The latest national and international news stories from the BBC News team, followed by weather.
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Tonight at Six:
A stark warning from
doctors and nurses -
A&E departments can no longer
cope with demand.
BBC research shows that the number
of people waiting too long
in accident and emergency has
doubled in the last four years.
The ability of our system
to cope, it has stretched
us to our very limits.
All this as the NHS prepares
for what's expected to be the worst
flu season in years.
The Croydon tram crash -
an official report says
possibly fell asleep.
Seven people were killed.
with Israeli forces -
there's growing anger
after President Trump's
about the status of Jerusalem.
California's wildfires spread
as high winds are predicted -
the mansions of the rich
and famous are among thousands
of homes threatened.
Three cheers for the Queen,
as the Royal Navy commissions
the biggest and most powerful
warship built in the UK.
Coming up in Sportsday, Cardiff
misses out as Wembley is chosen.
More reaction to that, as Brussels
loses its matches over stadium
Good evening and welcome
to the BBC News at Six.
As the NHS prepares for what could
be the toughest winter in years,
new BBC research has revealed
the pressure faced by A&E
departments across the UK.
The number of patients waiting more
than four hours in A&E departments
has more than doubled
in the last four years.
In the last year alone some
three million patients had to wait
more than four hours.
The head of the Royal College
of Emergency Medicine said
the service "was stretched
to its very limits."
Our health editor Hugh
Pym has this report.
Many hospitals are struggling to
cope with the A&E workload, but this
one, Luton and Dunstable,
has consistently hit its four-hour
waiting time target for five years -
so what's the secret?
It is about getting
the whole health economy
involved, and that includes primary
care, community care...
A senior consultant
told me it was all about
managing patients as they moved
from A&E into the hospital to ensure
there were enough free
beds for new arrivals.
We have a team of people
who are dedicated to this process
and serve only this emergency
department to get them
through the hospital and the system
and back out, so we can see
new arrivals and new emergencies.
It sounds simple, but it's taken
this hospital time and a
lot of hard work and with the right
leadership to ensure that patients
are brought into the hospital
and through it, and then back home
again, as efficiently as possible.
But across the UK it's been
a lot more challenging.
Over 3 million patients
who visited UK A&Es waited
over four hours in the last 12
months, according to BBC research -
120% more since four years earlier.
By comparison, the number of visits
has only risen by just over 7%,
to just under 27 million.
The ability of our system to cope,
it has stretched us to our very
limits, so there is no more capacity
in the system.
Staff are working really hard,
our nurses, our doctors.
Haley from South Wales endured
a lengthy wait for treatment
after fainting and banging her head.
She felt unwell and was advised
to go straight to A&E.
We phoned 111 first,
just for some advice, and they went,
"No, you need to go to A&E."
So we headed down,
waited about an hour,
then there was a telly to say
seven-hour waiting time.
About another hour or two
passed and they said, no,
six and a half hours waiting.
But I got checked over
and I was able to go home.
So about five and a half hours,
six hours, in total.
Scotland has seen the best
A&E performance in
the UK and is close to the 95%
target for patients treated or
assessed in four hours.
England is behind,
followed by Wales and then
So, Mr Pollard, are you
ready to leave today?
Back in Luton they're
working hard to move
patients home when safe to do so,
so freeing up beds for new arrivals,
with senior social care experts
working in the hospital assessing
Every single ambulance
that's called out...
The Department of Health
covering England says more
money has been allocated
for social care and the NHS.
Health leaders including here
in Luton have prepared for winter,
but even so there are warnings
nationally that the service
will be sorely tested.
Hugh is here with me.
We have just seen in your report,
Hugh, how hard doctors and nurses
are struggling, and that is before
the flu season has hit us?
system was stretched last winter
seriously and now the margins are
even tighter. Some tell us they are
already running at 98% capacity.
Beds are already defined before
winter has even set in and the major
flu outbreak predicted materialises.
It may well not do so, of course,
and at one hospital the chief
executive is looking at messages
early in the morning, two o'clock,
one weekend morning, because of
concerns about the flow of patients
and worries about the backlog that
might have been building up. The
Government is making clear money is
being made available to the system
in England for the winter ahead, and
NHS leaders have welcomed that but
say it has come too late. They are
just hoping the planning they have
set in train, and they say it has
been very extensive, does hold up to
the undoubted rigours and test
Hugh, thank you very much.
And if you want to find
out what waiting times
are like at your hospital service,
go to the BBC's NHS Tracker
page on the website -
that's at bbc.co.uk/nhstracker,
and put in your postcode.
Seven people were killed and more
than 60 injured when a tram
in Croydon crashed just over
a year ago.
Today an investigation found
the driver possibly dozed off just
before the accident.
The tram went around a tight
bend three times faster
than the speed limit.
Our transport correspondent
Richard Westcott reports.
Going three times the speed limit
around a 90 degree bend,
costing seven people their lives.
Today the final report
into the Croydon tram crash found
that the driver probably dozed
off at the controls.
Well, you can see just
how tight this bend is.
The tram was meant to be going
around it at 13 miles an hour -
one three, a snail's pace,
like we are now.
It actually went around the bend
at nearer 45 miles an hour,
and one of the survivors
was standing exactly
where I am standing now,
just checking his phone.
The injury I sustained on the tram
that day just changed my life.
It is more than a year ago, but for
Taiye the memories are fresh.
I just put my phone away,
and I held onto the pole
in front of me and I said,
God, please save my life.
And I closed my eyes.
There were some people
still screaming and
shouting under the tram
because they were trapped.
"Please don't step on me -
I am still alive."
other worrying facts.
Another tram nearly derailed
on the same corner just
nine days before, but it
wasn't investigated properly.
In fact nine drivers admitted
they had used emergency or heavy
braking on the same bend
but were worried about
It also talks of
inadequate speed signs.
Half of the passengers
were thrown out of the tram
through smashed windows and doors -
it was the main cause
of injuries and deaths.
Investigators say tougher glass
could save lives in future.
Since the accident,
new speed signs have gone up
and there is a new system that
vibrates the seat if the driver
closes their eyes for more
than a second or so.
Marilyn Logan lost her husband
Philip in the accident.
She is furious at the failure to act
on previous speeding problems.
Very, very angry because these
procedures should be
there to protect the public,
and that is not
protecting the public.
The company controlling the trams
says it's putting things right.
There's a number of lessons learned
that we immediately put
in place after the events,
and that is better monitoring
of our drivers, greater education
of our drivers in terms
of well-being, and working
with Transport for London to make
sure that the network is safer.
The Croydon driver is
still being investigated
The Foreign Secretary Boris Johnson
says he will be visiting Perrin, the
capital of Iran, very soon, and that
he will be raising the case of dual
nationals being held in Iran. -- he
will be visiting Tehran, the capital
of Iran. He will in particular urge
the release on humanitarian grounds
of Nazanin Zaghari Ratcliffe a
British-Iranian woman jailed for
five years in Tehran. Our diplomatic
correspondent, James Robbins joins
Yes, the Foreign Secretary
Miss spoke and apparently implied
she might have been training
journalists there, but he then said
if his words had been misunderstood
he did not mean to say anything that
she was in Iran purely on holiday.
Boris Johnson has made clear he
would be going very shortly. I
suspect that means in the next few
days. This is not the only purpose
of his visit to Iran, trying to
secure her release. He wants to
build a better relationship with
Iran on a whole raft of issues, and
related issues, he will be raising
with Iran. Concern about their
activities in the region, in Yemen,
in Syria, but they will also be
reassuring them about Britain's
continued support about the nuclear
deal in Iran. It is obviously what
he can help change the climate and
perhaps produce a circumstance in
which Mrs Ratcliffe and others might
be released, but he is lowering
expectations. He said in these and
other consulate cases progress could
be very difficult, so I don't think
he is expecting big results.
Palestinians have clashed
with Israeli security forces
during protests across the West Bank
- it comes less than 24
hours after President Trump's
controversial decision to recognise
Jerusalem as Israel's capital.
The leader of the Palestinian
Islamist movement, Hamas,
has called for a new uprising.
President Trump's move has been
criticised by China,
the EU and Britain, as Yolande Knell
reports from Jerusalem.
preparing their own message
for President Trump,
venting their anger over his
recognition of Jerusalem
as Israel's capital.
Clashing with Israeli
soldiers in the West Bank.
Meanwhile in Gaza, the Islamist
Hamas leader, Ismail Haniyeh,
upped the ante - demanding
a new uprising, or intifada.
So far, fiery rhetoric hasn't
ignited protests on a grand scale,
but these Palestinians in Ramallah
really feared their chances
of having an independent state,
with East Jerusalem as its capital,
could now be stamped out.
He's making it only one
side, and they're taking
the opinion of the Israelis.
This has ended the two-state
solution, you know, the dream
for us as Palestinians.
Palestinians see the changes
in US policy on Jerusalem
as a huge setback.
Donald Trump may say
he is still committed to helping
them end their conflict with Israel,
but here they say he is
no broker for peace.
Meanwhile in Jerusalem the Israeli
prime minister was jubilant.
President Trump on
himself forever with the history of
our capital. His name will now be
proudly displayed among other names
in this city's glorious history.
Many Israelis share his gratitude
that the president has delivered on
a long-term promise, recognising, as
he said, the reality on the ground.
Trump is a man who was
sent from heaven to see the right
things at the right time. -- say the
But there are also concerns
On one and I am glad
he did that and on the other, I am a
This contested city is at
the heart of divisions between
Israel and the Palestinians, which
President Trump insists he wants to
mend. With more demonstrations
planned, hopes of that seem remote.
Yolande Knell, BBC News, Jerusalem.
The time is 6:13.
Our top story this evening:
Research by the BBC shows
that the number of people waiting
too long in accident and emergency
has doubled in the last four years.
And still to come:
Tonight's the night that the UK City
of Culture is chosen -
we'll see why Swansea thinks it's
in with a chance.
Coming up on Sportsday on BBC News,
the power of the Premier League -
English clubs have created
Champions League history with five
qualifying for the knockout
phase this season.
It's the the largest and most
expensive warship ever built
for the Royal Navy and today
the Queen commissioned
HMS Queen Elizabeth
at a ceremony in Portsmouth.
The ship, which won't take part
in military operations until 2021,
cost more than £3 billion
and has become the
flagship of the fleet.
Our defence correspondent
Jonathan Beale has more.
A day of pride for the Royal Navy
and for the nation.
The Queen has already named her.
Today she made her first visit
on board to commission
HMS Queen Elizabeth into service.
Almost lost in the cavernous hangar,
still waiting for aircraft.
But for the Queen, this ship already
holds a special place in her heart.
As the daughter, wife
and mother of naval officers,
I recognise the unique
demands our nation asks of you,
and I will always value my special
link with HMS Queen Elizabeth,
her ship's company
and their families.
A true flagship
for the 21st century.
The raising of the White Ensign
means she's now legally recognised
as a Royal Navy warship.
Over the past few months,
HMS Queen Elizabeth and her 700 crew
have been testing her at sea.
She's the first of two new carriers.
Russia has already described her
as a large convenient target,
but the Government insists
she will be a potent
weapon and symbol of
British military power.
This isn't just the largest warship
ever built for the Royal Navy,
it's also the most expensive,
costing more than £3 billion.
The F-35 jets that will eventually
fly off her will cost billions more
and this at a time when the defence
budget is under severe pressure,
with the prospect of further cuts.
Today the only cuts being made
were to the elaborate cake,
made to mark the occasion,
but the Navy is having to consider
axing other ships in the fleet.
They still believe it's worth it.
We knew this ship was coming
and her sister ship,
Prince of Wales, and the F-35s
they will operate
so we have been on a long,
complicated, but committed journey
to get to this point
and the commissioning of the ship
is a key milestone in that journey.
Work on the ship began
before the youngest crew
member was even born.
But, like the Queen,
she'll be expected to offer
decades of loyal service.
Built for the next 50 years.
Jonathan Beale, BBC
Severe gales and snow showers have
caused disruption and left thousands
temporarily without power
as Storm Caroline
sweeps in to the UK.
Gusts of up to 90mph were recorded
in northern parts of Scotland.
Flights and ferries have been
cancelled while dozens
of schools have been closed.
There are calls tonight
for a crackdown on excessive pay
for university bosses,
and the government agrees.
Bath Spa University is the latest
to be caught in the controversy
after it emerged that
its Vice Chancellor received
a pay-off amounting to £808,000.
Universities Minister Jo Johnson
promised a new regulator, the Office
for Students will tackle the issue.
Here's our Education Editor,
Bath spa is one of the smallest
universities, proud of a tradition
of art and design, but it only just
gets into the top 100 despite the
efforts of its last Vice Chancellor,
Professor Christina Slade.
residences will be built on glorious
parkland is just outside the city of
Bath. We are ready for the future.
Bath Spa gave Professor Slade golden
goodbye, they said £808,000 was
value for money, her legal
entitlement, but universities face
growing pressure to explain.
find some of these very large figure
is hard to understand but there may
be a justification. I'm not
convinced the right benchmark is
chief executive salaries in the
private sector. I think universities
are still different in many key
respects from private sector
Sunshine and higher pay,
that's what Australian universities
offer to run an elite institution
around half £1 million a year, so
does that competition for vice
chancellors justify high pay here?
If you look at Australia in the
elite group of eight universities in
Australia, their top internationally
ranked universities, three of them
in the last few years have appointed
vice chancellors who have come out
of the British system.
year universities in England will
have to justify higher pay, all
while trying to continue to make the
case for high tuition fees.
Universities talk in terms of global
competition but for many students
there are many more concerns - how
to find the money for their living
costs, what kind of job they might
get to pay off their large tuition
We cannot get distracted
from the the poorest students are
graduating with £57 -- £57,000 worth
of debt and students are choosing
between heating and eating.
is just the latest record in this
row. Universities want the
Government focus on their future
funding, not their pay.
The number of suspects arrested
in terrorism investigations has
reached a record high,
according to new
Home Office figures.
400 people were held
for terror-related offences
in the year to the end of September,
a jump of 54% compared
with the previous year.
The increase was partly due
to arrests made following terrorist
attacks in London and Manchester.
Police say a man, found strangled
along with his daughter
at his south London home,
was a convicted sex offender.
The bodies of Noel and Marie Brown
were found on Monday.
Detectives are investigating a link
with the sex offence,
which happened in 1999,
but say they had no evidence revenge
was a motive for the murders.
A fast-moving wildfire in southern
California has hit the US state's
main coastal highway and reached
the Pacific Ocean, according
to firefighters tackling the blaze.
Tens of thousands of homes,
including some mansions
belonging to celebrities,
have been evacuated in an area
north of Los Angeles.
James Cook is there.
California is used to fires but even
here, this is not normal. Years of
drought have left this state
parched. Here there's barely been a
drop of rain for six months and this
tranquil valley has seen some
The American west was never really
tamed. The weather here was always
wild and dangerous, and after years
of drought it now seems worse than
ever. This is the largest and most
destructive of the blazes, in
Ventura County north of Los Angeles.
Last night it looked as if a volcano
was erupting, the hillside glowing
like a lover. And with daylight the
damage became clear. The tinder dry
ground turned to ash. Swathes of
Southern California now look like
this, the fire swept through here
everything in its path and turning
this area into a wasteland. It only
consumed vegetation here, down in
the valley below now they are
worried about homes. In the
exclusive Los Angeles suburb of
Bel-Air yesterday they attacked the
fires aggressively, working hard to
save scores of homes.
The house will
be on fire soon, unlike what are you
talking about? You said it was far
away last night. He was like, don't
look outside, a whole mountain was
Celebrities such as the
musician Lionel Richie and the
socialite Paris Hilton were among
those forced to flee. Every
firefighting aircraft in the United
States has been summoned to
California and they are making a big
We are not quite out of
the woods yet but here in daylight
we will do everything we can to hit
it hard, fast and safely, and then
we will look to see by the end of
the day what we can do in terms of
In times of
crisis, extraordinary moments of
compassion. Here, a man runs to
rescue a rabbit. He seems in
distress but one little life has
been saved. At least four major
fires are burning across the state.
More fierce winds are forecast and
worst may be to come.
The UK's City of Culture 2021
will be announced within the hour
at a ceremony in Hull,
the current title holder.
Coventry, Paisley, Stoke-on-Trent
and Sunderland are all
in the running along with Swansea.
As our Wales Correspondent Sian
Lloyd reports, Swansea is a city
once famous for copper and coal -
now it wants to make
its name for culture.
The city by the sea.
Swansea has seen its fortunes
turn like the tide.
A sweeping shoreline shapes
Swansea Bay, but its past
was dominated by heavy industry.
A busy port, it suffered
in the bombing of the Blitz.
In the words of its most
famous son, Dylan Thomas,
"an ugly, lovely town".
Now Swansea is aiming for a revival.
A cultural revival.
Internationally renowned composer
Sir Karl Jenkins is one
of those backing this bid.
His story started here in Swansea.
I was born in 1944 and the town
was devastated in the war
by the bombing so it's had one kind
of serious period of regeneration
I suppose, but I think it
could do with a helping hand
now and it deserves it.
The shape of the arts
and culture here is changing.
Swansea wants to design itself
as a forward-looking digital city
where talents can flourish.
This art college workshop
is a creative hub, which Swansea
would like to see more
of in the future.
It definitely inspires me.
From the architecture,
it's very urban in the town centres.
There's lots of art
Then you walk down more to the coast
and it's a completely different
atmosphere all in one place.
# I see the buildings.
# Cluttering the skyline.
# Built by miners
on a pittance of pay.
# They worked together,
never on Sunday.
# That was not their way.
Swansea is trading on its sense
of place and heritage
but as cultural ambassador
Mal Pope says, its people
are at the heart of it too.
You know, we've built
this city in the past
on copper and steel and coal,
but to actually build the future
of the city on culture,
what an amazing opportunity
that is for our kids.
# And these are golden days...
After losing out to Hull last time,
Swansea hopes these
will be its golden days.
Sian Lloyd, BBC News, Swansea Bay.
And the winner of the City
of Culture 2021 will be
announced here on BBC One,
on the One Show, at 7 o'clock.
Time for a look at the weather.
Heard -- we heard of Storm Caroline
Heard -- we heard of Storm Caroline
earlier, what's the latest? Storm
Caroline is moving away to
Scandinavia but it is allowing this
cold air to push down, and see this
little trough here, it will bring
snow showers, already starting to
develop in the last few hours across
Scotland. Some significant snow is
likely through the night tonight
from Scotland into Northern Ireland,
driven by these gale force gusts of
wind. Be prepared for further
disruption in the Northern Isles but
as we go through the night tonight
the emphasis is with the showers on
zero and west facing coasts. A cold
start of the day and the showers
will be fairly widespread as well,
even at eight o'clock in the
morning. It is worth bearing in mind
if you have to be out on the roads
early on, particularly the further
north you are, because the ice could
cause some issues. This is eight
o'clock in the morning, through
Scotland and Northern Ireland. They
tend to filter down through the
Irish Sea, and across Wales as well.
Further south and west, more of a
wintry mix of rain, sleet and snow.
Notice how I haven't mentioned the
east too much and that's because it
will be predominantly dry but don't
befall, it will feel quite miserable
out there when you factor in the
wind. So, top temperatures
struggling really. Factor in the
wind and it will feel better out
there. Will we see that much change
as we go into the weekend? It looks
like Saturday will start off cold