The NHS in England is performing at its worst ever level against targets, including A&E and cancer treatment.
In 2016 more than 25,000 people waited for more than two months to start cancer treatment after an urgent referral - the highest on record.
The chief executive of NHS England, Simon Stevens, said "substantial changes" to the 111 service are needed to stem the rise in A&E attendances.
Mr Stevens also called for changes to urgent care, as figures showed the health service is struggling to cope against several performance targets.
He told members of the NHS England board that the NHS was under pressure, but thanked hard-working staff.
He added that a principal driver of a reduction in the number of beds available in hospitals was delayed transfers of care, which "have gone up by 90% over the past two years".
The Democratic presidential candidate may also have shown his cards on his choice of running mate.
The US president also shared a post on Twitter accusing Dr Anthony Fauci of misleading the public over hydroxychloroquine.
Fears over an impending second wave of coronavirus dominates Wednesday’s front pages.