13/01/2017 BBC News at One


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Struggling to see patients quickly enough.


Over four in ten hospitals in England declared a major alert


Official figures today reveal the scale of the problem,


with hospitals warning of mounting bed shortages and trolley waits.


We'll have the latest in the continuing winter crisis


Flood warnings along the east coast of England,


as a tidal surge and gale force winds force people from their homes.


Meanwhile, snow and icy conditions are disrupting


A dramatic increase in the number of men in low-paid, part-time work.


And victory for Britain's women's number one, Johanna Konta,


in her final warm-up tournament before the Australian Open.


And coming up in the sport on BBC News,


Johanna Konta wins her second tour title, the Sydney International.


Ideal preparation ahead of next week's Australian Open.


Good afternoon and welcome to the BBC News at One.


Nearly half of hospitals in England declared a major alert


NHS figures released this morning reveal that 66 of the 152 hospital


trusts raised the alarm, as large numbers of patients


experienced trolley waits and delays in A


Eight of the trusts declaring a major alert reported


the highest level of alarm, meaning patient safety was at risk.


Our health correspondent Dominic Hughes reports.


Another busy day for the Health Service, where the pressure of


winter is unrelenting. Earlier this week, Leicester Royal Infirmary was


one of more than 60 hospitals in England to declare a major alert as


the strain on services grew. The latest data from NHS England exposes


how the Health Service is struggling to cope. One in five patients


admitted as an emergency last week experienced a delay of at least four


hours for a bed. Nearly one in four patients waited over four hours to


be seen in A In some place it's reached nearly half. More than a


quarter of ambulance as riving at A units waited longer than 30


minutes to hand over their patients, twice as long as they should. These


latest figures are further evidence, if any more evidence was needed, of


the immense strain the entire NHS in England is facing this winter. Those


strains are felt most acutely in Accident Emergency departments,


which are the front doors to most hospitals. The pressure is being


felt right throughout the Health Service. A is the canary in the


coal mine here for the Health Service. People arriving at A


because they can't see a GP. They're arriving at A because they're


poorly, but could have been kept well if only they could have got


access sooner. They're stuck in the hospital because of problems in


community services and in social care. They can't get them out


quickly. Just as they have across the NHS, staff at northwick park


hospital in North West London have been working flat out. There have


been moments in the last two weeks, like the whole country, it's been


frightening for the members of staff, for the nurses, doctors, for


the ambulance crews who are bringing patients in. There have been moments


where it's been very sticky. But we have managed as best we can.


Everybody's worked incredibly hard. It's not just England. The latest


available figures from Wales and Northern Ireland show A


departments there are also struggling to treat patients within


four hours in. Scotland the picture over Christmas week was better. But


every part of the NHS is finding this winter to be one of the


toughest in recent memory. As you say there at the end of your


report, these official figures come at end of a difficult week for the


NHS. Not just a week, but several weeks. This is a situation that has


been building really since the summer, when we were warned that the


pressures of winter hadn't really relented over the summer months and


we've moved seamlessly into the winter months, where the pressures


are continuing to build. What lies behind it? Well it's a mixture of


all sorts of factors, demographics, we have an older, sicker population


with complex health needs who are arriving at A departments and they


take longer to see, to be seen because they are sicker and they


have very many different things wrong with them. There's been a slow


burning yies is in prime -- crisis in primary care. GPs are saying


they're seeing more and more patients and are getting overwhelmed


as well. All this is playing out against a crisis as well in social


care. So hospitals are finding it extremely difficult to discharge


patients back home or into the community when they're fit enough to


leave hospital, but still need some care. That's clogging up the entire


system. All of this is playing out against the background of extremely


tight budgets. We heard the chief executive of NHS England Simon


Stevens this week tell MPs that the NHS hadn't got the money that it had


asked for from the Government, flatly contradicting the line from


ministers that the NHS had got everything it had asked for and


plenty more. All this creates a perfect storm that is now swirling


around the NHS in England, making it a very difficult winter for medics


and for patients, but also increasing the pressure on the


politicians. Dominic, many thanks. Dominic Hughes. There


Severe flood warnings are in place on the eastern coast of England


amid fears thousands of homes are at risk, as snow and strong


The risk of high tides has led the Environment Agency to issue


severe flood warnings - meaning danger to life.


This is the Environment Agency map, and as you can see, there are dozens


of locations along the east coast at risk.


Evacuations are under way in Jaywick in Essex,


There are 11 severe flood warnings in place across England and Wales.


-- 14 severe flood warnings in place across England and Wales


There are also 91 warnings, where flooding is expected


and immediate action is required, and 63 alerts where flooding


is possible and individuals should be prepared for rising water levels.


Our correspondent Danny Savage is in Skegness.


Rita, we're part way through the 24 hour period of concern now. The good


news is that the first high tides that have come down the East Coast


have not been as high as feared. But high tides come around every 12


hours. There are real concerns for the tides this evening, that they


will be higher than anticipated. Hence those evacuations taking place


in some communities in Essex and Norfolk at the moment. This ongoing


situation is causing concern for communities right along the East


Coast of England. Along the east coast of England,


the floodgates on sea defences The hours of darkness


were used for preparation. Seaside business owners


cleared out all they could, Full moon, high tides, strong winds,


the wind in the right direction coming down the North Sea,


rather than blowing off So, there will be a significant rise


in the water, but whether it will be enough to top the defences depends


on Mother Nature, I suppose. Soldiers were drafted


in to Lincolnshire to help About 100 of them were briefed


at the local police station. They were then sent door-to-door,


warning residents that We are here to warn


you about the storm and the flood. Is a reassuring or alarming


to have the army knock on the door? It's reassuring that they


are looking after us, but also a bit alarming,


you're thinking, is the house But I think we are


fairly safe, anyway. High tide in Lincolnshire


was early this morning. It passed without event,


despite concerns. But there are worries about other


parts of the east coast later today. The issue with the storm surge is,


it is about the high winds, coinciding with what would be


high tides anyway. If you get that, you get really,


really high levels. That can be changeable


through the day. We are forecasting it


as closely as we can. But it's really important


that people stay alert, because some of these high tides


will happen very late By lunchtime, East Anglia


was where the most severe In Great Yarmouth, sandbags


were being filled, ahead Further south in Essex,


a reception centre has been opened after a decision was made


to evacuate people from their homes Have a look at individual situation,


take some steps around That could be bringing


additional clothes, And really listen to what we are


saying, which is try and use the facilities down


here in the education centre in Jaywick, or make plans to stay


with friends and relatives. People are being urged not to be


complacent about the situation One noticeable thing over the last


few hours is that the northerly winds have got a lot stronger. That


is one of the factors involved here. Will that strong wind push the high


tides over the flood defences? The high tide times vary depending on


where you are on the East Coast. It's these key times, where it could


flood. Grimsby tonight, high tide 6. 5pm. Skegness, 6. 45pm. At Jaywick


and Clacton, about 12. 30am. People are encouraged to stay alert what's


going on around them with floodwaters. Danny thank you.


Snow, ice and high winds have battered much of the UK,


causing travel problems and school closures in some areas.


Our correspondent Helena Lee reports.


Heavy snow in some parts of the Scottish Borders meant


Up to seven inches of snow fell in parts of Scotland overnight.


In Newcastle, on the A19, traffic came to a standstill,


Impossible conditions led to cars being abandoned.


In the village of Battle in East Sussex, icy roads meant


emergency services were dealing with cars which had


In Canterbury, icy pavements made the school run this


Across parts of the country, dozens of schools were shut


For those who didn't have to travel, the snow brought much


excitement to younger people, and left many parts of the country


Well, let's get more from some of the worst affected areas.


In a moment, we'll speak to our correspondents


in Great Yarmouth, in Norfolk, and the Lickey Hills


in Worcestershire, but first to Sophie Long who's


Sophie, how are things where are you? Well, the wind is blowing very


strongly here at the moment. The snow and sleet has stopped. There's


also a bit of sunshine, which is helpful for those people evacuating


their homes. Essex police triggered a full evacuation plan not just here


this morning, but for mistily and west Mersea as well. Some are


heeding those warnings. We've watched people pack vans and drive


away from their properties along the seafront here. There's a large


police presence in the area at the moment. They are stopping the public


from driving along this coast road. Some people, though, seem to be


quite relaxed about the situation. There's a number of people who are


still in their homes, just metres from the sea wall. They're not


showing any signs of going anywhere at the moment. I spoke to one man a


moment ago who said, "It won't come over the sea wall. It just won't."


The Environment Agency has been clear, though it was good news this


morning, the high tide here wasn't as high as it had been expected,


they say tonight's high tide, which is due here just after midnight,


could be much higher. The police here are urging people to comply


with their instructions saying it is much safer to evacuate now during


daylight hours than it will be tonight. Thank you. Now to Great


Yarmouth. How are things looking there? It has been snowing here.


It's now raining very hard. The main problem here is a very Veer flood


warning, that's a danger to life. Because of a combination of high


spring tides and winds that are due to reach up to 50, 60mph the the


high tide is expected here at 9. 15pm. The authorities have already


started to evacuate 5,000 homes, each home which could be affected


will be visited by the police or the military. Behind me, the council


have set up a sandbagging area, where people can get free sand and


bags for their homes. Many of those people have told me that they have


moved carpets, furniture and pets upstairs ready for the water. An


evacuation centre was set up about an hour ago for those people to go.


To the hope -- to go to. The hope is those strong winds don't arrive.


Debbie thank you. Phil Mackie is in the Lickey Hills in Worcestershire.


A lot of snow earlier, but it looks like it's disappearing? Yeah, if


you're a snow fan you won't like the pictures. It's been rapidly melting


in the last couple of hours. Earlier today this was covered in snow.


There was a good covering. People were out on their sledges enjoying


it, taking the dogs for a walk as well. Good views of Worcestershire,


the Black Country and Birmingham as well, snow pretty much everywhere on


the ground. Never enough to cause great disruption. In Staffordshire,


100 schools were shut. Power lines were down, partly because of the


very strong winds. There is obviously a warning of ice to come


tonight and tomorrow morning. But at the moment, certainly, things are


not as bad as they might have appeared to have been earlier on.


It's actually been quite a nice day, if you're a snow fan. Certainly this


morning when the sun was out and the snow was covering the ground, it was


very, very picturesque, picture pretty and the sledges were out in


force. They will have been packed away as the snow has torted to --


started to melt. Phil, many thanks. You can keep up with the story


throughout the afternoon on the BBC News channel, online and also with


your BBC local radio station. The Labour MP Tristram Hunt


is resigning to become the director of the Victoria


and Albert Museum. He's represented Stoke-on-Trent


Central since 2010. In a letter to local party members,


the former education spokesman, who resigned from the Shadow Cabinet


when Jeremy Corbyn was elected leader of the party,


said serving in Parliament had been "both deeply rewarding


and intensely frustrating". Let's speak our political


correspondent Carole Walker. He was a big figure in the party,


how significant is his departure? It is a big loss to the Labour


Party. Tristram Hunt is somebody who was well-known, engaging,


charismatic. I think his departure is a further sign of the


disillusioned there is amongst many Labour MPs who don't share Jeremy


Corbyn's views. And it poses a big challenge for the Labour leader


who's going to have to fight a difficult by-election. Tristram Hunt


in that resignation letter says he's not trying to rock the boat, he


stresses how the new role at the fee and a will enable him to combine his


passions for education, public engagement and so on -- V He says


he feels frustration that now Labour is out of power, he's not able to do


as much as he would like to tackle inequality and poverty. In past


Tristram Hunt has been hugely critical of Jeremy Corbyn. Mr Hunt


was Shadow education spokesman, he stood down when Jeremy Corbyn became


the Labour leader. He said, after the EU referendum in the summer,


that he felt Jeremy Corbyn had simply failed to inject Labour


values into the debate, and he said that frankly Labour voters need a


new Labour leader. The challenge for Jeremy Corbyn will be to see whether


he can hold onto this seat. It is an urban working-class eat. Ukip edged


into second place, they will fancy chances here. The question for


Jeremy Corbyn is whether he can hold onto this traditional seat and


restore his party 's fortunes. NHS figures show nearly half the


hospitals in England declared a major alert in the first week of


this year. And still to come, how the evolution


of killer whales may hold the key to understanding the development


of human beings. Coming up in sport, while number one


Andy Murray draws in the Australian open as he heads into his first


grand slam as top seed. A 40-year study by British


scientists has revealed clues as to why some species stop having


babies half-way through life. Human beings and killer whales


are two of only three species where the female goes


through the menopause. Researchers say they have a much


clearer idea of the crucial role older females play among the killer


whale population and how that could teach us something about human


evolutionary history. Our science correspondent


Victoria Gill reports. These researchers have been


documenting the lives of killer And their findings have revealed


new insight into something we humans share with a mammal so very


different from us. Orcas and humans are two of only


three mammals on the planet that stop reproducing partway


through our lives. This 40-year study of killer whale


society has already shown that grandmothers play a crucial role,


leading their pod and helping But scientists have now used


this unique dataset, that recorded births and deaths


in every orca family here, to prove that it is crucial


for the survival of new calves for grandmothers to stop reproducing


when their daughters start. When a mother and daughter


breed at the same time, the calf of the mother has


about a 1.7 times higher risk of The benefits of grandmothering


are not enough to explain why It's only when you consider


the conflict of competition within the family group,


and that older females lose out, that you can actually understand


and explain why menopauses evolved. Avoiding this so-called reproductive


conflict between the generations seems to give babies


the best possible chance. It's really interesting just


how important that bond And that's something that could


finally explain human menopause. At some point in the evolution


of our ancestors, the researchers say that menopause evolved


as an adaptation, to prevent reproductive conflict


between older and younger women. This, combined with the fact that


grandmothers are of such huge benefit to their grandchildren,


explains why our reproduction stops, while our life span


continues to increase. We can't go back in time


to study our own ancestors' lives. But this long, careful observation


of killer whale society has finally revealed the origin of menopause,


something so fundamental to our own. The number of men in low-paid,


part-time work has increased New research by the Institute


for Fiscal Studies has found that one in five low-paid men,


between the ages of 25 and 55, That means wage inequality for men


has risen over two decades, Our personal finance correspondent


Simon Gompertz reports. It used to be mainly


the fate of women to work Now, increasingly,


it's men like Declan. He's found a London job delivering


takeaways on his bike, using his spare time to study,


but it's hard. If work doesn't go well one night,


you have to rearrange your plans so you work another night,


and you don't particularly feel You do just feel like


a piece of meat, really. The food business, shops, security,


all now looking for flexibility like Declan is providing,


and not necessarily full-time. For decades now, we've seen the pay


of women workers held down by casualisation,


by shorter hours working, And we are beginning to see


those trends happen right across the labour market now,


impacting particularly But insecure employment,


low-paid employment, is not good for workers,


and it's not good for The study looked at lower paid


men, the bottom 20%, and found that before,


two decades ago, one in 20 were working part-time,


whereas now it's more That group is working five


fewer hours per week. The big question is


whether they want to, This means people aren't


being forced to work long hours What they are doing,


is they are making a positive choice to find a job


which suits their life. And they are prepared to trade off


pay for getting the flexibility to spend time with their children


or elderly parents, I think that's a good news story,


that in today's society, people can choose and find a job


that fits with their lives. But the jobs we are talking


about are for less than ?8 an hour, Which, without tax credits


or a partner to help, can leave you struggling


to make ends meet. A woman who alleges


she was indecently assaulted by TV presenter Rolf Harris has


told his trial how he had put his hand up her skirt


after she asked for an autograph. She told the jury the alleged


indecent assault was Mr Harris denies seven


charges of indecent assault Let's apeak to our correspondent


Dan Johnson who's at Tell us more about this woman's


evidence. This woman, who is now in her 50s, explained how as a


12-year-old she and her mother went to a radio station in Portsmouth


after hearing Rolf Harris on the programme talking about his


favourite records. They collected autographs and thought they might


have the chance to meet him and get him to sign their autograph book.


That's what happened, as he left they approached him, and the woman


said, it was quite pleasing seeing him in real life. I had seen him on


TV, it was nice to see someone famous. They asked Rolf Harris to


sign, he signed her mothers, then turned to her, the 12-year-old. He


said, I think it's your turn, let me give you a little cuddle. She


explained how Rolf Harris but one hand behind her back, one hand down


her leg and then up her skirt, touching her beneath her underwear,


she explained. She said it felt horrible, it didn't feel right, I


didn't know anything about sex at the time, she said, but it felt


wrong. She said her mother was standing right her but didn't


realised what had happened. After Rolf Harris signed the book, they


left. She told her mother what had happened but wasn't believed. She


was challenged in court that she had made it up after Rolf Harris was


convicted two years ago, she said, no, this is true. Thank you.


Refugees and migrants are dying in Europe's sudden cold snap,


and the United Nations Refugee Agency is urging


The UNHCR said several migrants had died from cold


and exhaustion in Bulgaria, and it called on Greece to move


migrants from poor conditions on islands to better facilities


Our correspondent Sian Grzeszcyk reports.


Desperate to get out of the bitterly cold waters, these, just some of the


800 migrants and refugees that were rescued from the Mediterranean Sea


yesterday. The Italian coastguard helped them of the six rubber boats


they were trying to cross in. Freezing temperatures in Europe over


the last week have caused the UN to call on governments to do more to


help migrants. In Greece, the situation was so bad that this ship


was sent to Lesbos at the request of the Greek Prime Minister to house


migrants, amidst health warnings that condition that the main camp at


becoming humane. Hundreds of others in Lesbos are being transferred to


hotels. I am afraid but I don't know where I go. I'm afraid. At the


European Parliament in Brussels, a warning about how prepared the EU is


for a further increase in numbers. We are making a call for Europe to


prepare for possible new influxes. It may not happen, but we need to be


prepared. We are very concerned in a number of situations, Europe does


not seem to have a plan A or plan B. Conditions are also tough at this


migrant camp in Serbia. More than 1000 men from Afghanistan and


Pakistan are relying on one meal a day from volunteers, and having to


wash outside in the cold conditions. Concern is growing that more


migrants will died trying to survive these harsh conditions.


The General Medical Council has warned that hospitals


are failing to raise concerns about incompetent locum doctors.


The report says there's a reluctance to provide frank feedback,


and weaknesses in monitoring could put patients at risk.


Well, with me is our Health correspondent, Elaine Dunkley.


Is this about locum doctors not going through the proper checks


or about hospitals not giving proper feedback?


It's a little bit of both. There are around 8000 locum doctors working in


the UK, and according to this review, not all of them are being


checked. Every doctor, every year, should have an appraisal, and every


five years they must have their licence revalidated. This was


brought in to ensure patient safety. It follows cases such as Harold


Shipman who killed 200 patients. There was also a case in 2007 where


a German local doctor killed a patient on his first shift in the


UK. According to this review, there are still some locum doctors falling


through gaps in the system. So, why is it happening? According to the


review there is often confusion over which organisation should be


carrying out appraisals of staff on short-term contracts. Also, there


was criticism of hospitals for not speaking out and sharing information


about incompetent locums. There were also issues around some agencies,


not ensuring the right checks had been done and that there was enough


support to locum doctors. This review looked at monitoring


assessment for all doctors across the UK. It also found there was


evidence some patients were frightened to give honest feedback,


an important part of the revalidation process for the


relicensing of doctors. The Department of Health has said this


has had huge improvements on the system but also more work needs to


be done. Thank you. There were emotional scenes last


night as President Obama surprised his vice President with the


country's highest civilian honour. Mr Obama said he was awarding


the Presidential Medal of Freedom to Joe Biden for his faith


in his fellow Americans He described him as a lion


of American history. Mr Biden said the honour


was a complete surprise. The best Vice President America has


ever had, Mr Joe Biden! This also gives the internet


one last chance to talk Johanna Konta, Britain's number one


female tennis player, has won her final warm-up tournament


before the Australian Open. She beat Agnieszka Radwanska


in straight sets to win the Sydney International,


the second WTA title of her career. Our sports correspondent


Katie Gornall reports. In the tennis arena, Johanna Konta


demands attention. After extraordinary rise through the


rankings, she's now in the top ten. The big moments, the big players no


longer worry her. Across the net was Agnieszka Radwanska, the world


number three. A player should never beaten, you sense that was soon


going to change, as she took the first set 6-4. Despite a successful


2016, Johanna Konta has brought a new coach to Australia. Any fears


this could disrupt her rhythm were quickly swatted aside. Agnieszka


Radwanska is seen as one of the most intelligent players on the tour. She


was given little time to think, as Johanna Konta wrapped up the second


title of her career in some style. With the start of the Australian


open days away, she had to Melbourne as a genuine contender. I think


there's a good opportunity for her to get to the final. If you look at


her section, she starts with Kirsten Flipkens she's got Serena in the


quarters. Jo is playing the best tennis of her career right now. Dan


Evans reached his first ATP tour final after beating Andre Kuznetsov.


Tomorrow he will face a player ranked nearly 30 places above him.


As the Johanna Konta, who was born in Sydney before moving to England,


Australian tennis may see her as the one that got away.


We've got another couple of days of cold weather. Still some wintry


showers on the way today across many northern areas of the UK, and we've


got that strong wind blowing down that North Sea coast, in particular.


Let's focus on that. This is the area of low pressure. We still got


high tide on the way this evening. It's late this afternoon, so this


entire coastline, from the River Humber southwards around East


Anglia, all the way to the south-east, there are severe flood


warnings from the Environment Agency. Heed the warnings, stay away


from those promenades, those highways could prove


life-threatening. As far as this afternoon is concerned, for most of


us across Scotland and in the West we've got snow showers, a cold wind


blowing as well. Temperatures in many areas below freezing. By the


time we get to 5pm, snow showers and other wintry showers in Northern


Ireland and parts of Wales. Further inland, it's looking fairly quiet.


We've got some sunshine. We had the earlier band of wet and windy and


snowy weather across the South and the south-east. Very dramatic for a


time in London. Now that's gone. Through this evening a lot of clear


skies but wintry showers around some of these Western and eastern coasts.


Temperatures in towns and cities around minus one. Out in rural areas


it could be as low as -5 or minus six. Tomorrow once again any slush


is going to refreeze and it'll be icy on those roads. There will be a


lot of sunshine around. The good news is the wind will continue to


ease along those eastern coasts. If you more wintry showers, possibly


getting into parts of knowledge. We are starting to see slightly less


cold air coming into western areas. That is a hint of things to come as


we go through the course of the weekend. Today and tomorrow is still


cold. This milder air moves in off the Atlantic, with that weather


front. That basically means a lot of clouds and also some rain. This is


what it looks like on Sunday, a complete change. It may take time


for the weather to warm up across some of these far eastern areas, for


example in East Anglia could be around 5 degrees only. We are


talking about double figures that across many western areas. Next week


through Monday and Tuesday, it looks as though we are going to keep those


mild conditions with some rain at times. Weather you like it or not,


it looks as though there is some milder weather on the way.


It's goodbye from me, and on BBC One, we now join


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