A report showing the number of NHS foundation trusts breaching an urgent cancer target has more than quadrupled in a year also showed trusts had delivered "efficiency savings" of £867 million so far in 2014 -18% (£185 million) behind what they had planned for this stage.
All trusts need to up their game in delivering efficiency savings this year in order to maintain and improve the quality of care for patients, and ensure the sustainability of services.
The financial trust sector is doing remarkably well in tough circumstances but is looking a little frayed at the edges.
More top news
Andre Luzganov, who shot dramatic video of the attack the weekend, told ITV News his family has left and will not be returning to Mariupol.
A call operator at NHS 111, which was designed to relieve pressure on emergency services, tells ITV News the system is struggling to cope.
Shell chief executive Ben Van Beurden says the full effect of oil price slump is yet to be felt. In the meantime tough decisions lie ahead.