of the internet, although I can vouch for the fact


that I did say once upon a time, What do you think made you a great


commentator, looking back now? I think you've got to be


passionate about it. I also feel you've got to remember


as well that it's only While people are listening


to football matches or commentating on them, there are people


going to the cinema, I think one or two people


tend to forget that. I was going to say it was like being


paid for your hobby. But there is a little bit


of hard work involved. You know, the preparation


and the homework, and watching players and going to see games


so that you can do the one you were going to do next a bit


better, it was a challenge, but it was a challenge


that I always enjoyed. John Watson is going to end his 50


year career with the Help's being arranged, love.


Stay on the line with me. For a cardiac arrest we always


send two, in case CPR's needed,


Nurses protest against pay cap.

The refugee doctors being trained to work for the NHS.

Endometriosis affects 10% of women but diagnosis takes on average 7 years.